颈前路椎体次全切除植骨融合治疗脊髓型颈椎病的临床观察

目的：探讨颈前路椎体次全切除植骨融合治疗脊髓型颈椎病的手术效果。方法：88例脊髓型颈椎病患者，男性62例，女性26例，年龄平均52.2岁，病程平均25.3个月。术前JOA评分平均为8.5分。全部行颈前路椎体次全切除减压，自体髂骨植骨。结果：64例获随访，平均33.2个月，植骨全部于术后3-4个月骨性愈合，手术优良率为79.6%，术后JOA评分平均14.4分。结论：颈前路椎体次全切除植骨融合治疗脊髓型颈椎病的疗效确切。能同时直接去除椎间盘水平和椎体后方的脊髓压迫。

Clinical observation of anterior corpectomy and fusion for treatment of multilevel cervical spondylotic myelopathy

Objective:To study the effect of operation of anterior corpectomy and fusion for treatment of multilevel cervical spondylotic myelopathy(CSM).Methods:In 88 CSM patients,62 were male and 26 female,aged on average 52.2 years.The duration of illness was 25.3 months on average.All patients were treated with anterior corpectomy and selfiliac bone graft.Results: Sixty-four patients were followed up for 33.2 months on average.All grafting bones got solid fusion in 3 to 4 months postoperatively.The excellent rate of operation was 79.6%.The JOA score rose from 8.5 points before operation to 14.4 points after operation. Conclusion: Effect of anterior corpectomy and fusion for treatment of multilevel cervical spondylotic myelopathy is certainly.The spinal cord decompression at the disc level and body level.