石健;汤逊;周田华;徐永清;潘险峰;

• 1:成都军区昆明总医院全军骨科中心

摘要(Abstract)：

[目的]探讨颈前路选择性节段减压治疗老年多节段脊髓型颈椎病的效果。[方法]回顾性分析自2004年6月～2008年6月期间,采用颈前路选择性节段减压治疗并获随访的27例老年多节段脊髓型颈椎病患者的临床资料,根据术前和术后随访时JOA评分结果评估神经功能改善情况。[结果]经18～27个月(平均19.7个月)随访,所有病例内置物无松动、移位。术后JOA评分改善率为56.1%,其中优8例,占29.6%;良11例,占40.7%;中6例,占22.2%;差2例,占7.4%。[结论]颈前路选择性节段减压能够兼顾老年脊髓型颈椎病患者的全身情况及神经功能恢复,是治疗老年多节段脊髓型颈椎病的有效方法,术前减压节段的正确选择是决定术后恢复效果的关键。

关键词(KeyWords)： 老年人;多节段;脊髓型颈椎病;前路减压;融合

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 石健;汤逊;周田华;徐永清;潘险峰;

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参考文献(References)：

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