双侧开门外侧块螺钉固定植骨治疗脊髓型颈椎病Treatment for Cervical Myelopathy by Combination of Expansive Open door Laminoplasty with Lateral Mass Screw Fixation and Bone Graft
吴文华,圆尾宗司
摘要(Abstract):
目的:对双侧开门外侧块螺钉固定植骨术治疗脊髓型颈椎病进行初步报告,探讨此项技术的手术要点和早期临床效果。方法:自1994年至今,采用双侧开门外侧块螺钉固定植骨术治疗脊髓型颈椎病。41例患者中,男30例,女11例,年龄58~81岁,平均65岁。27例合并发育性椎管狭窄症,17例合并动力性椎管狭窄症,12例合并颈椎间盘突出症,14例合并后纵韧带骨化症,1例合并黄韧带骨化症。随访10个月~4年1个月,平均2年5个月。结果:疗效评定标准参照日本整形外科学会(JOA)评分标准。疗效:优13例,良22例,可3例,差3例,优良率为854%。无1例出现神经或血管损伤或内固定物断裂的并发症,1例术后并发感染,经清创、摘除内固定物和抗生素治疗后治愈。结论:本方法的优点是,在进行后方减压的同时,进行坚强的内固定。本方法适用于需要从后方入路进行减压的颈椎病,尤其适用于伴有节段性不稳的脊髓型颈椎病的治疗。
关键词(KeyWords): 双开门成形术;脊髓型颈椎病;外侧块螺钉;内固定
基金项目(Foundation):
作者(Author): 吴文华,圆尾宗司
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参考文献(References):
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