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发育性颈椎椎管狭窄合并颈椎病的诊断和治疗 被引量:34

Diagnosis and Treatment of Developmental Cervical Stenosis Accompained with Cervical Spondylosis
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摘要 本文报告发育性颈椎椎管狭管合并颈椎病并经手术治疗45例.研究发现,颈椎病病变过程是颈椎椎管狭窄临床发病的常见原因.测量结果,颈_3~颈_7椎管矢状径均在10mm以下并有节段性椎体后缘增生和骨赘形成.根据临床神经系统检查和影像学征象,分别选择颈椎前路和后路施行减压和植骨.平均随访18个月,椎间融合率100%,功能恢复优良率达82.2%(37/45). Forty-five patients with developmental cervical stenosis accompanied with cervical spondylosis were presented in this paper. The study demonstrated that the pathologic process of cervical spondylosis usually was important cause of clinical onset for developmental cervical stenosis. The measurement of cervical canal sagittal diameters from C3 to C7 showed that all less than 10mm,and obvious spurs were formed in posterior borders of adjacent vertebral bodies. Decompression and fusion.with anterior or/and posterior approach were chosen according to neur-logic examination and the imaging findings. The follow up period was a mean of 18 months. The intervertebral bony fusion was 100%,the excellent and good results were 82. 3% (37/45).
出处 《骨与关节损伤杂志》 1995年第1期34-37,共4页 The Journal of Bone and Joint Injury
关键词 颈椎 椎管狭窄 颈椎病 诊断 X线诊断 NMR 成像 Cervical stenosis Spondylosis
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二级参考文献5

  • 1贾连顺,解放军医学杂志,1991年,16卷,419页
  • 2贾连顺,中华骨科杂志,1990年,10卷,37页
  • 3贾连顺,中华外科杂志,1989年,27卷,561页
  • 4徐印坎,中华骨科杂志,1986年,6卷,348页
  • 5赵定麟,解放军医学杂志,1982年,7卷,324页

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