摘要
本组报告46例颈椎间盘突出症经颈前路椎间盘切除及椎间植骨融合术,并就临床特点和治疗方法选择进行讨论.本组男性32例,女性14例,平均年龄46.7岁.平均随访25个月,全部获得骨性愈合.根据神经系统检查和功能状况评定,优:32例,良:9例,可:4例,无变化:1例.按40分评定,平均提高8分,最高16分.作者认为椎间盘变性、突出即表示该节段潜在不稳.因此,认为除非椎间盘脱出,颈椎动态条件下显示稳定,病人又较年轻者,可考虑施行单纯髓核摘除.大多数应施行椎间盘切除加植骨融合术,即减压和稳定术,能够保持持久的疗效.
The authors reported 46 cases of cervical disc herniation being treated with discectomy and interverte-bral bone - graft - fusion by anterior approach and made discussion about the clinical features and the therapeutic choice. Among them, 32 were males ,14 females. They were average 46. 7 years old. The follow -up period averaged 25 months. All had got bony fusion. According to the assessment of the examination and function of neurosystem, 32 cases were excellent,9 cases good,4 cases little better, 1 case no change. According to the 40 points assessment system,average 8 points were elevated,the biggest elevation being 16 points. The authors concluded that the degeneration and protrusion of the cervial disc stands for the potential instability at the same segment. They suggest that Simple cervical discectomy might be performed only on the young patient showing dynamic stability except for disc herniation;most cervical disc herniation might be treated by discectomy plus bone-graft-fusion,that is decompression and stabilization,and they would keep permanently good.
出处
《骨与关节损伤杂志》
1996年第4期218-221,共4页
The Journal of Bone and Joint Injury
关键词
椎间盘突出
颈椎
诊断
治疗
Disc herniation,Spinal cord ,Cervical
