摘要
目的:观察保留颈后方韧带复合体、重建颈伸肌群附着点单开门颈椎板成形术治疗颈椎疾患的临床疗效。方法:2000年8月～2004年10月应用保留颈后方韧带复合体、重建颈伸肌群附着点单开门颈椎板成形术治疗颈椎疾患34例,其中男20例,女14例,年龄53～68岁,平均58.5岁。脊髓型颈椎病(CSM)18例,后纵韧带骨化症(OPLL)9例,无骨折脱位型颈脊髓损伤7例。比较患者手术前后JOA评分、颈椎生理曲度(C2～C7角)、活动范围(ROM)。结果:术前JOA评分平均8.6分,中立位C2～C7角平均8.6°,ROM平均43.5°。术后平均随访2.5年,末次随访时JOA评分平均12.5分,与手术前比较有显著性差异(P<0.05),改善率46.4%;中立位C2～C7角平均9.4°,与手术前比较无显著性差异(P>0.05);ROM平均33.8°,与手术前比较有显著性差异(P<0.05)。结论:保留颈后方韧带复合体-重建颈伸肌群附着点单开门颈椎板成形术术后可有效维持颈椎生理曲度。
Objective：To study the clinical result of open-door laminoplasty with reconstruction of the posterior cervical ligamentous complex and the insertion of extensor.Method：From August 2000 to October 2004, 34 patients who undergoing open-door laminoplasty with reconstruction of the posterior cervical ligamentous complex and the insertion of extensor were reviewed retrospectively,which consisted of 20 males and 14 females,aged 53-68 years（average age 58.5 years）.18 patients with cervical spondylotic myelopathy,9 with ossification of the posterior longitudinal ligament and 7 with cervical spinal cord injury without fracture or dislocation.The JOA score,alignment of the cervical spine and the ROM of the cervical spine were analyzed,before and after operation,respectively.Result：Preoperative average JOA score was 8.6,angle of C2-C7 was 8.6° and ROM was 43.5°.Average follow-up was 2.5 years,postoperative average JOA score was 12.5 （P〈0.05）,improvement rate was 46.4%,angle of C2-C7 was 9.4°（P〉0.05） and ROM was 33.8° （P〈0.05）.Condusion：After open-door laminoplasty,the procedure of reconstruction of the posterior cervical ligamentous complex and the insertion of extensor would be helpful in maintaining the physiological cervical spine alignment.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2008年第4期253-256,共4页
Chinese Journal of Spine and Spinal Cord
关键词
颈椎
韧带复合体
伸肌附着点
单开门
椎板成形术
生理曲度
Cervical vertebrae
Ligament complex
Insertion of extensor
Open-door
Laminoplasty
Alignment
