期刊文献+

颈椎后路椎间孔开大预防颈5神经根麻痹临床疗效分析 被引量:3

Clinical Analysis of Preventing C5 Palsy with Foraminotomy
下载PDF
导出
摘要 目的:评估颈椎后路椎间孔开大对降低颈椎后路术后颈5神经根麻痹发生率分析。方法:2005年1月至2011年4月共有46例颈椎病患者接受了颈椎后路减压结合椎弓根钉内固定手术治疗,男性31例,女性15例。25例(A组)接受单纯椎板切除减压内固定,21例(B组)同时行椎间孔开大术。对两组患者的临床资料、影像学资料以及颈5神经根麻痹发生率进行分析。结果:A组有2例患者(8%)发生了C5神经根麻痹症状,B组没有发生C5神经根麻痹症状(P<0.05)。2例患者均诊断为连续型后纵韧带骨化症,在随访中(24个月),均完全缓解。结论:新手术方法在一定程度上对预防C5神经麻痹起到积极的作用,因此推荐在行颈椎后路减压手术时对颈4-5椎间孔开大预防C5神经麻痹。 Objective: To evaluate the effects of C4 -5 partial foraminotomy on reducing the occurrence of C5 palsy after cervical decompression surgery. Methods: A total of 46 patients (male 31, female 15 )who underwent the cervical decompression surgery with pedicle screw insertion between Jan. 2005 and Dec. 2011 were recruited. Twenty five cases (Group A) underwent the posterior lamineetomy with pedicle screw insertion, while 21 cases (Group B) received posterior laminectomy with pedicle screw insertion, combined with partial C4 -5 foraminotomy at C4 -5 level. The clinical data, radiographic parameters and the occurrence of C5 palsy of all cases were assessed. Results : Postoperative C5 palsy occurred in 2 cases (8%) in group A and none in group B. The difference in the incidence of C5 palsy was significant between two groups. Both cases were diagnosed as continuous OPLL, and had good prognosis for neurological and functional recovery during the 24 - month follow - up. Conclu- sion: The new operation procedure is effective for preventing C5 palsy in certain circumstances. And the posterior laminectomy with pedicle screw insertion, combined with partial C4 -5 foraminotomy at C4 -5 level is necessary for patients with cervical dis- order.
机构地区 巴彦淖尔市医院
出处 《包头医学院学报》 CAS 2013年第1期30-34,共5页 Journal of Baotou Medical College
关键词 颈椎 颈椎椎间孔开大 颈5神经根麻痹 Cervical vertebrae Cervical foraminotomy C5 palsy
  • 相关文献

参考文献26

  • 1Hirabayashi K, Toyama Y, Chiba K. Expansive laminoplas- ty for myelopathyin ossification of the longitudinal ligament [ J ]. Clin Orthop, 1999,359:35 - 48.
  • 2Wada E, Suzuki S, Kanazawa A, et al. Subtotal corpectomy versus laminoplasty for multilevel cervical spondylotic my- elopathy: A long- term follow- up study over 10 years [ J]. Spine,2001,26:1443 - 1447.
  • 3Yonenobu K, Hosono N, Iwasaki M, et al. Neurologic com- plieations of surgery for cervical compression myelopathy [J]. Spine,1991,16:1277 - 1282.
  • 4Baba I, Sumida T, Ishida T, et al. Risk factors and preven- tion for C5 nerve root palsy after expansive open door lamin- oplasty for cervical spondylotic myelopathy and OPLL withmicrocervical foraminotomy by operating microscope [ J ]. Rinsho - Seikeigeka, 1995,30:499 - 505.
  • 5Chiba K, Toyama Y, Matsumoto M, et al. Segmental motor paralysis after expansive open - door laminoplasty [ J ]. Spine,2002,27 : 2108 - 2115.
  • 6Komagata M, Nishiyama M, Endoh K. Clinical study of the post- operative C5 palsy after cervical laminoptasty; Effica- cy of bilateral partial foraminotomy for prevention the C5 pal- sy ( in Japanese) [ J ]. J Jpn Spine Res Soc ,2002,131:237.
  • 7Sasai K, Saito T, Akagi S, et al. Preventing C5 palsy after laminoplasty [ J]. Spine,2003,28 : 1972 - 1977.
  • 8Ebraheim NA, An HS, Xu R. et al. The quantitative anato- my of the cervical nerve root groove and the intervertebral fo- ramen [ J ]. Spine, 1996,21 ( 14 ) : 1619.
  • 9Zdeblick TA, Zou D, Warden KE. Cervical stability after foraminotomy. A biomechanical in vitro analysis [ J]. J Bone Joint Surgery Am, 1992,74 ( 1 ) : 22 - 27.
  • 10Abumi K, Itoh H, traneichi H, et al. Transpedicular screw fixation for trauma tire lesions of the middle and lower cer- vical spine: description of the preliminary report [ J ]. J Spinal Disord, 1994,1 : 19 - 28.

二级参考文献83

共引文献54

同被引文献17

引证文献3

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部