摘要
目的评价颈后路减压后枕颈融合内固定加自体髂骨移植治疗颅底凹陷症的疗效。方法采用颈后路枕下充分减压＋枕颈融合内固定及自体髂骨移植术治疗21例颅底凹陷症患者，术后所有患者给予颈托固定3个月及康复锻炼。结果本组患者术后影像学检查显示枕骨大孔处脊髓已得到充分减压，平均随访时间14个月，术后JOA评分平均14．1分，明显大于术前的8．1分，改善率为67．4％。结论颈后路减压后枕颈融合内固定加自体髂骨移植是治疗颅底凹陷症的一种有效方法，可改善患者神经症状，提高生活质量。
Objective To evaluate the efficacy of posterior cervical decompression and occipito- cervical fusion with iliac bone graft and internal fixation for basilar invagination. Methods From January 2010 to March 2012,21 patients（ 12 males ,9 females）with basilar invagination were given posterior cervi- cal decompression and occipitocervical fusion with iliac bone graft and internal fixation, and all of them re- ceived cervical collar fixation for 3 months and rehabilitation exercises. Results The spinal cord in the re- gion of foramen magnum was fully decompressed in all cases according to imaging data after operation. The mean follow-up time was 14 months. The postoperative JOA score was higher than the preoperative one （ 14.1 points vs. 8.1 points） with the improvement rate of 67.4%. Conclusion Posterior cervical decom- pression and occipitocervical fusion with autogenous iliac bone graft and internal fixation is an effective treatment for basilar invagination, which can improve patient＇s neurological symptoms and the quality of life.
出处
《临床外科杂志》
2013年第2期125-127,共3页
Journal of Clinical Surgery
关键词
颅底凹陷症
后路减压
枕颈融合
髂骨移植
basilar invagination
posterior decompression
occipitocervical fusion
iliaegraft
