摘要
【摘要】目的总结报告手足徐动症继发颈椎病的手术治疗结果,分析其发生特点与治疗原则。方法对32例手足徐动症继发颈椎病患者的症状、体征、手术方法及手术并发症等进行分析,并与同期收治的93例颈椎病患者进行比较,不同手术方式的效果之间也进行统计学比较。结果(1)手足徐动症继发颈椎病患者的平均年龄为37.94岁,颈椎病患者的平均年龄为52.48岁,两者比较差异有非常显著性意义(P<0.001)。(2)手术节段与颈椎病对照组比较差异有非常显著性意义(P<0.001)。(3)手术后症状、体征的改善结果与颈椎病对照组比较差异无显著性意义(P=0.068)。(4)29例行颈椎前路手术者中加用钛板固定的植骨愈合时间明显缩短(P=0.041)。结论手足徐动症继发颈椎病的特点为患者年轻且病变严重。颈椎前路减压、植骨融合加钛板内固定为最佳的手术方法。
Objective To report the results of the surgical treatment of cervical spondylotic myelopathy(CSM) secondary to athetoid cerebral palsy and clarify the characteristics and the principle of treatment of the disease. Methods The age of the patient, segments of vertabrae involved and operated upon, results and complications of 32 cases with CSM secondary to athetoid cerebral palsy were statistically analyzed and compared with 93 patients who had isolate CSM operatively treated at the same time. Results 1)The average age of the patients in the group of CSM secondary to athetoid cerebral palsy was 37.94 years,and in the group of isolate CSM was 52.48 years, with significant statistic difference(P< 0.001). 2)Segments involved in the surgery in the group of CSM secondary to athetoid cerebral palsy was 2.44+0.98 and in the isolate CSM group was 2.04+0.74(P< 0.001). 3)There were no significant difference between two groups in clinical results(P=0.068).4)The interbody bone graft fusion time of those applicated with anterior plate fixation was shorted than those without using the technique(P =0.041). Conclusion The characteristics of the CSM secondary to athetoid cerebral palsy includes that the age of the patients was relatively young and the clinical presentations were severe. Anterior plate fixation added to the interbody bone graft may be the best choice of the treatment.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2002年第4期208-211,共4页
Chinese Journal of Orthopaedics
