Yuan W, Jia L, Ni B, Chen D, Ye X, Chen X
Department of Orthopedic, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.
Zhonghua Wai Ke Za Zhi. 2000 Mar;38(3):182-4, 11.
To study the value of cervical spine locking plate (CSLP) combined with anterior corpectomy in treating multilevel cervical spondylotic myelopathy (CSM).
In 55 CSM patients, 36 were male and 19 female, aged on average 51.5 years. The duration of illness was 13 months on average. Pathological segments in 47 patients included two functional segments and in 8 three functional segments. All patients were treated with anterior corpectomy and self-iliac bone graft and CSLP fixation.
51 patients were followed up for 26 months on average. All grafting bones got solid fusion in 12 to 16 weeks postoperatively. Intervertebral spaces were restored after operation. The physiological curve of the cervical spine was good. The effective rate of operation was 94.1% (48/51) and the excellent rate 78.4% (40/51). The JOA score rose from 8.3 points before operation to 14.1 points after operation.
Anterior corpectomy and osteosynthesis of multilevel cervical spondylotic myelopathy are indicated for CSLP fixation. CSLP in the treatment of cervical spine instability is prospective.
探讨颈椎锁定钢板（CSLP）联合前路椎体次全切除治疗多节段脊髓型颈椎病（CSM）的价值。
55例CSM患者，男36例，女19例，平均年龄51.5岁。病程平均13个月。47例患者的病变节段为两个功能节段，8例为三个功能节段。所有患者均行前路椎体次全切除、自体髂骨植骨及CSLP内固定术。
51例患者获得随访，平均随访26个月。所有植骨均在术后12～16周获得牢固融合。术后椎间隙恢复，颈椎生理曲度良好。手术有效率为94.1%（48/51），优良率为78.4%（40/51）。JOA评分由术前的8.3分提高至术后的14.1分。
多节段脊髓型颈椎病行前路椎体次全切除及植骨融合内固定术时宜采用CSLP固定。CSLP治疗颈椎不稳具有良好的应用前景。
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