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本文引用的文献

1
Two-level anterior cervical discectomy versus one-level corpectomy in cervical spondylotic myelopathy.双节段颈椎前路椎间盘切除术与单节段椎体次全切除术治疗脊髓型颈椎病的对比
Spine (Phila Pa 1976). 2009 Apr 1;34(7):692-6. doi: 10.1097/BRS.0b013e318199690a.
2
Implant complications, fusion, loss of lordosis, and outcome after anterior cervical plating with dynamic or rigid plates: two-year results of a multi-centric, randomized, controlled study.前路颈椎使用动态或刚性钢板内固定后的植入物并发症、融合情况、颈椎前凸丢失及疗效：一项多中心、随机、对照研究的两年结果
Spine (Phila Pa 1976). 2009 Apr 1;34(7):641-6. doi: 10.1097/BRS.0b013e318198ce10.
3
Efficacy and safety of the use of titanium mesh cages and anterior cervical plates for interbody fusion after anterior cervical corpectomy.颈椎椎体次全切除术后使用钛网融合器和颈椎前路钢板进行椎间融合的疗效及安全性。
Surg Neurol. 2006 May;65(5):464-71; discussion 471. doi: 10.1016/j.surneu.2005.12.021.
4
Three-level anterior cervical discectomy and fusion with plate fixation: radiographic and clinical results.三级前路颈椎间盘切除融合钢板内固定术：影像学及临床结果
Spine (Phila Pa 1976). 2006 Apr 15;31(8):897-902. doi: 10.1097/01.brs.0000209348.17377.be.
5
A novel technique of three-dimensional reconstruction segmentation and analysis for sliced images of biological tissues.一种用于生物组织切片图像的三维重建分割与分析的新技术。
J Zhejiang Univ Sci B. 2005 Dec;6(12):1210-2. doi: 10.1631/jzus.2005.B1210.
6
Anterior decompression combined with corpectomies and discectomies in the management of multilevel cervical myelopathy: a hybrid decompression and fixation technique.前路减压联合椎体切除和椎间盘切除术治疗多节段颈椎脊髓病：一种混合减压与固定技术。
J Neurosurg Spine. 2005 Sep;3(3):205-9. doi: 10.3171/spi.2005.3.3.0205.
7
Cervical spine loading characteristics in a cadaveric C5 corpectomy model using a static and dynamic plate.使用静态和动态钢板的尸体C5椎体次全切除模型中的颈椎载荷特性
J Spinal Disord Tech. 2004 Apr;17(2):117-22. doi: 10.1097/00024720-200404000-00008.
8
Enhancement of stability following anterior cervical corpectomy: a biomechanical study.颈椎前路椎体次全切除术后稳定性增强的生物力学研究
Spine (Phila Pa 1976). 2004 Apr 15;29(8):845-9. doi: 10.1097/00007632-200404150-00005.
9
C5 palsy after decompression surgery for cervical myelopathy: review of the literature.脊髓型颈椎病减压手术后的C5麻痹：文献综述
Spine (Phila Pa 1976). 2003 Nov 1;28(21):2447-51. doi: 10.1097/01.BRS.0000090833.96168.3F.
10
Single stage anterior cervical reconstruction with titanium mesh cages, local bone graft, and anterior plating.采用钛网笼、自体骨移植和前路钢板进行一期颈椎前路重建。
Spine J. 2003 Jul-Aug;3(4):294-300. doi: 10.1016/s1529-9430(02)00588-0.

混合减压技术和两级椎体次全切除术是治疗三级脊髓型颈椎病的有效方法。

Hybrid decompression technique and two-level corpectomy are effective treatments for three-level cervical spondylotic myelopathy.

作者信息

Liu Yong, Yu Ke-yi, Hu Jian-hua

机构信息

Department of Orthopaedics, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.

出版信息

J Zhejiang Univ Sci B. 2009 Sep;10(9):696-701. doi: 10.1631/jzus.B0960001.

DOI:10.1631/jzus.B0960001
PMID:19735103
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2738840/
Abstract

The optimal surgical strategy for multilevel cervical spondylotic myelopathy (CSM) has not been defined, and few comparative researches between hybrid decompression and multilevel corpectomy have been conducted. Here, we reported 28 patients of three-level CSM, of whom 12 underwent hybrid decompression and 16 two-level corpectomy, with each type of procedure chosen according to radiologic characteristics of those patients. Clinical and radiologic parameters of both groups showed various degrees of improvement. However, no statistically significant differences in Japanese Orthopedic Association (JOA) score improvement rate, graft fusion rate, post-operative neck disability index (NDI) or segmental lordosis between the two groups were found. We conclude that both hybrid decompression and two-level corpectomy could obtain satisfying clinical efficacy in the management of three-level CSM for appropriate patients.

摘要

多节段脊髓型颈椎病（CSM）的最佳手术策略尚未明确，且关于混合减压术与多节段椎体次全切除术之间的比较研究较少。在此，我们报告了28例三节段CSM患者，其中12例行混合减压术，16例行两节段椎体次全切除术，每种手术方式均根据患者的影像学特征选择。两组的临床和影像学参数均有不同程度改善。然而，两组之间在日本骨科协会（JOA）评分改善率、植骨融合率、术后颈部功能障碍指数（NDI）或节段性前凸方面未发现统计学上的显著差异。我们得出结论，对于合适的患者，混合减压术和两节段椎体次全切除术在治疗三节段CSM时均可获得满意的临床疗效。