Song Hong-Pu, Guo Qiao-Feng, Zhang Xiao-Wen, Zhang Chun
Department of Orthopaedics,Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China.
Zhongguo Gu Shang. 2012 Sep;25(9):708-10.
To explore clinical effects of anterior cervical decompression and fusion by microscope in treating cervical spondylotic myelopathy.
From February 2005 to March 2010,21 patients with cervical spondylotic myelopathy, 13 males and 8 females with an average age of 51.5 years (ranged, 32 to 71), were treated with anterior cervical decompression using high-speed bur,then bone grafting and fusion with auto iliac bone and internal fixation by microscope. According to JOA score of cervical spondylosis to evaluate clinical effects before and after operation.
All patients were followed up from 18 to 24 months with an average of 20 months. JOA score improved significantly from preoperative 9.26 +/- 1.72 to postoperative 13.64 +/- 1.38 (t = 2.452, P = 0.000). According to JOA score, 12 cases were excellent, 7 good and 2 fair.
Anterior cervical decompression and fusion by microscope is a refined, safe and effective surgical procedure for cervical spondylotic myelopathy.
探讨显微镜下颈椎前路减压融合术治疗脊髓型颈椎病的临床效果。
2005年2月至2010年3月，对21例脊髓型颈椎病患者进行治疗，其中男性13例，女性8例，平均年龄51.5岁（32至71岁）。采用高速磨钻行颈椎前路减压，然后取自体髂骨植骨融合，并在显微镜下行内固定。根据颈椎病JOA评分评估手术前后的临床效果。
所有患者均获随访，随访时间18至24个月，平均20个月。JOA评分由术前的9.26±1.72显著提高至术后的13.64±1.38（t = 2.452，P = 0.000）。根据JOA评分，优12例，良7例，可2例。
显微镜下颈椎前路减压融合术是治疗脊髓型颈椎病的一种精细、安全、有效的手术方法。
