[长节段或节段性颈椎前路减压固定手术治疗多节段颈椎病]
[Treatment of multi-segmental cervical spondylosis by long or segmented anterior cervical decompression and fixation surgery].
作者信息
Duan Chunyue, Wu Jianhuang, Hu Jianzhong, Zhang Hongqi, Wang Xiyang
机构信息
Department of Spine Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Dec;39(12):1306-12. doi: 10.11817/j.issn.1672-7347.2014.12.014.
OBJECTIVE
To investigate the clinical efficacy of two different anterior cervical surgeries in treatment of multi-segmental cervical spondylosis.
METHODS
A total of 86 patients with multi-segmental cervical spondylosis were treated by anterior cervical surgery procedure. Among them, 62 and 24 cases were involved in three and four gap, respectively. Each patient underwent the surgery of long or segmented anterior cervical decompression and fixation. Preoperative and postoperative cervical curvature change, internal fixation stability, fusion rate and nerve function were evaluated.
RESULTS
All patients were successfully completed the operation, segmented surgery showed better cervical lordosis recovery, but there were no significant difference between long and segmented anterior cervical surgery in blood loss and recovery of neurological function (P> 0.05).
CONCLUSION
The segmented anterior cervical surgery has advantages in the treatment of multisegmental cervical spondylosis.
目的
探讨两种不同的颈椎前路手术治疗多节段颈椎病的临床疗效。
方法
86例多节段颈椎病患者接受颈椎前路手术治疗。其中，分别有62例和24例涉及三个节段和四个节段。每位患者均接受了长节段或分段颈椎前路减压及固定手术。评估术前和术后颈椎曲度变化、内固定稳定性、融合率及神经功能。
结果
所有患者均成功完成手术，分段手术在颈椎前凸恢复方面表现更佳，但长节段和分段颈椎前路手术在失血量及神经功能恢复方面差异无统计学意义（P>0.05）。
结论
分段颈椎前路手术在治疗多节段颈椎病方面具有优势。
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