Yang Hong-hang, Min Ji-kang, Yuan Yong-jian, Wang Dan, Xu Xu-chun, Xu Yi
Zhongguo Gu Shang. 2015 Jan;28(1):36-8.
To investigate the clinical effects of anterior cervical intervertebral space decompression under microscope in treating cervical spondylotic myelopathy in elderly patients.
From June 2009 to March 2012, 43 patients with cervical spondylotic myelopathy were treated with anterior cervical intervertebral space decompression and intervertebral fusion under microscope. There were 26 males and 17 females, aged from 60 to 72 years old with an average of (64.9±3.7) years. Japanese Orthopaedic Association System (JOA) score was from 7 to 12 points with an average of (9.5±1.8) points before operation. The function of nerves was assessed before and after operation according to JOA.
All patients were followed up from 10 to 18 months with an average of (14.7±1.6) months. Postoperative JOA score was (13.81±1.44) points (ranged, 10 to 16), had significantly higher than preoperative (P<0.01). According to the rate of the improved JOA score, 9 cases got excellent results, 26 good, 7 fair, 1 poor.
Anterior cervical intervertebral space decompression under microscope for cervical spondylotic myelopathy in elderly patients is safe and effective.
探讨显微镜下颈椎间隙减压治疗老年脊髓型颈椎病的临床效果。
选取2009年6月至2012年3月收治的43例脊髓型颈椎病患者，采用显微镜下颈椎间隙减压及椎间融合术治疗。其中男26例，女17例，年龄60～72岁，平均（64.9±3.7）岁。术前日本骨科协会（JOA）评分7～12分，平均（9.5±1.8）分。根据JOA对患者术前、术后神经功能进行评定。
所有患者均获随访，随访时间10～18个月，平均（14.7±1.6）个月。术后JOA评分为（13.81±1.44）分（范围10～16分），显著高于术前（P<0.01）。根据JOA评分改善率，优9例，良26例，可7例，差1例。
显微镜下颈椎间隙减压治疗老年脊髓型颈椎病安全有效。
