脊髓型颈椎病前路与后路手术的临床疗效
Clinical outcome of anterior vs posterior approach for cervical spondylotic myelopathy.
作者信息
Cahueque Lemus Mario Alberto, Cobar Bustamante Andres Enrique, Ortiz Muciño Alfredo, Caldera Hernandez Gustavo
机构信息
Instituto Mexicano del Seguro Social, UMAE Hospital de Especialidades Centro Médico Nacional de Occidente, Guadalajara, Jalisco, Mexico.
出版信息
J Orthop. 2016 Mar 26;13(3):123-6. doi: 10.1016/j.jor.2016.03.006. eCollection 2016 Sep.
Abstract
OBJECTIVE
The aim is to demonstrate whether there is clinical difference between posterior vs anterior decompression in cervical spondylotic myelopathy.
METHODS
Forty-two patient database was obtained from the Centro Medico Nacional de Occidente in Mexico, those who underwent surgical treatment for cervical myelopathy with a mean 1.4 year follow-up.
RESULTS
Patients were divided; group A (45%) anterior approach and group B (55%) posterior approach, for mJOA, group A had a lower score compare with group B. While in the Nurick score group B got a higher score compare with group A.
CONCLUSIONS
Posterior decompression resulted in better functional outcomes (p < 0.05).
摘要
目的
旨在证明脊髓型颈椎病后路减压与前路减压之间是否存在临床差异。
方法
从墨西哥国家西部医疗中心获取42例患者的数据库，这些患者均接受了脊髓型颈椎病的手术治疗，平均随访1.4年。
结果
患者被分组；A组（45%）采用前路手术，B组（55%）采用后路手术，对于改良日本骨科学会（mJOA）评分，A组得分低于B组。而在努里克（Nurick）评分中，B组得分高于A组。
结论
后路减压产生了更好的功能结果（p < 0.05）。
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