颈椎椎体切除及皮质松质骨髂骨移植治疗颈脊髓损伤后的功能恢复：初步经验

FUNCTIONAL RECOVERY AFTER CORPECTOMY AND CORTICO CANCELLOUS ILIAC BONE GRAFTING FOR CERVICAL SPINAL CORD INJURY :INITIAL EXPERIENCE.

作者信息

Sahoo P K, Sharma J R, Gill H S

机构信息

Classified Specialist (Surg & Neurosurgery), Dept of Neurosurgery, Neurology Centre Army Hospital (R&R), Delhi Cantt 110010.

Consultant (Surg & Neurosurgery), Dept of Neurosurgery, Neurology Centre Army Hospital (R&R), Delhi Cantt 110010.

出版信息

Med J Armed Forces India. 1998 Jul;54(3):208-211. doi: 10.1016/S0377-1237(17)30544-0. Epub 2017 Jun 26.

DOI:10.1016/S0377-1237(17)30544-0

PMID:28775477

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5531571/

Abstract

Twelve patients with post-traumatic cervical spinal cord injury from C3 to C7 having anterior compression and instability underwent corpectomy and corticocancellous iliac bone grafting from Jan 95 to Dec 96. Corpectomy and tricortical iliac bone grafting was carried out at one level in 10 and two levels in 2 patients. Neurological function was recorded using a functional scale pre and post-operatively. There was complete functional recovery in 5, improvement in 5 and no change in neurological status in 2 patients. This technique is simple, safe, biomechanically sound providing stability with good functional recovery in these patients.

摘要

1995年1月至1996年12月，12例C3至C7节段创伤性颈脊髓损伤且存在前路压迫和不稳定的患者接受了椎体次全切除术及取自髂骨的皮质松质骨移植。10例患者在一个节段进行了椎体次全切除术和三面皮质髂骨移植，2例患者在两个节段进行了上述手术。术前和术后使用功能量表记录神经功能。5例患者功能完全恢复，5例患者有所改善，2例患者神经状态无变化。该技术简单、安全，生物力学合理，能为这些患者提供稳定性并带来良好的功能恢复。