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- 杨金江副主任医师
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医院:
首都医科大学附属北京友谊医院
科室:
骨科
- 颈椎后路椎管扩大成形加短节段固定手术疗效及影响因素分析
- 作者:杨金江|发布时间:2012-07-07|浏览量:515次
杨金江 王炳强 李东 杨雍 李锦军
首都医科大学骨科学系, 北京友谊医院骨科 北京市 100050
摘要:
目的:探讨颈椎后路椎管扩大成形加短节段固定手术治疗脊髓型颈椎病的疗效及影响因素。北京友谊医院骨科杨金江
方法:2006年8月~2008年6月因脊髓型颈椎病行颈椎后路单开门椎管扩大成形加颈椎侧块钉棒系统固定融合术的患者21例。将患者的年龄、病程、术前椎管矢状径值、骨性椎管扩大率、脊髓后移距离、术前JOA评分诸影响因素与JOA改善率进行多元逐步回归分析,分析JOA改善率与上述诸因素的相关性。
结果: 术前JOA评分、病程与JOA改善率明确相关,有显著性意义。病程与JOA改善率呈明显负相关,术前JOA评分与JOA改善率呈明显正相关。
结论:颈椎后路单开门椎管扩大成形加颈椎侧块钉棒系统固定融合术是治疗脊髓型颈椎病的有效方法;术前JOA评分、病程是决定脊髓型颈椎病预后的重要因素,是判断脊髓型颈椎病预后的重要指标,两者相比,术前JOA评分起着更强的指导作用。
[关键词] 颈椎病;单开门;影响因素
Abstract
Objectives: To analyze the outcomes and related factors of open door laminoplasty and posterior lateral mass fixation in cervical spondylotic myelopathy.
Methods: Totally 21 patients were reviewed. The patient’s age, course of disease, diameter of spinal canal before operation, amplification degree of diameter of spinal canal, Shift of the spinal cord, JOA before operation and improvement rate of JOA after operation were recorded. Then we use SPSS to analyze the relationships among them.
Results: There is a positive correlation between JOA before operation and improvement rate of JOA after operation. And there is a negative correlation between course of disease and improvement rate of JOA after operation.
Conclusion: It is a good means for cervical spondylotic myelopathy to do the operation of open door laminoplasty and posterior lateral mass fixation. The course of disease and JOA before operation are good prognostic indicator to judge the operation result in cervical spondylotic myelopathy.
Key words : cervical spondylotic myelopathy,open door laminoplasty ,related factors