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前路分节段减压植骨融合术治疗多节段颈椎病 |
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【摘要】 目的 评价前路分节段减压植骨融合术治疗多节段颈椎病的临床疗效。方法 对40 例连续3或4个节段病变的颈椎病患者采用分节段椎间隙减压或配合单椎体次全切除减压加植骨融合内固定术治疗，分析手术时间、术中出血量、术后3个月植骨融合率、3月时的JOA评分改善率、颈椎曲度的改变。结果 患者手术时间平均为135 min(80～240 min)，术中失血量平均为350 mL(30～700 mL)。术后3个月随访时JOA评分均有不同程度提高，改善率(57.18±19.28)％；3个月植骨融合率为100％，所有患者的颈椎畸形矫正后曲度明显恢复，有些恢复正常，无植骨块延期融合、内置物下沉等并发症发生。结论 颈前路分节段减压植骨融合术治疗多节段颈椎病是较好的手术方式。
【关键词】 多节段颈椎病；分节段减压；植骨；融合
Observation of the Clinical Effects of Segmental Anterior Cervical Decompression with Fusion on Treating Multilevel Cervical Myelopathy
XU Min，LIU Baoxin
(Department of Spinal Surgery，the Third Affiliated Hospital of Guangxi TCM College，Liuzhou 545001，China)
Abstract：Objective To evaluate the clinical effects of segmental anterior cervical decompression with fusion on multilevel cervical myelopathy.Methods 40 patients of multilevel cervical myelopathy with 3 or 4 consecutive segments who were treated with anterior decompression and fusion.The parameters including operation time，blood loss，graft or implants fusion rate and improvement of JOA score 3 months postoperatively were collected.Results In our series，the average total operative time was 135 min(80～240 min) and average blood loss was 350 mL(30～700 mL).JOA scores in all patients were im[1] [2] [3] [4] [5] 下一页
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