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1、福建医科大学硕士学位论文3ComparisonoftwokindsofanteriorcervicalsurgeryfortreatmentofshorttermtherapeuticeffectsofContinuityofmultilevelcervicalspondyloticmyelopathyAbstractObjective:ToanalyzetheshorttermclinicaleffectsofthetreatmentofContinuityofmultilevelcervicalspondyloticmyelopathybytwomethodso
2、fanteriorcervicaldecompressionandreconstruction.Method:retrospectivelyanalysis39patientwithcontinuousmultilevelcervicalmyelopathytreatedbythesameteamweredividedintotwogroups:Anteriorcervicalsinglecorpectomyanddiscectomytitaniummeshcombinedwithcageinterbodyfusionandinternalfixationwithl
3、ockingplate(GroupI,21cases),Anteriorcervicaltwo-segment-corpectomyandreconstructedwithalongtitaniummeshandplate(GroupII,18cases),Thecomparisonbetweentwogroupsinoperationtime,bleedingvolume,Theclinicalcurativeeffect(AccordingtoOdomstandard),X-rayCobb’sangle,Changesincervicalphysiologica
4、lcurvature(Preoperative,immediatepostoperative,3monthafteroperation,6monthafteroperation),JapaneseDepartmentoforthopedicsassociationscoresystem(JOA)classificationmethodforspinalcordfunctionalscore(TheimprovementrateofspinalcordfunctionRIS)andTherateofbonefusion3and6monthsafteroperation
5、.Result:Theoperationtimeoftwogroupshadnostatisticalsignificance(P>0.05),Theamountofbleedinghadsignificantdifference(P<0.05),Twogroupsofnervefunctionrecoveryhadnostatisticalsignificance(P>0.05),Firstgroupsofimmediatepostoperative、3and6monthafteroperationCobb’sangle,cervicalphysiological
6、curvature,comparedwithpreoperativehadsignificantdifference(P<0.05),Secondgroupsofimmediatepostoperative、3and6monthafteroperationCobb’sangle,cervicalphysiologicalcurvature,comparedwithpreoperativehadsignificantdifference(P<0.05),Betweenthetwogroupsofimmediatepostoperative、3monthafterope
7、rationCobb’sangle,cervicalphysiologicalcurvaturehadnosignificant3福建医科大学硕士学位论文4difference(P>0.05).6monthafteroperationhadsignificantdifference(P<0.05).Twogroupsofnervefunctionwereimproved,ImprovementinJOAscoreoftwogroupsbeforeandafteroperationhadsignificantdifference(P<0.05),Differenc