颈椎后路单开门水平悬吊椎管成形植骨融合侧块螺钉内固定术治疗多节段脊髓型颈椎病的临床疗效观察

《颈椎后路单开门水平悬吊椎管成形植骨融合侧块螺钉内固定术治疗多节段脊髓型颈椎病的临床疗效观察》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、遵义医学院硕士学位论文TheClinicalEfficacyObservationsofPosteriorCervicalUnilateralOpenDoorLaminoplastyWithLateralMassScrewInternalFixationandHorizontalSlinginTreatingMulti—levelcervicalspondylosismyelopathyAbstractobjective"Toobservetheclinicalefficacyofposteriorcervicalunilateralopendoorlamino

2、plastywithlateralmassscrewinternalfixationgandhorizontalslingintreatingmulty—levelcervicalspondyloticmyelopathy,evaluateitsclinicalvalueinordertoprovidescientificevidenceforclinicaluse．Methods：FromFebruary2011toOctober2012，atotalof31patientsunderwentposteriorcervicalunilateralopendoo

3、rlaminoplastywithlateralmassscrewinternalfixationgandhorizontalslingforthetreatmentofMulti-segmentalCervicalSpondyloticMyelopathy．VariationofvertebralcanalsagittaldiameterexaminedbyXrayandCTscan，improvementrateofneurologicalstatusadoptingJapaneseOrthopedicAssociation(JOA)scoringsyste

4、m，occurrencerateofaxialsymptomandfusionrateofbonegrafttestedinthepreoperative，oneweekaferoperationandfinalfollow—upwereusedforevalutatingclinicaleffectResult：31casesofpatientswerefollow-up，clinicalresultsaccordingtoJOA17pointsscoringcriteria：periodanaverageof64．8％．was87．1％．Thepreoper

5、ativeimagingstudies，vertebralcanalsagittaldiameteronaverageincreasedby6．71mm，gateshaftsideallosseousfusion，nocloseagain，nointernalfixationlooseningandfracture，nosegmentalinstabilityandteratogenesisofinflection．Axialsymptomsoccurtwocasespostoperatively，6．45％lowerthantheliteraturerepor

6、tedincidenceoftraditionalsingledooroperationaxialsymptomstheincidencerateof60％．Conclusion：Cervicalposteriorsingledoorlevelsuspensionlateralmassscrewfixationofvertebralcanalformingbesideshastheadvantagesoftraditionalsingledooroperation，butalsohasthefollowingcharacteristics：1．Fixedinlo

7、ngitudinal6遵义医学院硕士学位论文connectingrodsuspensionlinelevel，forma”hard”doorshaft，fixedandreliable，andCangreatlyreducethesingletraditionalopensurgerydueto”soft”doorhingesclosephenomenonofincidence；Thestabilityofthe”hard”dooraxialvertebralplatecanbeimprovedandtheblockofthefusionrateofbonegr

8、aft．Suspensi