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时间:2017-12-10
《髓内外减压在有脊髓信号改变的颈椎后纵韧带骨化症中的疗效分析》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、·工382·doi10.3969~.issn.1673—4254.2013.09.27JSouthMedUniv,2013,33(9):1382—1385临床研究髓内外减压在有脊髓信号改变的颈椎后纵韧带骨化症中的疗效分析焦根龙,李志忠,潘永勤,周志刚,孙国栋,邵建立,周霖暨南大学附属第一医院骨二科,广东广州510632摘要:目的观察不同手术方式在治疗有脊髓信号改变的颈椎后纵韧带骨化症(OPLL)的疗效,为临床选择手术方式提供依据。方法随访自2005年1月~2011年1月治疗的有脊髓信号改变OPLL患者38例,其中采用颈
2、前路减压植骨内固定术的A组1O例,采用颈后路单开门减压植骨内固定术的B组12例,采用后路脊髓脊膜切开减压松解、单开门减压植骨内固定术的C组16例。随访时用JOA评分法进行评价,记录术前、术后评分并计算改善率,定期复查x线、CT或MRj,统计并发症。结果术后12月3组的改善率分别为52.39%、55.15%、60.32%,C组的改善率高于A、B组,3组间比较,有统计学差异(P<0.05);术后12月3组JOA评分分别为13.544-0.56、13.564-1.26、14.704-1.41,术后各组JOA评分较术前均明显提
3、高(P4、noftheposteriorlongitudinalligamentwithspinalcordsignalchangeJIAOGenlong,LIZhizhong,PANYongqin,ZHOUZhtgang,SUNGuodong,SHAO]ianli,ZHOULinSecondDepartmentofOrthopedicSurgery,FirstHospitaloflinanUniversity,Guangzhou510632,ChinaAbstract:ObjectiveToevaluatetheclinica5、leffectofdifferentsurgicalapproachesfortreatingcervicalossificationoftheposteriorlongitudinalligament(OPLL)withspinalcordsignalchange.MethodsThirty—eightpatientswithOPLLwithspinalcordsignalchangeweretreatedfromJanuary2005toJanuary2011.Surgicalremovalviaananterio6、rapproachorpartialdecompressionwasperformedin10cases(groupA),posteriorapproachopen—doorlaminoplastywithdecompression,bonegraftingandinternalfixationwasperformedin12cases(groupB),andopeningthecervicalspinalmeningestorelievethepressurewasperformedin16cases(groupC)7、onthebasisoftheproceduresingroupB.Allthepatientswerefollowedupandthepre—andpostoperativeJOAscores,improvementratioandinter-bodyimplantfusionwereevaluated.ImagingexaminationsincludingX。rays,CTandMR/werealsoperformedpre—andpostoperatively,andthesurgicalcomplicatio8、nswererecorded.ResultsAt12monthspostoperativelthemeanimprovementratesingroupsA,B,andCwere52.39%,55.15%,and60.32%,respectively,withthemeanJOAscoresof13.54-+0.56,13.56-
4、noftheposteriorlongitudinalligamentwithspinalcordsignalchangeJIAOGenlong,LIZhizhong,PANYongqin,ZHOUZhtgang,SUNGuodong,SHAO]ianli,ZHOULinSecondDepartmentofOrthopedicSurgery,FirstHospitaloflinanUniversity,Guangzhou510632,ChinaAbstract:ObjectiveToevaluatetheclinica
5、leffectofdifferentsurgicalapproachesfortreatingcervicalossificationoftheposteriorlongitudinalligament(OPLL)withspinalcordsignalchange.MethodsThirty—eightpatientswithOPLLwithspinalcordsignalchangeweretreatedfromJanuary2005toJanuary2011.Surgicalremovalviaananterio
6、rapproachorpartialdecompressionwasperformedin10cases(groupA),posteriorapproachopen—doorlaminoplastywithdecompression,bonegraftingandinternalfixationwasperformedin12cases(groupB),andopeningthecervicalspinalmeningestorelievethepressurewasperformedin16cases(groupC)
7、onthebasisoftheproceduresingroupB.Allthepatientswerefollowedupandthepre—andpostoperativeJOAscores,improvementratioandinter-bodyimplantfusionwereevaluated.ImagingexaminationsincludingX。rays,CTandMR/werealsoperformedpre—andpostoperatively,andthesurgicalcomplicatio
8、nswererecorded.ResultsAt12monthspostoperativelthemeanimprovementratesingroupsA,B,andCwere52.39%,55.15%,and60.32%,respectively,withthemeanJOAscoresof13.54-+0.56,13.56-
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