颈腰椎退行性变同时存在的临床特点及处理.pdfVIP

刘宪义 李淳德 邑晓东 马忠泰 53 19, 16, 7 JOA 6, 778% ( 35/44), 686% ( 24/35), 759% , 800% ; 314% ( 11/35), 784% , 785% 136% ( 6 /44), 68% ( 3/44) 25 1, 29, 29 25 , 765% , 960% , , , ; ; ; C lin ical character and treatm en t of coexistence of cervical sp ine d isease and lum bar sp ine d egen erative d isease LIU X ian-y,i LI Chun-de, YI X iao-dong, MA Zhong-taiOrthop ed ic D epartment, F irst hosp ita,l eijing University, eijing 100034, Ch ina A bstract O bj ective T o investigate the lin i al hara ter and surgi al managem ent in oex isten e of ervi al and lumbar spine diseaseM e thods 53 ases w ith oex isten e of ervi al and lumbar spine d isease were analyzed for lin i al hara ter and follow-up out om es 19 single ervi al operation ases, 16 single lum bar operation ases and 7 omb ined ervi al lum bar operation ases, all patien ts were re orded w ith JOA s oreResu lts The ases w ith ervi al and lumbar intervertebral dis show ed at least 2 segm ents A fter 6 m on ths follow-up, 35 /44 ases symptom w ere relieved obviously, of wh i h 24 /35 ases w ere single operation, relief rate is 759% , satisfa tory rate is 800% ; of wh i h 11/35 ases w ere ontinuous ervi al lumbar operation, relief rate is 784% , satisfa tory rate is 785% 6 /44 asessym ptom w ith only ervi al or on ly lumbar operation w ere relieved in om pletely, 3/44 ases sym ptom w ith se ond operation relieved in omp letely 5 ases m issed diagnosis on the first operation 29 ases w ith responsib le fo us, of w hi h 25 ases w ere follow ed up, relieved obviously, relief rate is 765% , satisfa tory rate is 960% Conc lusion The ases w ith ervi al and lumbar interverteb ral d is showed at least 2 segm ents, the sam e basis of the spinal anal stenosis and d is hern iation is degeneration of spine ertain respons ible fo us and orre t surgi alm anagemen