颈椎单开门椎管扩大成形：植入物与植骨及并发症.doc

颈椎单开门椎管扩大成形：植入物与植骨及并发症★ 代 杰，买尔旦?买买提(新疆医科大学第一附属医院，新疆维吾尔自治区乌鲁木齐市 830011) 文章亮点： 1 此问题的已知信息：颈椎单开门椎管扩大成形技术治疗颈椎病已取得肯定的疗效，为了更广泛的应用于临床及避免治疗后出现并发症，临床医师不断探讨此技术的改进方法。 2 文章增加的新信息：阐述了不同颈椎单开门椎管扩大成形技术的优越性，并总结了所有治疗方法的临床常见并发症及原因。 3 临床应用的意义：为预防临床并发症提供了理论和实验依据。 关键词： 骨关节植入物；骨与关节综述；单开门；椎管扩大成形术；适应证；术后并发症 主题词： 颈椎；椎管狭窄；骨化，后纵韧带；手术后并发症 摘要 背景：颈椎单开门椎管扩大成形技术应用于临床治疗颈椎病已取得确切疗效。 目的：从颈椎单开门椎管扩大成形技术的术式演变、各术式的优缺点及临床常见并发症3个方面对此术式治疗颈椎病的疗效做一简要阐述。 方法：以“单开门，椎管扩大成形术，适应证，术后并发症”，“unilateral open-door，expansive laminoplasty，indications，postoperative complications”为检索词，应用计算机检索维普期刊全文数据库及Pubmed数据库，保留65篇文献做进一步分析。 结果与结论：颈椎单开门椎管扩大成形技术应用于多节段脊髓型颈椎病、颈椎后纵韧带骨化症、无骨折脱位型脊髓损伤伴颈椎椎管狭窄等疾病疗效肯定，临床医师应该慎重地选择术式和有意识预防并发症的发生。 Cervical expansive unilateral open-door laminoplasty: implant, bone graft and complications Dai Jie, Maierdan?Maimaiti (First Affiliated Hospital, Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China) Abstract BACKGROUND: Cervical expansive unilateral open-door laminoplasty has obtained definite curative effects in treatment of cervical spondylosis in the clinic. OBJECTIVE: To summarize the effects of cervical expansive unilateral open-door laminoplasty for cervical spondylosis from the evolution of surgeries, the advantages and disadvantages of each surgery and postoperative complications. METHODS: Unilateral open-door, expansive laminoplasty, indications, and postoperative complications were key words. Computer was used to search VIP journal full-text database and PubMed database, and 65 articles were used for further analysis. RESULTS AND CONCLUSION: Cervical expansive unilateral open-door laminoplasty for multi-segmental cervical spondylotic myelopathy, ossification of posterior longitudinal ligament and spinal cord injury without radiographic spinal fracture and dislocation combined with spinal stenosis had obtained affirmative outcomes. Clinicians should carefully select operation mode and be conscious to prevent postoperative complications. Subject headings: cervical