颈椎后纵韧带骨症前后路手术治疗的对比分析及并发症的研究.pdfVIP

脊液漏1例，喉返神经损伤1例，内固定物松动1例；后路手术并发症共3例，后路出现 轴性症状1例，C 神经根麻痹1例，血肿形成1例，切口脂肪液化1例。 5 结论：1.根据患者的具体情况选择合适的手术方式，两种术式均可获得较好的疗 效；2.远期随访颈前路手术改善率与颈后路手术无差异；3.充分的术前准备，正确、 精细的术中操作和完善的术后护理是减少手术并发症和提高疗效的重要措施；4.术前 无MRIT 脊髓高信号者术后改善率优于有MRIT 脊髓高信号者，脊髓信号改变对预后的 2 2 判断有一定的价值。 关键词 颈椎；后纵韧带骨化症；术式；疗效；并发症 Cervical ossification of the posterior longitudinal ligament anterior and posterior the comparative analysis of surgical treatment and its complications Speciality: Orthopedics of TCM Author: wang xiangjin Tutor: Prof. Zhang Jianxin ABSTRACT Objective ：Cervical ossification of the posterior longitudinal ligament( OPLL), mainly in the 50 to 60 years old, the incidence rate of the cervical disease 0.2% to 4% because of the high incidence of disease in the Japanese in itknown as the Japanese disease.Cervical ossification of the posterior longitudinal ligament in cervical heterotopic ossification of the posterior longitudinal ligament is characterized by the formation of foci, has become a cause of cervical spinal cord of the important reasons.Patients because of the degree of nerve root or spinal cord compression can be expressed in different time and mild to severe symptoms of nerve damage may also be without neurological symptoms.Although the presence of clinical symptoms of severe nerve damage has become a common surgical treatment is required, but which one is most effective and safe surgical procedure is still a vexed issue.We examined the effects of two different surgical treatment of cervical ossification of posterior longitudinal ligament of the effect of surgery, the choice of surgical approach, and the cerv