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Part of the anterior vertebral body resection of cervical spondylosis in paragraph 2
PAGE \* MERGEFORMAT 6
Part of the anterior vertebral body resection of cervical spondylosis in paragraph 2
Author: Zhu Baohua Wang Jun tube Kui BAO Shi-Xin Gong Li Li Fei Liu Changhua
[Keywords:] anterior cervical vertebrae part of the two paragraphs of cervical spondylosis
Pressure caused by cervical spondylosis objects - prominent disc osteophyte or spinal cord or spinal nerve root compression, mostly for two consecutive segments, the spinal cord compression are from the front, so the clinical use of anterior cervical surgery, bone fusion and anterior plate. Our hospital from January 1998 to December 2005 Surgical treatment of 86 cases of cervical disease, the report is as follows.
A clinical data
1.1 General Information
86 patients in 49 cases of male and female 37 cases; are making more serious symptoms of spinal cord or nerve root compression, cervical MRI meet diagnostic criteria for cervical disc herniation were enrolled before any formal non-surgical treatment, those in poor efficacy. 86 cases were two disc segment, a total of 172 segment; aged 42 to 73 years, with an average 50.2 years of age. Segment disease: one C3 ~ 4, C4 ~ 5 highlight the 21 cases, C4 ~ 5, C5 ~ 6 highlight the eight cases, C5 ~ 6, C6 ~ 7 highlight the 57 patients. Of them 68 patients with nerve root type and mixed type in 3 cases (mainly with nerve root symptoms), according to the Japanese Orthopedic Association preoperative JOA [1] nerve root score of 9 to 13 points, an average of 11.4 points. 15 cases of myelopathy, spinal cord-type score was 8
~ 11 minutes, an average of 9.7 points.
1.2 surgical
In each group preoperative cervical spine X-ray films of conventional proactive and cervical spine MRI. Specific surgical approach for tracheal intubation using general anesthesia or cervical plexus block anesthesia. Supine position, neck straight. Take the right sternocleidomastoid muscle in oblique incision, separation of soft tissue around the exposed neck incision edge, in
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