颈椎后纵韧带骨化症前路手术的多因素分析_陈宇.pdfVIP

1 5 1 9 Vol.15, No.19 2 0 0 7 1 0 OrthopedicJournalofChina Oc.t2007 · · 陈　宇, 陈德玉, 王新伟, 郭永飞, 何志敏, 杨海松, 田海军 (, 　200003) 　:[] 。 [] 48 , , 1 ～4 , 2.1。 JOA, 、 2。 Logistic、 、 、 、 、 Pavlov、 、 、 CT、 、 。 [] (P=0.0067)。 [] , 。 :;　;　;　Logistic :R6 81.5　　　:A　　　:1005-8478 (2007 )19-1453-04 Factorsaffectingprognosisofpatientswhounderwentanteriordecompressionforcervicalossificationofposterior longitudinalligament: amultiplelogisticregressionanalysis∥CHENYu, CHENDe-yu, WANGXin-we,ieta.lDeparmtent ofOrthopaedicSurgery, ChangzhengHospita,lShanghai200003, China Abstrac:t[ Objective] TodiscusstheprognosticfactorsforcervicalOPLLtreatedbyanteriordecompression.[Meth- od] Atotalof48 patientswithcervicalOPLL, whounderwentanteriordecompression, werefollowedupfor1 ～4 year,swith anaverageof2.1 years.Thepatientswereclassifiedintoagood-prognosisgroupandapoor-prognosisgroupaccordingtotheJOA neruologicscoringsystem.Ag,e sex, JOAscor,e durationofsymptom,s diabetesmellitu,sPavolvratio, occupyingrat,e type ofossification, CTdouble-layersign, hyperintensearea,s levelofsegment,sandtreatmentofossificationweretestifiedusing multiplelogisticregressionanalysis.[ Result] Treamtentofossificationwastheonlystatisticallysignificantfactorpredicting clinicalresultsinthisstudy.[Conclusion] Itisthemostmiportanttoresecttheossificationanddecompressthespinalcord thoroughlyintheprocessofantariordecompressionforcervicalOPLL. Keyword:scervicalspine;　 ossificationofposteriorlongitudinalligamen;t　 anteriordecompression;　Logisticre- gression 　　 (ossificationofposteriorlongitudinal OPLL, , ligamen,tOPLL) 48。 37 , 11; 36 ～78 , , 54.3, JOA, 4 ～14 , , 2%～4%。