后路椎板切除联合钉棒系统固定治疗颈椎后纵韧带骨化症疗效分析.pdfVIP

# 4# , 2009 2, 7 1 J Spinal Surg, February 2009, Vol 7, No 1 # # 陈 宇, 陈德玉, 王新伟, 卢旭华, 何志敏, 杨海松, 田海军 = 2002 1~ 2006 12, 54, JO , 2 1~ 4, 2. 3 JO , 35, 19, 7 C , 5 2 5 , = ; , ; ; = R 686. 5 = = 1672- 2957(2009) 01- 0004- 05 Posterior lam inectomy and screw-rod system fixation in the treatm ent of cervical ossification of posterior longitudinal ligam ent CHEN Yu, CH EN D eyu, WANG X inw e,i L UX uhua, H E Zhim in, YANG H aisong, TIAN H aijun. D ep a tm ent of O - thop aed ics, Changzheng H osp ital, Second M ilita y M ed ical Unive sity, Shanghai 200003, China = Abstract Objective To discuss the outcome, complications and related factors of posterior lam inectomy and screw-rod system fixation in the treatmentof cervicalossification of posterior longitudinal ligament (OPLL). M ethods Bewt een January 2002 andDecember2006, a total of54 patientswith cervicalOPLL underwentposterior lam inectomy and screw-rod system fix- ation. The patientswere classified into a good-prognosisgroup and a poor-prognosis group according to the JO neruologic sco- ring system. ge, sex, duration of symptoms, JO score, diabetesmellitus, diameter of the cana,l cervical lordosis, occup- ying rate, type of ossification, cord flattening rate, and hyperintense areaswere testified usingmultifactorial analysis. R esults fter a followed up of 1- 4 yearsw ith an average of2. 3 years, the cord diameter and neurologicalJO score increased signif-i cantly after operation, but the cervical lordosis didnt. mong the patients, 35 had excellentor good results, and 19 had fair or poor results. Preoperative