脊髓型颈椎病前路手术时融合方式选择和临床疗效观察及其影响因素、并发症的研究.pdfVIP

The study of selection of fusion methods in anterior cervical operation for cervical spondylotic myelopathy and the analysis of the therapeutic effects and influencing factors Speciality: Orthopedics of TCM Author: GongBaoJie Tutor: Prof. Zhang Jianxin Abstract Objective:To explore the selection of fusion methods in anterior cervical operation for cervical spondylotic myelopathy and the factors that influence the effects of operations and surgical complications.Methods: According to the inclusion criteria and exclusion criteria,51patients(27 males and 13 females)with cervical spondylotic myelopathy who underwent operative treatment between April 2008 and October 2010 in Affilated Hospital of Shan dong University of Triditional Chinese Medicine were included in this study. They were conducted a questionnaire survey, physical examination and radiography,and followed up for more than 1 years by telephone or letters after postoperative. We scored the functions of spinal cord before and after the operations with JoA scaleand the functional grading system of Nurick and calculated the improvement rate and fineness rate.Statistical analytical methods(independent sampler T test 、One-Way 、 ANOVA Logistic regression analysis)were performed to study the relation between factors and the surgical outcome of cervical spondylotic myelopathy.Result:The fhusion rate of iliac autograft , cage implantation or titanium mesh cage was satisfactory, but that of allogeneic bone allograft was lower.The curative effect of iliac autograft and that of cage implipantation and that itanium mesh cage were comparably better than that of allograft. Disease course (P0.01)