改良椎板整块切除选择性扩大减压结合内固定治疗多节段颈椎病临床应用研究.docVIP

改良椎板整块切除选择性扩大减压结合内固定治疗多节段颈椎病临床应用研究 　　[摘要]目的 探?多节段颈椎病患者采用改良椎板整块切除、选择性扩大减压结合内固定治疗的临床效果。方法 选取本院2015年2月～2017年1月收治的84例多节段颈椎病患者，随机分为对照组与观察组，各42例。对照组患者采用常规椎板减压融合内固定术，观察组患者给予“单开门”改良椎板整块切除、选择性扩大减压结合钉棒系统内固定术治疗。比较两组患者的术后神经功能与颈椎功能改善效果以及并发症发生率。结果 两组患者手术后的JOA评分、NDI评分与颈椎活动度均好于手术前，且观察组患者手术后的JOA评分、NDI评分与颈椎活动度均明显好于对照组，差异有统计学意义（P0.05）。观察组患者术后的轴性疼痛与C5神经根麻痹并发症发生率明显低于对照组，差异有统计学意义（P0.05）。结论 改良椎板整块切除、选择性扩大减压结合钉棒系统内固定治疗多节段颈椎病可显著恢复患者的神经功能与颈椎功能，促进颈椎活动度改善，并积极抑制手术并发症情况。 　　[关键词]多节段颈椎病；改良椎板整块切除；选择性扩大减压；内固定术 　　[中图分类号] R681.5 [文献标识码] A [文章编号] 1674-4721（2017）10（c）-0052-03 　　Clinical application study of modified laminectomy and selective extended decompression plus internal fixation in the treatment of multiple segmental cervical spondylosis 　　RAO Yi-kang OUYANG Shao-ming ZENG Shen-juan ZHONG Xue-ping GAO Yong▲ 　　Department of Orthopaedics，the Second People′s Hospital of Pingxiang City in Jiangxi Province，Pingxiang 337000，China 　　[Abstract]Objective To investigate the clinical effects of application of modified laminectomy，selective decompression and internal fixation in the treatment of patients with multiple segmental cervical spondylosis.Methods Altogether 84 patients with multiple segmental cervical spondylosis who were treated in our hospital from February 2015 to January 2017 were selected and randomly divided into the control group and the observation group，with 42 cases in each group.The control group was treated with conventional laminectomy decompression and internal fixation，while，the observation group was treated with single-door improved laminectomy and selective decompression combined with internal fixation of the pedicle screw system.The neurological functions，the improvement of cervical functions and the incidence of complications were compared between the two groups.Results The JOA score，NDI score and cervical mobility of the two groups after operation were better than those before operation，the JOA score，NDI score and cervical mobility of the observation group after operati