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Analysis of clinical effects of uncovertebral joints resection and decompression for the treatment of cervical spondylotic radiculopathy through anterior approach
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- Author:
- No author available
- Journal Title:
- China Journal of Orthopaedics and Traumatology
- Issue:
- 9
- DOI:
- 10.3969/j.issn.1003-0034.2012.09.005
- Key Word:
- 颈椎病;减压术,外科;脊柱融合术
Abstract： 目的:分析颈前路术中钩椎关节切除减压治疗神经根型颈椎病的临床疗效.方法:对2007年1月至2009年12月收治的56例神经根型颈椎病患者进行回顾性分析,其中男33例,女23例；年龄41～72岁,平均(58.83±8.01)岁；病史5～48个月,平均(14.09±8.54)个月.手术方法为颈前路椎体次全切减压植骨融合术,术中予以双侧钩椎关节切除减压.分析内容为围手术期指标(包括住院天数、失血量、手术时间),影像学改变(包括椎体高度、前凸角和术后植骨融合率)、神经功能情况(JOA评分改善情况).结果:所有患者获得随访,时间12～30个月,平均18.2个月.患者的住院天数、失血量、手术时间分别为(4.42±0.25)d、(195.51±23.67) ml、(145.52±28.29) min.椎体高度术前、术后1年分别为(5.19±0.03) cm和(5.37±0.29) cm,差异无统计学意义(P＞0.05)；前凸角从术前(1.53±0.03)°增加到术后1年的(7.78±0.66)°(P＜0.01),术后1年植骨融合率96.5％.术前JOA评分为8.69±2.13,术后1年随访时提高到15.58±2.45(P＜0.001).根据JOA评分标准进行疗效评定:优20例,良28例,可7例,差1例.结论:颈前路术中钩椎关节切除减压手术安全、可行,适用于伴有根管狭窄和钩椎关节骨赘增生的颈椎病患者.
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