| 摘要: |
| ［摘要］ 目的 探讨hybrid术式治疗多节段脊髓型颈椎病的疗效。方法 2011-04～2013-05对该科收治的多节段颈椎病患者37例行颈椎前路融合与非融合相结合的hybrid术式（A组），记录手术前后JOA、NDI评分、颈椎总活动度及手术节段的邻近节段的活动度，术后随访2.5年，通过与单纯融合组（B组）比较，分析其治疗效果。结果 术后2.5年A、B两组患者JOA评分及改良率、NDI评分、轴性症状的构成比、颈椎总活动度、手术前后邻近节段活动度差值相比，差异有统计学意义（P<0.05）。结论 hybrid术式能够保留一定节段的活动度，避免邻近节段的过度代偿导致的应力负荷增加，是治疗多个节段脊髓型颈椎病的有效方法。 |
| 关键词: hybrid术式 融合-非融合技术 脊髓型颈椎病 疗效观察 随访 |
| DOI：10.3969/j.issn.1674-3806.2017.01.08 |
| 分类号:R 68 |
| 基金项目: |
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| Efficacy of hybrid surgical treatment for multilevel cervical myelopathy |
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GUO Yong-chuan,ZHANG Yi-hong,MA Shou-zhan,et al.
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The Fifth Department of Orthopedics, the Central Hospital of Kaifeng City, Henan 475000,China
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| Abstract: |
| ［Abstract］ Objective To analyze the effect of hybrid surgery on multilevel cervical myelopathy.Methods Thirty-seven cases with multilevel cervical spondylosis in our department from April 2011 to May 2013 were performed anterior cervical fusion combined with non-fusion hybrid procedure(group A), and simple anterior cervical fusion group(group B). The scores of pre-and-postoperative JOA and NDI, ROM of adjacent segments of the cervical spine and the total ROM of the proposed operation segments were compared between the two groups after a follow-up of 2.5 years.Results After the follow-up of 2.5 years, there were significant differences in JOA scores and its improvement rate, NDI scores, the total activity of the cervical spine, axial symptoms, and pre-and-postoperative adjacent segmental ROM and total ROM between group A and group B(P<0.05).Conclusion Hybrid surgery retains a certain degree of activity segments, adjacent segments to avoid the stress load increases due to excessive compensation, which is an effective method for treating multiple segments cervical spinal cord disease. |
| Key words: Hybrid Fusion and non-fusion technology Cervical myelopathy Efficacy Follow-up |
