文章摘要
朱寿明,殷国勇.老年性颈椎管狭窄症的手术疗效分析[J].南京医科大学学报,2009,29(8):1178~1180
老年性颈椎管狭窄症的手术疗效分析
The surgical treatment of the elder suffering form cervical spinal canal stenosis
投稿时间:2009-04-22  
DOI:10.7655
中文关键词: 老年人  颈椎管狭窄症  后纵韧带骨化  手术治疗
英文关键词: elder patients  cervical spinal stenosis  ossification of cervical posterior longitudinal ligament  surgical operation
基金项目:国家自然科学基金(30670876);江苏省自然科学基金(BK2006249);江苏省青蓝工程(JX10210535);江苏省六大人才(07-B-043)
作者单位
朱寿明 南京医科大学第一附属医院骨科,江苏 南京 210029 
殷国勇  
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中文摘要:
      目的:探讨老年颈椎管狭窄症患者的手术疗效?方法:2004年10月~2008年10月,对35例65~79岁颈椎管狭窄症患者,根据病情,分别进行颈前路骨化后纵韧带切除减压+钢板内固定+植骨术,颈后路椎板切除+钉捧内固定+植骨融合术?术前?术后采用JOA评分标准进行评定?结果:所有病例均获随访7~30个月,平均18.4个月?术前JOA评分5~11分,平均7.8分?术后6个月JOA评分9~16分,平均14.2分,有显著性差异(P < 0.01)?改善率:优:22例,良:10例,优良率为91.4%?植骨全部骨性愈合?结论:老年性颈椎管狭窄症患者的手术治疗,只要方法得当,减压充分,固定牢固,可获得较好的手术效果?
英文摘要:
      Objective:To investigate the effect of treatment of the elder patients suffering from cervical spinal stenosis. Methods:Thirty-five elder patients (65~79 years old) with cervical spinal stenosis were accepted with different surgeries including the anterior resection the posterior longitudinal ligament combining plate fixation with bone graft or the posterior laminectomy combining lateral mass screw fixation with bone graft from October 2004 to October 2008. The spinal function recovery and improvement rates were analyzed by Japanese Orthopedic Association(JOA) score system. Results:All patients were followed up 7 to 30 months (average 18.4 months). JOA score was 5 to 11 points (average 7.8 points) before operation. JOA score was 9 to 16 points (average 14.2 points) after operation. The clinical effect of operation was excellent. Bone graft integration was observed in all cases. Conclusion:For elder patients suffering from the cervical spinal stenosis,it is possible to get reliable result using appropriate method,complete decompression,firm fixation and effective fusion.
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