[1]普光民 苏联春 杨正才 高祥 邱晓波.后路选择性减压侧块螺钉内固定治疗无骨折脱位颈脊髓损伤[J].中国中医骨伤科杂志,2015,23(05):31-33.
　PU Guangming SU Lianchun YANG Zhengcai GAO Xiang QIU Xiaobo.Treatment of Cervical Spinal Cord Injury without Fracture and Dislocation Ith Selective Posterior Decompression and Lateral Mass Screw Fixation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(05):31-33.
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后路选择性减压侧块螺钉内固定治疗无骨折脱位颈脊髓损伤
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年05期
页码:
31-33
栏目:
临床研究
出版日期:
2015-05-15

文章信息/Info

Title:
Treatment of Cervical Spinal Cord Injury without Fracture and Dislocation Ith Selective Posterior Decompression and Lateral Mass Screw Fixation
文章编号:
1005-0205(2015)05-0031-03
作者:
普光民1 苏联春1 杨正才1 高祥1 邱晓波1

1.楚雄州中医院创伤外科(云南 楚雄,675000)
Author(s):
PU Guangming1 SU Lianchun1 YANG Zhengcai1 GAO Xiang1 QIU Xiaobo1

1.Department of Traumatology, Chuxiong Hospital of Traditional Chinese Medicine, Chuxiong 675000, Yunnan, China
关键词:
无骨折脱位颈脊髓损伤;  选择性减压;  侧块螺钉内固定
Keywords:
cervical spinal cord injury without fracture and dislocation;  selective posterior decompression;  lateral mass screw fixation
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨颈后路选择性减压侧块螺钉内固定治疗无骨折脱位颈脊髓损伤的临床应用效果。方法:共收治21例无骨折脱位颈脊髓损伤患者,行后路选择性减压侧块螺钉内固定手术治疗,采用JOA评分评价脊髓功能的变化及影像学手段评价内固定与植骨融合情况。结果:20例患者得到有效随访,85%患者神经功能得到不同程度改善。随访JOA评分较术前显著提高(P<0.05),总有效率80%.术后随访颈椎X线检查显示所有患者内固定位置良好,术后半年复查颈椎CT平扫+三维重建显示所有患者的后路植骨均融合。结论:后路选择性减压并侧块螺钉内固定技术是治疗无骨折脱位颈脊髓损伤的有效方法,在达到有效减压固定的同时,相对减少了颈椎后方组织的破坏。
Abstract:
Objective: To investigate the effect of selective posterior decompression and lateral mass screw fixation for cervical spinal cord injury without fracture and dislocation. Methods: A total of 21 cases of patients with cervical spinal cord injury without fracture and dislocation were treated with selective posterior decompression and lateral mass screw fixation operation. They were all followed-up. The changed function of spinal cord was evaluated by JOA score, and the effect of the internal fixation and bone grafting fusion was evaluated by iconography method. Results: Twenty cases were got effective followed-up. The neurological function was improved in 85% patients. The JOA score was significantly increased after treatment(P<0.05), and the total effective rate was 80%. The X-ray of cervical showed that the position of internal fixation of all patients were good. The CT scan and three-dimensional reconstruction showed that the bone grafting of all patients were confertus half a year after surgery. Conclusion: The selective posterior decompression and lateral mass screw fixation is effective method for treatment of cervical spinal cord injury without fracture and dislocation. It can achieve effective decompression and fixation, meanwhile relatively reduce the destruction of posterior cervical tissue.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2014-09-07
更新日期/Last Update: 2015-05-15