[1]曾俊 李春根△ 柳根哲 陈超 祝永刚 赵思浩 郭雨霞.术前关节突关节退变与颈椎前路杂合手术后异位骨化形成的相关性研究[J].中国中医骨伤科杂志,2021,29(12):37-42.
　ZENG Jun LI Chungen LIU Genzhe CHEN Chao.Study on the Correlation between Facet Joint Degeneration and Heterotopic Ossification after Anterior Cervical Hybrid Operation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(12):37-42.
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术前关节突关节退变与颈椎前路杂合手术后异位骨化形成的相关性研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年12期
页码:
37-42
栏目:
临床研究
出版日期:
2021-12-15

文章信息/Info

Title:
Study on the Correlation between Facet Joint Degeneration and Heterotopic Ossification after Anterior Cervical Hybrid Operation
文章编号:
1005-0205(2021)12-0037-06
作者:
曾俊1 李春根2△ 柳根哲2 陈超2 祝永刚2 赵思浩2 郭雨霞1
Author(s):
ZENG Jun1 LI Chungen2△ LIU Genzhe2 CHEN Chao2
1Beijing University of Chinese Medicine,Beijing 100029,China; 2Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University,Beijing 100010,China.
关键词:
颈椎病;  杂合手术;  异位骨化;  关节突关节退变
Keywords:
spondylopathy;  hybrid surgery;  heterotopic ossification;  facet joint degeneration
分类号:
R681.
文献标志码:
A
摘要:
目的:分析术前关节突关节的退变与前路杂合术后异位骨化形成的相关性。方法:纳入2017年7月至2019年12月行颈椎前路杂合手术的患者72例,收集患者术前、术后3个月、6个月、12个月、末次随访的VAS评分、JOA评分、NDI评分及Odom’s评分,总体评价神经功能和临床症状改善情况。测量术前及末次随访时置换节段活动度,关节突关节退变采用Park标准分级,异位骨化采用McAfee标准分级。进行相关系数检验,明确二者有无相关性。结果:72例患者随访时间为12～36个月,平均(23.0±3.8)个月。末次随访时,16例发生异位骨化患者中,7例发生退变(Ⅰ度2例,Ⅱ度2例,Ⅲ度3例),退变率43.75%; 56例未发生异位骨化患者中,9例术前发生关节突关节退变(Ⅰ级5例,Ⅱ级4例),退变率16.07%; 两者比较差异有统计学意义(χ2=4.98,P=0.026)。关节突关节术前退变与术后异位骨化形成正相关(r=0.683,P=0.033)。结论:颈椎前路杂合术前关节突关节退变和末次随访时异位骨化的发生正相关,关节突关节术前退变程度越高,术后产生异位骨化的概率及分级也越高。
Abstract:
Objective:To explore the relationship between the degree of degeneration of the facet joints before operation and the formation of heterotopic ossification after the anterior hybrid operation of the cervical spine.Methods:72 patients underwent anterior hybrid surgery were included from July 2017 to December 2019.VAS score,JOA score,NDI score and Odom’s score of patients before operation,3,6,12 and 24 months after operation were selected to evaluate postoperative clinical symptoms and neurological improvement.The segmental range of motion was measured before surgery and at the last follow-up; the Park grading standard was used to classify the degree of degeneration of the facet joints before the operation,and the McAfee standard was used to classify the heterotopic ossification at the last follow-up.Correlation coefficient test were performed to clarify the correlation between them.Results:The follow-up time of 72 patients ranged from 12 to 36 months(23.0±3.8).All patients underwent anterior cervical hybrid surgery.At the last follow-up,there were 7 patients had degeneration(2 cases of grade Ⅰ,2 cases of grade Ⅱ,3 cases of grade Ⅲ)in 16 patients with heterotopic ossification,and the degeneration rate was 43.75%.Among the 56 patients without heterotopic ossification,9 patients had facet joint degeneration(grade Ⅰ in 5 cases,grade Ⅱ in 4 cases),and the degeneration rate was 16.07%.The difference was statistically significant(χ2=4.98,P=0.026).Preoperative degeneration of facet joint was positively correlated with postoperative heterotopic ossification(r=0.683,P=0.033).Conclusion:There is a positive correlation between heterotopic ossification and facet joint degeneration at the last follow-up.The higher the degree of degeneration of facet joint before operation,the higher the probability and grade of heterotopic ossification after operation.

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备注/Memo

备注/Memo:
1北京中医药大学(北京,100029)2首都医科大学附属北京中医医院△通信作者 E-mail:leechungen@126.com
更新日期/Last Update: 1900-01-01