C3椎板切除并重建C4-7棘突的改良单开门椎板成形术

doi:10.3969/j.issn.1006-7795.2019.04.006

首都医科大学学报 ›› 2019, Vol. 40 ›› Issue (4): 522-527.doi: 10.3969/j.issn.1006-7795.2019.04.006

• 骨科前沿技术与学术论坛 • 上一篇下一篇

C₃椎板切除并重建C_4-7棘突的改良单开门椎板成形术

张亘瑷, 侯宇, 陈迎春, 丁立祥

首都医科大学附属北京世纪坛医院脊柱外科, 北京 100038

收稿日期:2019-05-28 出版日期:2019-07-21 发布日期:2019-07-19
通讯作者: 丁立祥 E-mail:guoaij@139.com
基金资助:
首都临床特色应用研究与成果推广基金（Z151100004015068）。

Modified open-door laminoplasty with C₃ laminectomy and reconstruction of C_4-7 spinous processes

Zhang Genai, Hou Yu, Chen Yingchun, Ding Lixiang

Department of Spinal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China

Received:2019-05-28 Online:2019-07-21 Published:2019-07-19
Supported by:
This study was supported by Capital Clinical Application Research and Achievement Promotion Fund(Z151100004015068).

摘要/Abstract

摘要： 目的观察颈2棘突半棘肌止点保留基础上进一步改良单开门椎板成形术，观察手术疗效，探讨能否降低合并症。方法重建改良组椎板成形术治疗脊髓型颈椎病45例，普通改良组39例，术后随诊18~24个月，对两组患者术前术后的颈椎活动度、日本骨科学会（Japanese Orthopedic Association Scoring System，JOA）评分及轴性症状严重程度进行比较评估。结果两组颈椎活动度丢失（9.4°±4.1° vs 11.6°±7.8°）及JOA评分恢复率（57.7%vs 54.4%）比较，差异无统计学意义（P>0.05）。但比较两组术后轴性症状，其差异有统计学意义（P<0.05）。重建改良组发生率更低。结论保留颈2棘突半棘肌止点的同时，重建颈4-7棘突能够进一步减小轴性症状的发生率。

关键词: 颈椎病, 椎板成形术, 椎板切除术

Abstract: Objective To improve the open-door laminoplasty based on the preservation of the semispinalis cervicis, and to investigate the curative effect and to explore whether the complications can be reduced. Methods Reconstruction group(45 cases) and common group (39 cases), followed up for 18-24 months. The range of motion, Japanese Orthopedic Association Scoring System (JOA) score and severity of axial symptoms were compared after surgery. Results There was no significant difference in the loss of range of motion between the two groups (9.4°±4.1° vs 11.6°±7.8°) and the recovery rate of JOA score (57.7% vs 54.4%) (P>0.05). However, there was a significant difference between the incidence of axial symptoms before and after surgery of the two groups (P<0.05). Conclusion Reconstruction of the spinous processes of C₄_-7 can further reduce the incidence of axial symptoms while retaining the C₂ spinous process.

Key words: cervical spondylosis, laminoplasty, laminectomy

中图分类号:

张亘瑷, 侯宇, 陈迎春, 丁立祥. C₃椎板切除并重建C_4-7棘突的改良单开门椎板成形术[J]. 首都医科大学学报, 2019, 40(4): 522-527.

Zhang Genai, Hou Yu, Chen Yingchun, Ding Lixiang. Modified open-door laminoplasty with C₃ laminectomy and reconstruction of C_4-7 spinous processes[J]. Journal of Capital Medical University, 2019, 40(4): 522-527.

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C₃椎板切除并重建C_4-7棘突的改良单开门椎板成形术

Modified open-door laminoplasty with C₃ laminectomy and reconstruction of C_4-7 spinous processes

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