关键词: 颈脊髓受压, 椎管狭窄, 颈后路, 颈前路, 前后路联合

Abstract:

Objective To explore surgical treatment of the cervical spinal cord compression. Methods From August 2003 to November 2008, 30 cases of cervical spinal cord compression were treated in Beijing Yanqing Hospital and from December 2008 to September 2009, 35 cases of cervical spinal cord compression were treated in Beijing Jishuitan Hospital with different kind of surgical treatment. All the patients were followed up. Results Thirty cases received anterior decompression, another 30 cases received posterior decompression and 5 cases received anterior and posterior approach stage 1 combined surgery. The 65 patients were followed up for 9 months to 5 years(average 3.3 years) in outpatient department or by telephone. According to the JOA, all the patients had satisfactory outcome. Conclusion Posterior spinal canal expansion angioplasty is suitable for developmental cervical canal stenosis, ossification of posterior longitudinal ligament(OPLL) and degenerative spinal stenosis. Anterior cervical decompression and bone graft fusion with titanium plate fixation or cervical artificial disc replacement are suitable for one-two-disc hernia. The anterior approach and posterior approach is selected for spinal stenosis combined with spine cord compressed from front and rear side.

Key words: cervical spinal cord compression, spinal stenosis, cervical anterior approach, cervical posterior approach, anterior approach and posterior approach