中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (30): 5675-5678.doi: 10.3969/j.issn.1673-8225.2011.30.040

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

后路减压侧块螺钉置入内固定治疗颈椎多节段后纵韧带钙化：5年36例资料回顾

胡朝晖，李宁宁，孙宏志，李小彪，谢湘涛，梁博伟，罗同青   

  1. 广西医科大学第五附属医院柳州市人民医院脊柱外科，广西壮族自治区柳州市 545001
  • 收稿日期:2010-03-15 修回日期:2011-04-10 出版日期:2011-07-23 发布日期:2011-07-23
  • 通讯作者: 李宁宁，硕士，教授，广西医科大学第五附属医院柳州市人民医院脊柱外科，广西壮族自治区柳州市 545001 gllnn@tom.com
  • 作者简介:胡朝晖☆，男，1968年生，博士，主任，副教授，副主任医师，主要从事脊柱外科的研究。 lzhuzhh@tom.com
  • 基金资助:

    柳州市科技局资助项目(2010030708)。

Multi-segmental cervical ossification of posterior longitudinal ligament treated by posterior decompression and internal fixation of cervical lateral mass screw

Hu Zhao-hui, Li Ning-ning, Sun Hong-zhi, Li Xiao-biao, Xie Xiang-tao, Liang Bo-wei, Luo Tong-qing   

  1. Department of Spinal Surgery, the Fifth Affiliated Hospital of Guangxi Medical University/People Hospital of Liuzhou City, Liuzhou  545001, Guangxi Zhuang Autonomous Region, China
  • Received:2010-03-15 Revised:2011-04-10 Online:2011-07-23 Published:2011-07-23
  • Contact: Li Ning-ning, Master, Professor, Department of Spinal Surgery, the Fifth Affiliated Hospital of Guangxi Medical University/People Hospital of Liuzhou City, Liuzhou 545001, Guangxi Zhuang Autonomous Region, China gllnn@tom.com
  • About author:Hu Zhao-hui☆, Doctor, Associate professor, Associate chief physician, Department of Spinal Surgery, the Fifth Affiliated Hospital of Guangxi Medical University/People Hospital of Liuzhou City, Liuzhou 545001, Guangxi Zhuang Autonomous Region, China lzhuzhh@tom.com
  • Supported by:

    the Science and Technology Bureau of Liuzhou City, No.2010030708*

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摘要：

背景：后路减压侧块螺钉固定能够解除骨化灶对脊髓、神经根的压迫，扩大椎管矢状径，同时重建该区域的稳定。
目的：验证应用后路减压、侧块螺钉置入内固定治疗颈椎多节段后纵韧带骨化症5年36例资料的临床疗效。
方法：36例患者为3个节段9例，4个节段20例，5个节段7例。
结果与结论：随访6~26个月，JOA评分由内固定前平均5.2分提高到 10.2分。颈椎生理曲度由内固定前平均(3.6±0.5) mm提高到内固定后(9.1±0.7) mm，内固定物无松动。提示此方法治疗既能后方直接减压又能前方间接置入减压，既能恢复颈椎生理曲度，又能提供坚强的内固定效应。

关键词: 多节段后纵韧带钙化, 减压术, 内固定, 多节段, 侧块

Abstract:

BACKGROUND: Posterior decompression and lateral mass screw fixation can relieve the compression of ossification foci to the spinal cord and nerve root, expand the sagittal diameter of the the spinal canal. Meanwhile, the stable reconstruction is realized.
OBJECTIVE: To verify the clinical efficacy of posterior decompression and internal fixation of cervical lateral mass screw for multi-segmental cervical ossification of posterior longitudinal ligament (OPLL).
METHODS: Thirty-six patients with multi-segmental OPLL were treated by cervical posterior decompression and internal fixation of cervical lateral mass screw. Among these patients, 3 cervical segments were involved in 9 cases, 4 in 20 cases, and 5 in 7 cases.
RESULTS AND CONCLUSION: All the cases were followed up for 6 months to 26 months. The mean recovery rate based on the scoring system of the Japanese Orthopaedic Association JOA was 51% (from 5.2 score to 10.2 score). The mean cervical physiological curvature was from (3.6±0.5) mm preoperatively to (9.1±0.7) mm postoperatively. No severe complications such as injuries of vertebral artery, nerve root and spinal cord or aggravation of spinal cord injury occurred. The satisfactory decompression of spinal cothe rd can be achieved by total laminectomy for multi-segmental OPLL and the internal fixation cervical lateral mass screw can perfectly reconstruct and maintain the cervical stability.

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