Chinese Journal of Tissue Engineering Research ›› 2022, Vol. 26 ›› Issue (36): 5862-5867.doi: 10.12307/2022.793
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Zhong Hua, Guan Haishan
Received:
2021-11-25
Accepted:
2021-12-31
Online:
2022-12-28
Published:
2022-04-27
Contact:
Guan Haishan, MD, Chief physician, Department of Spine Surgery, Second Hospital of Shanxi Medical University, Taiyuan 030000, Shanxi Province, China
About author:
Zhong Hua, Master candidate, Department of Spine Surgery, Second Hospital of Shanxi Medical University, Taiyuan 030000, Shanxi Province, China
CLC Number:
Zhong Hua, Guan Haishan. C2 and C3 vertebral arch bone impact after posterior cervical single open-door laminoplasty: lateral X-ray evaluation of cervical spine within 2 years[J]. Chinese Journal of Tissue Engineering Research, 2022, 26(36): 5862-5867.
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2.5 临床效果 两组末次随访时JOA评分均显著高于术前(P < 0.01)。术前及末次随访时撞击组JOA评分均低于非撞击组,但差异均无显著性意义(P > 0.05);两组JOA评分改善率比较差异无显著性意义(t=2.735,P=0.087)。两组末次随访时目测类比评分均显著低于术前(P < 0.01);术前撞击组目测类比评分高于非撞击组,但差异无显著性意义(P > 0.05);末次随访时,撞击组目测类比评分仍高于非撞击组,差异有显著性意义(P < 0.05)。两组末次随访时颈部残疾指数评分均显著低于术前,差异有显著性意义(P < 0.01);术前及末次随访时撞击组颈部残疾指数评分均高于非撞击组,但差异均无显著性意义(P > 0.05)。两组患者临床疗效的各项评分见表4。"
2.7 术后并发症 撞击组中2例术后出现轴性症状和体征,出现手臂外侧区麻木和疼痛,发生率为6.5%;非撞击组3例术后出现轴性症状,出现上臂疼痛,肩外展和肘关节屈曲无力,发生率为4.7%,两组患者的轴性症状经药物和物理治疗6-8周后逐渐恢复。撞击组中3例出现C5神经根麻痹,占9.7%,术后24 h内发生2例,术后1周内发生1例;非撞击组中5例出现C5神经根麻痹,占7.8%,术后24 h内发生3例,术后1周发生2例,两组患者C5神经根麻痹症状均在术后3个月内消失。非撞击组中1例在术后随访时发现内植物松动、移位,再次手术后神经功能恢复良好;非撞击组中2例术后出现切口感染,经清创术与额外药物治疗后切口愈合良好。随访期间未观察到与手术相关的其他并发症。 两组术后并发症发生率见表6。"
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