The comparison of therapeutic effect between two different methods of cervical spine anterior and posterior in treatment of cervical spondylotie myelopathy
10.3760/cma.j.issn.1008-6706.2010.17.007
- VernacularTitle:脊髓型颈椎病前、后路手术临床疗效的对比研究
- Author:
Yuanji WANG
;
Yizhao LI
;
Bo CHEN
;
Shengjun ZHANG
;
Yufeng ZOU
- Publication Type:Journal Article
- Keywords:
Cervical spondylotic myelopathy;
Laminoplasty;
Anterior approach operation;
Posterior approach operation;
Opperative effect
- From:
Chinese Journal of Primary Medicine and Pharmacy
2010;17(17):2318-2319
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prognosis of two decompression approaches for cervical spondylotic myelopathy. Methods 86 cases were divided into two groups. 40 cases were underwent decompression by anterior decompression, fusion and internal fixation with titanium screws and plate and 46 cases underwent posterior single opendoor laminoplasty. To investigate the prognosis of two decompression approaches for single compressive segment, two compressive segments, three compressive segments and four compressive segments. Results All cases were followed up for 20 ～ 73 months with an average of 43 months. The mean JOA recovery rate was significant different between single compressive segment group (P ＜ 0.05), and no significant difference between two compressive segments and three compressive segments(P ＞ 0.05), and significant difference between four compressive segments groups (P ＜0.05). Conclusion For single compressive segment, the anterior surgery has a good surgical result,for two or three compressive segments, anterior and posterior surgery had same effect, for the four compressive segments, posterior surgical effect was good.
