Clinical results of selective anterior corpectomy combined with segmental discectomy and fusion for multilevel cervical myelopathy
10.3760/cma.j.issn.0253-2352.2010.09.003
- VernacularTitle:前路选择性椎体切除分节段减压植骨融合术治疗多节段脊髓型颈椎病
- Author:
Ru ZHANG
;
Fengdong ZHAO
;
Shunwu FAN
;
Xing ZHAO
;
Xiangqian FANG
- Publication Type:Journal Article
- Keywords:
Cervical spondylosis;
Intemal fixators;
Surgical procedures,operative
- From:
Chinese Journal of Orthopaedics
2010;30(9):837-841
- CountryChina
- Language:Chinese
-
Abstract:
Objective To ev aluate clinical results of selective anterior corpectomy combined with segmental discectomv and fusion for multilevel cervical myelopathv andits related factors.Methods Twenty-five patients of multilevel cervical myelopathv with 3 or 4 consecutive segments were treated with selective anterior corpectomy combinedwith segmental discectomy and fusion.The clinical results were evaluated by the parameters including improvement of Japanese Orthopaedic Association (JOA)score postoperatively,fusion rate,and the degree of spinal canal decompression and range of motion of the cervical spine.Results JOA score were improved from 9.5±1.3 pre-operatively to 13.8±0.8(P＜0.01)6 months post operation and 1 3.6±0.9(P＜0.05)atthe final follow-up.Bony fusion was verified by X-ray and 3D-CT scan 1 2 months post operation and final follow-up.Moreover,the degree of decompression of the spinal canal was also remarkable.The range of motion of the cervical spine after operation decreased significantly(P＜0.05).Conclusion Selective anterior corpectomy combined with segmental discectomy and fusion was an alternative choice for the surgical treatment of multilevel cervical myelopathy.
