Multi-segmental cervical spondylotic myelopathy with anterior or posterior joint surgery before and after the clinical efficacy and complications
10.3760/cma.j.issn.1673-4904.2009.35.006
- VernacularTitle:多节段脊髓型颈椎病的前路或后路与后前路联合手术的临床疗效及并发症分析
- Author:
Moxue WANG
;
Jianjie GE
;
Jinna WANG
;
Guofeng BI
- Publication Type:Journal Article
- Keywords:
Cervical spondylosis;
Postoperative complications;
Joint surgery
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(35):15-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the multi-segmental cervical spondylotic myelopathy with simple anterior or posterior joint pre-and post-operative prognosis of spinal cord function improved and the status, explore co-operation after the clinical efficacy and complications. Methods The clinical data of 298 cases of multi-segmental cervical spondylotic myelopathy with anterior or posterior of the simple pre-and post-joint surgery from January 2001 to January 2008 were retrospectively analyzed. The clinical efficacy, titanium anterior cervical decompression and fusion surgery net implanted titanium plate fixation 121 cases, posterior open-door laminoplasty 112 cases, 65 cases of combined surgery before and after. JOA score line of spinal cord function and somatosensory evoked potential, as compared 3 groups after surgical efficacy. Results All patients were followed-up 1- 7 years, averaged (4.7±1.4) years. The anterior cervical decompression and fusion surgery titanium mesh implanted titanium plate fixation to improve the rate was 78.1%, excellent and good rate was 72.7%(88/121). Posterior open-door laminoplasty to improve the rate was 70.6%, excellent and good rate was 66.1% (74/112), there was statistically significant between them (P < 0.05). After anterior surgery, improving rate was 86.7%, excellent and good rate was 83.1% (54/65). Anterior and posterior combined surgery before and after comparison was significant (P < 0.05), regardless of near-term results, long-term effects were better than that of anterior or posterior surgery. Conclusions The spinal cord in the treatment of multi-segmental operation of cervical spondylosis after anterior surgery is obviously superior to the efficacy of anterior or posterior surgery alone. Spinal stability anterior, posterior, after a joint operation before the lower one by one.
