Clinic analysis of Hybrid Surgery to treat multi segmental anterior cervical spondylotic myelopathy
10.11958/j.issn.0253-9896.2015.02.023
- VernacularTitle:Hybrid Surgery术式治疗颈前路多节段脊髓型颈椎病的临床分析
- Author:
Jiaxin FU
;
Han JIANG
;
Yi JIANG
;
Lianping XIAO
;
Yonggang TIAN
- Publication Type:Journal Article
- Keywords:
cervical spondylotic myelopathy;
Hybrid Surgery;
multi segmental
- From:
Tianjin Medical Journal
2015;(2):199-202
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of corpectomy decompression by subtotal vertebrectomy and fusion of adjacent segmental artificial disc replacement through anterior intervertenral spance (Hybrid Surgery) in the anteriorcervical spondylotic myelopathy treatment . Methods Hybrid Surgery were operated on 18 patients who suffered from anterior cervi?cal spondylotic myelopathy . Follow up of 1-50 months. Patient’s conditions were assessed according to the Japanese Associ?ation for Department of orthopedics assessment score (JOA score) before and after operation. Effects of Hybrid operation were assessed by the improvement of JOA score, Odom’s follow-up grade and cervical mobility . Results The JOA scores of all 18 operated patients were improved from 10.6 ± 1.7 before operation to 13.5 ± 2.4 after operation. And the difference is statistically significant (t=1.314, P < 0.05). Among all the operated patients, 16 were cured and 2 were effective. As to Odom’s follow up grades, 6 cases were excellent, 11 cases were good and 1 case was acceptable. The postoperative move?ment range of cervical spine (40.1° ± 8.4°) show no statistically difference compared with that in preoperation (42.6° ± 11.9°) (t=0.68, P > 0.05). Conclusion Hybrid Surgery of anterior cervical decompression and fusion can both improve the nerve function and preserve cervical mobility.
