《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (12): 763-764.

• 临床研究 • 上一篇    下一篇

双开门颈椎管扩大成型术治疗无骨折脱位型颈脊髓损伤

张庆民1,2; 洪毅2; 关骅2; 李想2; 石晶2   

  1. 1.首都医科大学康复医学院 北京市 100068;2.北京博爱医院脊柱脊髓外科 北京市 100068
  • 收稿日期:2004-07-27 出版日期:2004-12-25 发布日期:2004-12-25

Treatment of cervical spinal cord injury without radiographic spinal fracture and dislocation by cervical double door laminoplasty

ZHANG Qing-min, HONG Yi, GUAN Hua, et al   

  1. Faculty of Rehabilitation of the Capital University of Medical Science, Beijing 100068, China
  • Received:2004-07-27 Published:2004-12-25 Online:2004-12-25

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摘要： 目的观察颈后路双开门椎管扩大成型术治疗无骨折脱位型颈脊髓损伤的临床疗效。方法采用颈后路双开门椎管扩大成型术治疗无骨折脱位型颈脊髓损伤患者24例(死亡1例),术后随访3—21个月,平均11个月,比较手术前后ASIA运动和感觉评分。结果治疗后,患者的ASIA运动及感觉评分分别由(35.2±7.1)分、(72.4±13.1)分增加至(59.3±6.8)分、(122 .2±15.2)分,均有非常显著性差异(P<0.01)。结论双开门颈椎管扩大成型术治疗无骨折脱位型颈脊髓损伤对脊髓减压彻底并可较好地保持后路结构的完整性,是一种行之有效的治疗方法。

关键词: 颈椎, 脊髓损伤, 椎板成型术, 随访

Abstract: ObjectiveTo assess the efficacy and results of cervical double door laminoplasty for the treatment of cervical spinal cord injury without radiographic spinal fracture and dislocation.Methods24 patients (all men) with cervical spinal cord injury without radiographic spinal fracture and dislocation were treated with operation of cervical double door laminoplasty. The follow up period ranged from 3 months to 21 months. ASIA scores of motion and sensation before and after operation were compared.Results After surgical treatment, ASIA scores of motion and sensation of patients were improved from 35.2±7.1 and 72.4±13.1 to 59.3±6.8 and 122.2±15.2 respectively and having a significant difference compared with that before operation (P<0.01).Conclusion Cervical double door laminoplasty, which is characterized by thorough decompression of spinal cord and preserving the posterior supporting tissue as much as possible to maintain the stabilization of cervical spine after operation, is an ideal optional method for cervical spinal cord injury without radiographic spinal fracture and dislocation.

Key words: cervical spine, spinal cord injury, laminoplasty, follow up