神经根型颈椎病的手术治疗

目的 探讨神经根型颈椎病（cervical spondylotic rad icu lopathy,CSR）的手术指征和手术方式。方法 观察CSR 16例,行颈椎前路椎间盘切除及植骨融合10例,行后路手术6例,其中单纯椎间孔减压2例,单开门椎管扩大成形加神经根管减压4例。16例患者中有8例加行颈椎钛板固定。结果 14例获随访,平均3年4个月（6月-10年）。根据M acnab疗效评价标准,优10例,良3例,可1例,优良率92.9%。结论 前路减压术或后路成形扩大术治疗严重的CSR能获得比较满意的疗效。

Surgical Treatment of Cervical Spondylotic Radiculopathy

Objective To study the operation indications and methods of cervical spondylotic radiculopathy(CSR).Methods In 16 patients with CSR,10 underwent discectomy and bone grafting fusion by anterior approach,and in the other 6 cases of posterior approach,2 underwent simple foramen intervertebrale decompression and 4 underwent expansive single open-door laminoplasty of vertebral canal plus nerve root canal decompression.And 8 cases got cervical vertebra internal fixation with titanium plates in addition.Result In 14 cases followed up for 40 months averagely,there were 10 of excellent,3 of good,and 1 of fair according to Macnab Evaluation.Conclusion It demonstrates the anterior decompression or posterior expansive laminoplasty can get satisfactory effect for CSR.