多节段脊髓型颈椎病的前路手术治疗

目的探讨多节段脊髓型颈椎病经前路行减压、植入椎间融合器（Cage）、钢板内固定术的治疗效果。方法对31例多节段脊髓型颈椎病均行经颈前路减压、植入Cage钢板内固定术。结果31例均获得随访,时间18～36（23±1.5）个月,椎间隙在15～24周内融合,术中减压较彻底,术后恢复融合节段间隙高度,未出现再丢失现象,颈椎生理曲度维持良好,椎间融合率达100%。未发生邻近节段退变。结论经颈前路行减压、植入Cage加钢板内固定治疗多节段脊髓型颈椎病效果满意,但对邻近节段退变现象仍需长期观察。

Anterior surgery of multilevel cervical spondylotic myelopathy

Objective To investigate the clinical effects of treating multilevel cervical spondylotic myelopathy by anterior decompression with the cage fusion and plate fixation.Methods Thirty-one patients were treated with the anterior approach decompression with the cage fusion and plate fixation.Results 31 Patients were all followed up for 1836 months（23±1.5）. The intervertebral spaces were fused completely in 1524 weeks. The decompression was sufficient,the involved heights of the cervical intervertebral spaces were restored,and the cervical vertebrae physiology curvature was maintained well. Solid fusion was achieved in 31 Patients （100%）. The degeneration of adjacent segments was not found.Conclusions The anterior approach decompression with the cage fusion and plate fixation can achieve satisfied prognosis.It is necessary for long-term follow-up to monitor degeneration of the adjacent segments.