跳跃性椎体次全切除减压术治疗四节段颈椎病的效果分析

doi:10.3969/j.issn.1006-6233.2017.10.027

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Abstract Objective: To discuss the surgical outcomes of anterior skip corpectomies and fusion (ASCF) for patients with 4-level cervical spondylotic myelopathy (CSM) . Methods: 17 cases of 4-level CSM treated with ASCF between November 2011 to November 2015 were followed up and analyzed. Used the Japanese Orthopedic Association scoring system (JOA) to demonstrate thespinal cord neurological functions. Also the cervical spine curvertures were measured with the cobb method at the same times on the lateral cervical X-ray films. The complications were recorded too. Results: The patients were followed up for at least 12-36 months (average 18.6 months).The mean JOA score was 8.2±0.4 (6-11) pre-operatively and 13.6±0.5 (9-17) at 12-month follow-up (P＜0.01); The cervical cobb's angle was 12.4±1.5° (-3～22°)pre-operatively and 17.5±1.6°(7～25°)at 12-month follow-up (P＜0.05); The bone graft were all fused at 12-month follow-up, and observ epseudarthrosis or segmental instability were done not. Conclusion: The anterior skip corpectomies and fusion (ASCF) is safe and effective in spinal cord decompression and has advantage in reconstructing and maintaining the cervical curvature for 4-level CSM.

Key words： Cervical anterior surgery Multilevel cervical spondylotic myelopathy (MCSM) Anterior skip corpectomies and fusion (ASCF)

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2017.10.027 OR http://www.hbyxzzs.cn/EN/Y2017/V23/I10/1678

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