椎间盘切除和椎体次全切除术结合颈前钢板内固定联合治疗多节段脊髓型颈椎病

摘要

Objective To explore the the clinical outcomes of anterior cervical discectomy and anterior cervical corpectomy for multilevel cervical spondylosis. Methods 17 patients with multilevel cervical spondylosis treated surgically were included in this study. Results All patients were followed-up and showed the successful fusion. No pseudoarthrosis or implant failure occurred. The symptoms disappeared or improved obviousty. Conclusion Anterior cervical discectomy and anterior cervical corpectomy provides a reliable safety technique for multilevel cervical spondylosis, allows us directly to make the completely decompression and can ensure good outcome.%目的 探讨颈椎前路间盘切除和椎体次全切除术结合颈前钢板内固定联合治疗多节段脊髓型颈椎病的临床效果.方法 17例3个及3个以上的多节段脊髓型颈椎病患者,平均年龄55岁,行颈椎前路间盘切除和椎体次全切除结合颈前钢板内固定术.术后观察临床效果.结果 患者均获随访,无死亡,无脊髓、神经、气管及食道损伤等并发症,无Cage或植骨块移位及松动发生.患者的神经功能较术前有明显的改善.结论 颈椎前路间盘切除和椎体次全切除术结合颈前钢板内固定联合治疗充分地解除脊髓前方的压迫,手术效果明显,减少了并发症的发生,是治疗多节段脊髓型颈椎病的一种可行方法.