颈椎过伸性损伤的手术治疗

Surgical treatment of cervical hyperextension injury

中文关键词:  颈椎  脊髓  损伤  手术

英文关键词:Cervical Spine  Spinal cord  Injury  Operation

中文摘要:

  目的：探讨颈椎过伸性损伤手术治疗方法的选择及疗效.方法：72例颈椎过伸性损伤患者中,11例行颈后路全椎板切除减压术,40例行颈前路减压、植骨＋钢板内固定术,21例一期颈前路减压、植骨＋钢板内固定,二期后路椎板减压术.结果：平均随访26.4个月,8个月内植骨均获得骨性融合,无钢板、螺钉松动、断裂等并发症.术前、术后1个月及最后随访时脊髓运动功能ASIA评分分别为32.54、56.47、85.28分;感觉功能评分分别为71.20、110.73、191.46分,改善有统计学意义.结论：合理选择手术方案,可促进颈椎过伸性损伤神经功能的恢复.

英文摘要:

  Objective:To evaluate the methods and efficacy of surgical treatment of cervical hyperextension injury.Method:Seventy-two cases of cervical hyperextension injury were retrospectively analyzed.11 cases were treated with posterior laminectomy,40 cases were