压迫性颈脊髓病再手术原因分析

Analysis of the cause for reoperation of oppressive cervical myelopathy

中文关键词:  颈脊髓病 再手术

英文关键词:Cervical myelopathy,Reoperation

中文摘要:

  目的：探讨压迫性颈脊髓病再手术的原因。方法：回顾性分析308例压迫性颈脊髓病再手术患者的临床及影像学资料。结果：颈前路术后再手术的原因有：合并发育性颈椎管狭窄115例；合并颈椎后纵韧带骨化30例；上、下节段间盘再突出25例；脊髓减压不充分24例；“跳跃式”间盘切除10例。颈后路术后冉手术的原因有：减压范围不足77例；开门上、下节段压迫脊髓14例；前方椎间盘仍压迫脊髓9例：单开门术后再关门4例。结论：手术前充分分析颈脊髓受压的病理因素，合理选择术式、改善手术技术是减少压迫性颈脊髓病冉手术率的重要措施。

英文摘要:

  Objective: To evaluate the cause for reoperation of oppressive cervical myelopathy. Method: 308 cases of oppressive cervical myelopathy that had undergone reoperation were studied retrospectively.Result: Cause for reoperation of anterior cervical decompre