ARCH 钛板应用于颈椎后路单开门椎管成形术的短期疗效

医学研究与教育 ›› 2015, Vol. 32 ›› Issue (2): 16-19.

ARCH 钛板应用于颈椎后路单开门椎管成形术的短期疗效

韩晔¹，高文山²，吴晓明¹

1. 河北大学，河北保定 071000；2. 河北大学附属医院，河北保定 071000

出版日期:2015-04-25 发布日期:2015-04-25
通讯作者: 高文山（1968—），河北唐山人，主任医师，教授，硕士，硕士生导师，主要从事创伤骨科和脊柱外科临床工作及研究。E-mail: wsg6813@163.com
作者简介:韩晔（1987—），男，河北保定人，在读硕士，主要从事骨科脊柱、创伤方面研究。E-mail：hanye1224@126.com
基金资助:
河北省医学科学研究重点课题计划（20090573）

Short-term results of ARCH plate in expansive open door laminoplasty (EOLP)

HAN Ye¹, GAO Wenshan², WU Xiaoming¹

1. Hebei University, Baoding 071000, China; 2. Affiliated Hospital of Hebei University, Baoding 071000, China

Online:2015-04-25 Published:2015-04-25

摘要/Abstract

摘要： 目的探讨 ARCH钛板在颈椎椎管扩大成形术（EOLP）应用治疗多节段脊髓型颈椎病（CSM）的短期临床疗效。方法回顾性分析河北大学附属医院 2012 年 7 月至 2014 年 7 月资料完整的颈椎多节段脊髓型病人 35 例，所有病人均采用单开门经椎管扩大成形 ARCH钛板固定，其中男性 20 例，女性 15 例，临床效果采用日本骨科学会（JOA）进行评分及影像学检查评估。结果 35 例病人术后平均随访时间 13.3 个月（7～24 个月），术后症状均获得不同程度改善，术前JOA评分平均（6.1±2.6）分，术后1个月JOA评分平均（9.6±2.8）分，差异均有统计学意义（P＜0.01）。结论 ARCH钛板应用于颈椎后路单开门椎管成形术，可减少术后再关门的可能，减少术后颈椎曲度的丢失，短期效果安全有效。

关键词: 颈椎, ARCH 钛板, 椎管扩大成形术, 脊髓型颈椎病

Abstract: Objective To evaluate the short-term results of ARCH plate in EOLP for CSM. Methods From July 2012 to July 2014, 35 patients with multilevel CSM who underwent EOLP via ACTH plate were involved in this study, including 20 males and 15 females. Clinical symptoms were evaluated with Japanese Orthopaedic Association(JOA)scores. Results The follow-up time ranged from 7 to 24 months, with an average of 13.3 months, JOA score were improved from 6.1±2.6 pre-operation to 9.6±2.8 post- operation(P＜0.01). Conclusion For CSM, EOLP using ARCH plate fixation bring less occurrence of re-close of door, slight postoperative neck AS, and satisfactory clinical outcomes.

Key words: cervical spine, ARCH plate, expansion of unilateral open-door laminoplasty, cervical spondylotic myelopathy

中图分类号:

韩晔，高文山，吴晓明. ARCH 钛板应用于颈椎后路单开门椎管成形术的短期疗效[J]. 医学研究与教育, 2015, 32(2): 16-19.

HAN Ye, GAO Wenshan, WU Xiaoming. Short-term results of ARCH plate in expansive open door laminoplasty (EOLP)[J]. Medical Reserch and Education, 2015, 32(2): 16-19.

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