頸椎炎性脊髓病的前方固定術及其成績

Surgical Result of Anterior Fusion for Cervical Spondylytic Myelopathy

劉文俊(Wen-Jiunn Liu) ； 施天岳(Tien-Yeuh Shih)

《Journal of Orthopaedic Surgery Taiwan》 9卷4期 (1992/12) Pp. 175-182

摘要

自1985年8月至1990年10月止，共有22位頸椎炎性脊髓病的病人接受前方固定術治療。手術後，平均追蹤33個月，依日本骨科醫學會公布的判定基準，我們手術後的成績：優32%，良45%，可14%，不變9%，無惡化病例，骨癒合良例為10%，手術成績，比起國外文獻報告略差，檢討其原因，我們認為是手術中減壓不足，病人罹病時間較長，和重度經損害所引起。

關鍵字

脊髓病 ； 頸椎炎 ； 前方固定

並列摘要

Form Aug, 1985 to Oct. 1990, 22 patients suffering from cervical spon-dylytic myelopathy was treated by anterior decompression and fusion. The average follow-up time was 33 months and average age was 57.6 years old.
According to the criteria of Inoue’s classification, 9 cases belonged to stage 1 or 2,8 cases stage 3, and 5 cases stage 4.Our final result was: excellent 32%, and good 45% (by using the assessement scale of Japan Orthopaedic Association. The union rate was about 90%, and there was no major surgical complication.
The technique of anterior fusion was not difficult, and the danger of cord injury was minimal. By this procedure, compression at anterior site of the spinal cord could be removed adequately. Spinal alignement and stability could also be well reestablished.
This is not a large series with relatively short follow-up period, however we feel that anterior fusion is effective and recommend it for treatment of cervical sopndylytic myelopathy.

並列關鍵字

Myelopathy ； Cervical spondylitis ； anterior fusion