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相關文獻
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頁籤選單縮合
題名 | Anterior Cervical Spinal Surgery for Multilevel Cervical Myelopathy=多節頸椎髓神經病變的前位手術治療 |
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作者 | 黃嫆茹; 陳力輝; 牛自健; 賴伯亮; 傅再生; 陳文哲; | 書刊名 | 長庚醫學 |
卷期 | 27:7 民93.07 |
頁次 | 頁531-541 |
分類號 | 416.61 |
關鍵詞 | 多節; 頸椎; 脊髓病變; 前位融合; Multilevel; Myelopathy; Cervical spine; Anterior fusion; |
語文 | 英文(English) |
中文摘要 | 背景:對於多節頸椎管狹窄產生神經壓迫的問題,外科醫師常面臨選擇前位減壓與融合術或者後位椎板切除或椎板整型術的難題。手術方式上使用前位多節減與融點術來治療,由資手術複雜以及擾更可能遇到的合 常是阻礙此法普遍化的因素。 方法。本回溯性研蒐集了14位病人接受前位長節減術(椎體切除術或多節椎間盤切除術)與骨融通,加上骨椎板的固定治療,統甫並記錄了此法的治療經驗。以手術時間、流血量、住院天數、急性點併症的發生率代表手術的複雜性;以Japanese Orthopaedic Association score (JOA score)恢復辛與植骨融合成功率表其臨床滿意的程度。依此來衝量以前位手術的來療多節頸椎狹窄的價值。 結果:平均手術時間為363.4分鐘,術中流血量平均為431.4毫升。早期合併症中,只有1位病人同時發生了下肢靜脈栓塞與肺栓塞。後期合併症中有1位螺絲斷裂和5位螺絲鬆動現象,但皆無症狀。JOA score術後與最後追蹤恢復辛為38.8%及51.9%。植骨融合成功率達100%。 結論:由本研究結果顯示,前位融合手術比後位手術所需時間較長,但是整體上臨床結果令人滿意。 |
英文摘要 | Backgorund: In multilevel spinal cord compression cuased by cervical spondylosis, surgeons face the choice of performing a posterior route as a laminectomy or laminoplasty, or an anterior outr? as multiple adjacent interbody decompressions or corpectomies. The anterior cervical operation is not considered by of multilevel anterior cervical surgery. Methods: In this retrospective study, 14patients with multilevel cervical spondylosis who were operated on via an anterior route were enrolled to evaluate the complexity, safety, and clinical results. The collected parameters were operation time, blood loss, hospital days, and early and late complications fir evaluating the operative complexity, radiographic follow-up for evaluating fusion, graft problems, impLants problems, and recovery rate using the Japanese Orthopaedic Association score (JOA score) for evaluating the operative results. Conclusions: Anterior cervical decompression and fusion for multilevel stenosis requires a longer operation time than posterior procedures; however, the clinical results are satisfactory. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。