Page 315 - 北京京煤集团总医院第十届·2022学术年会论文集

北京京煤集团总医院 第十届·2022 学术年会论文集

compared 6 months after operation and at the last follow-up. The cervical curvature, sagittal

diameter of cervical spinal canal, cervical mobility, cervical function and nerve function were

compared between the two groups before operation, 6 months after operation and at the last
follow-up. Result: Six months after operation and at the last follow-up, the axial symptom score

of the observation group was higher than that of the control group, and the door opening angle was
greater than that of the control group (P<0.05). Six months after operation and at the last follow-

up, the cervical curvature, sagittal diameter of cervical spinal canal and cervical mobility in the

observation group were higher than those in the control group (P<0.05). Six months after

operation and at the last follow-up, the neck disability index (NDI) scores of the two groups

decreased significantly, and the NDI score of the observation group was lower (P<0.05). Six

months after operation and at the last follow-up, the Japanese orthopaedic association (JOA) score

of the two groups increased significantly, and the JOA score of the observation group was higher

(P<0.05). Conclusion: Compared with the traditional cervical vertebra posterior single door

spinal canal expansion decompression, posterior spinal canal expanded decompression mini

titanium plate fixation laminoplasty is helpful to improve the axial symptoms of patients with

cervical spondylosis, stabilize the door opening angle, cervical curvature, sagittal diameter of
cervical spinal canal and cervical mobility, and promote the recovery of cervical vertebra function

and nerve function.
[Key words] Cervical spondylosis Posterior spinal canal expanded decompression mini

titanium plate fixation laminoplasty Cervical vertebra function Nerve function

颈椎病为骨科临床常见病症之一，即椎间高度丢失及椎间盘退变等因素所致椎体失

稳、椎间盘突出，对脊髓及神经根造成压迫，从而引起的临床综合征。颈椎病预后难度及

治疗难度均较大，治疗重点在于解除脊髓及神经根压迫，恢复颈椎生理曲度，重建颈椎稳

定性 [1-2] 。现阶段，临床治疗颈椎病的常见措施之一即传统颈椎后路单开门椎管扩大减压

[3]
术，可有效缓解患者病情，但术后易出现轴性症状、门轴断裂及在椎管再关门等情况 颈
后路椎管扩大减压微型钛板固定椎板成形术为近些年兴起的新型手术模式，以微型钛板固

[4]
定于开门侧侧块及椎板，使颈脊髓减压椎管成形稳定性得以维持，可提升疗效 。为对比
分析颈椎病治疗中后路椎管扩大减压微型钛板固定椎板成形术、传统颈椎后路单开门椎管

扩大减压术的应用效果，此次选取2017年1月-2019年12月北京京煤集团总医院骨科收治的

60 例颈椎病患者展开研究，以期为改善颈椎病患者的预后水平带来益处，现报告如下。

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