Diagnosis and surgical treatment to cervical spinal instability

FAN Ling; et al

doi:10.13406/j.cnki.cyxb.2011.04.021

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Diagnosis and surgical treatment to cervical spinal instability

更新时间：2024-01-17

- Diagnosis and surgical treatment to cervical spinal instability
- Journal of Chongqing Medical University Vol. 36, Issue 4, Pages: 493-495(2011)
- 作者机构：
  
  成都军区总医院骨科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2011.04.021
  CLC： R687.3
- Published：2011，
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[1]范凌,潘显明,屈波,蒋凯,李伟,邓少林,廖东发.下颈椎退变不稳的诊断和外科治疗[J].重庆医科大学学报,2011,36(04):493-495.

FAN Ling, et al. Diagnosis and surgical treatment to cervical spinal instability. [J]. Journal of Chongqing Medical University 36(4):493-495(2011)
[1]范凌,潘显明,屈波,蒋凯,李伟,邓少林,廖东发.下颈椎退变不稳的诊断和外科治疗[J].重庆医科大学学报,2011,36(04):493-495. DOI： 10.13406/j.cnki.cyxb.2011.04.021.

FAN Ling, et al. Diagnosis and surgical treatment to cervical spinal instability. [J]. Journal of Chongqing Medical University 36(4):493-495(2011) DOI： 10.13406/j.cnki.cyxb.2011.04.021.

摘要

目的:探讨退变下颈椎退变不稳（Hypomere vertebrae cervicales unstable

HVCU）的发病机理及外科治疗的方法和疗效。方法:回顾性分析2007年5月至2010年10月54例HVCU的特征及手术治疗效果

White标准评定颈椎的稳定性

采用评分评价脊髓功能。结果:本组54例随访时间1年至3年

49例患者术后头晕及颈肩部的疼痛都有不同程度的缓解

无复发;3例患者症状完全缓解后又出现症状复发

但较术前减轻;2例患者头晕症状改善不甚满意。脊髓功能均得到明显改善

由术前平均9.70分增加至术后平均14.50分

差异有统计学意义（P<0.05）

稳定性评分术前平均8.5分

术后平均<5分。结论:对下颈椎退变不稳患者

在确定其诊断后

根据其特点选择合适的手术治疗方法可获得较满意的效果。

Abstract

Objective:To investigate the nosogeny and surgical treatment of cervical spinal instability.Methods:A retrospective analysis was performed on 54 cases treated with anterior cervical surgery from May.2007 to Oct.2010.Criterion of White was used for the evaluation of cervical stability

score system was used for the evaluation of neurological function.Results:All the cases were followed up for 1 year to 3 years.Satisfactory results were achieved in most of the patients.Complete relief of the preoperative complaints was obtained in 49 patients with in complete relief in 3 and no obvious improvement in 2.Neurological function was improved from preoperative JOA 9.70 to postoperative JOA 14.50 with statistical significance.Conclusion:For properly patients with cervical spinal instability

satisfactory medium-term clinical outcomes can be achieved appropriate surgical methods.

关键词

颈椎不稳定手术

Keywords

cervical vertebraeinstabilityoperation

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