【摘要】 目的探讨Arch钛板在颈后路单开门椎管扩大成形治疗颈椎管狭窄症的方法及临床疗效。方法对2010-11-2013-11间20例颈椎管狭窄症患者行颈后路单开门椎管扩大成形Arch钛板内固定术。男12例,女8例;年龄40~80岁,平均65岁;病程3~28个月,平均8.5个月。结果术后6个月摄颈椎X线及CT检查所有患者门轴侧椎板均已骨性融合,无"再关门"现象,未发现内固定物松动、移位、断裂等现象,无脊髓损伤、血肿等并发症。所有患者神经功能恢复良好。结论颈后路单开门椎管扩大成形Arch钛板内固定术治疗颈椎管狭窄症初期疗效满意,是一种切实可行的方法。更多还原

【Abstract】 Objective To explore the way and therapeutic effect of cervical posterior single open-door laminoplasty with Arch titanium plate fixation in the treatment of cervical spinal stenosis.Methods From November 2010 to November 2013, cervical posterior single open-door laminoplasty with Arch titanium plate fixation was performed in 20 cases with cervical spinal stenosis, which included 12 males and 8 females with average of 65 years(40~80 years) and average disease course of 8.5 months(3~28 months). Results 6 months after operation, all patients received X ray and CT examination, all door shaft side lamina had bony fusion, no"shutdown"phenomenon, without the phenomenons such as internal fixation loosening or displacement or fractures. There were no complications such as spinal cord injury or hematoma. All patients’ nervous function recovered well. Conclusion The early curative effect of cervical posterior single open-door laminoplasty with Arch titanium plate fixation in the treatment of cervical spinal stenosis is satisfied, it is a feasible method.更多还原