【摘要】 我院自１９８９年５月开始应用单开门颈椎板成形椎管扩大术治疗不同原因所致颈脊髓损害病例。开始手术体位采用俯卧位，后改用了坐位，让病人额部俯靠在坐椅头架上，采用局麻，使手术操作简便，减少了术中损伤脊髓的可能性。以往尽管应用了棘突悬吊的方法，但仍有少数病人掀开之椎板有塌陷的趋势，因此我们将手术进行了改进：①．手术体位采用坐位手术，避免了胸廓受压引起的呼吸困难，手术视野浅而清晰，椎板重叠少，缩短了手术时间；②。利用剪下的棘突行活页侧上下端及相邻的椎板的植骨融合，使扩大的椎管达牢固的骨性愈合，防止了椎板塌陷。更多还原

【Abstract】 It is reported in this paper that 87 cases of cervical spinal cord damage causedby various pathogenic facters were treated with unilateral open- door method of modifiedlaminoplasty.Follow-up for 10～37 months has suggested satisfactory results.The emphasisin the paper has been put on the modification of the operative position and manipulation.更多还原