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《Journal of Capital Medical University》 2010-03
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Surgical Treatment of Cervical Spinal Cord Compressive Disorders in 65 Cases

CAO Guo-dong1,LIU bo2,HOU Guan-hua3(1. Department of Orthopedics,Beijing Yanqing Hospital; 2. Department of Orthopedics,Beijing Jishuitan Hospital;3. Department of Orthopedics,Mingye Corporation Hospital of Shandong Province)  
Objective To explore surgical treatment of the cervical spinal cord compression. Methods From August 2003 to November 2008,30 cases of cervical spinal cord compression were treated in Beijing Yanqing Hospital and from December 2008 to September 2009,35 cases of cervical spinal cord compression were treated in Beijing Jishuitan Hospital with different kind of surgical treatment. All the patients were followed up. Results Thirty cases received anterior decompression,another 30 cases received posterior decompression and 5 cases received anterior and posterior approach stage 1 combined surgery. The 65 patients were followed up for 9 months to 5 years(average 3.3 years) in outpatient department or by telephone. According to the JOA,all the patients had satisfactory outcome. Conclusion Posterior spinal canal expansion angioplasty is suitable for developmental cervical canal stenosis,ossification of posterior longitudinal ligament(OPLL) and degenerative spinal stenosis. Anterior cervical decompression and bone graft fusion with titanium plate fixation or cervical artificial disc replacement are suitable for one-two-disc hernia. The anterior approach and posterior approach is selected for spinal stenosis combined with spine cord compressed from front and rear side.
【CateGory Index】: R687.3
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