CenterpieceTM微型钢板在颈椎单开门椎管扩大成形术中的应用—附14例报告

中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (3): 356-358.

CenterpieceTM微型钢板在颈椎单开门椎管扩大成形术中的应用—附14例报告

张顺聪,　江晓兵,　唐永超,　梁德,　杨志东,　晋大祥,　姚珍松

广州中医药大学第一附属医院脊柱骨科, 广州 510405

收稿日期:2012-01-20 出版日期:2012-05-25 发布日期:2012-06-06
通讯作者: 梁德, 主任医师, 博士生导师，E-mail:liangde@sina.com E-mail:drzsc@sina.com
作者简介:张顺聪（1978-），男，广东汕尾，副主任医师，硕士生导师，研究方向：脊柱相关疾病, Tel:13602765101

Clinical application of expansive open-door laminoplasty using CenterpieceTM titanium miniplate: an analysis of 14 cases

ZHANG Shun-cong, JIANG Xiao-bing, TANG Yong-chao, LIANG De, YANG Zhi-dong, JIN Da-xiang, YAO Zhen-song

Department of Spine Surgery, the First Affiliated Hospital of Guangzhou Chinese Medical University, Guangzhou 510405, China

Received:2012-01-20 Online:2012-05-25 Published:2012-06-06

摘要/Abstract

摘要：

目的　评价应用CenterpieceTM微型钢板固定单开门椎管扩大成形术的疗效。方法　采用改良单开门手术，C3、C5、C7椎板开门侧行CenterpieceTM微型钢板固定椎管扩大成形术治疗14例脊髓型颈椎病患者。结果　随访6个月～2年，平均13.6个月。JOA评分由术前的(11.1±0.78)分提升为　(15.3±1.12)分（P<0.05），术后复查CT及MRI提示椎管显著扩大、脊髓减压，随访期间无一例发生内固定物松脱、门轴侧椎板内陷及再“关门”现象，术后2个月时仅有2例存在颈部轻微疼痛、僵硬感，术后半年复查症状消失。结论 CenterpieceTM微型钢板固定单开门椎管扩大成形术治疗是治疗脊髓型颈椎病安全有效的术式，门轴固定牢固，能显著减少再关门现象及轴性症状。

关键词: 脊髓型颈椎病, 椎板成形术, 内固定器

Abstract:

Objective　To evaluate the clinical outcome of expansive open-door laminoplasty using Centerpiece Titanium Miniplate internal fixation.　Methods　14 cases with cervical spondylotic myelopathy(CSM) underwent expansive open-door laminoplasty, and CenterpieceTM plate internal fixation in C3, C5 and C7 segments. Neurological deficits pre- and post- operation were assessed using a scoring system proposed by Japanese Orthopaedic Association (JOA score).　Results　The period of follow-up lasted from 6 months to 2 years with a mean of 13.6 months. The JOA score were improved from 11.1 points pre-operation to 15.3 points at the latest follow-up(P<0.05). Reclosed open-door was not found. There were 2 cases had slight axial symptoms like neck pain and neck movement two months after the operation, and released when six months follow-up.　Conclusions　Expansive open-door laminoplasty is a reliable procedure for CSM. Centerpiece TM plate internal fixation may be an effective measure to prevent reclosed open-door and postoperative axial syndromes.

Key words: Cervical spondylotic myelopathy, Laminoplasty, Internal fixation

中图分类号:

R653

张顺聪, 江晓兵, 唐永超, 梁德, 杨志东, 晋大祥, 姚珍松. CenterpieceTM微型钢板在颈椎单开门椎管扩大成形术中的应用—附14例报告[J]. 中国临床解剖学杂志, 2012, 30(3): 356-358.

ZHANG Shun-Cong, JIANG Xiao-Bing, TANG Yong-Chao, LIANG De, YANG Zhi-Dong, JIN Da-Xiang, TAO Zhen-Song. Clinical application of expansive open-door laminoplasty using CenterpieceTM titanium miniplate: an analysis of 14 cases[J]. Chinese Journal Of Clinical Anatomy, 2012, 30(3): 356-358.

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