《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (6): 570-573.

• 论文 • 上一篇    下一篇

脊髓型颈椎病的一体化康复治疗

杨成林，黎清炜，付春江，栾景斌，潘刚   

  1. 哈尔滨医科大学附属第一医院骨一科，黑龙江哈尔滨市 150001。
  • 收稿日期:2010-01-28 修回日期:1900-01-01 出版日期:2010-06-25 发布日期:2010-06-25

Systems Integration Rehabilitation Therapy for Cervical Spondylosis Myelopathy

YANG Cheng-lin, LI Qing-wei, FU Chun-jiang, et al.   

  1. Department of Orthopedics, the Affiliated First Hospital of Harbin Medical University, Harbin 150001, Heilongjiang, China
  • Received:2010-01-28 Revised:1900-01-01 Published:2010-06-25 Online:2010-06-25

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被引次数

2

摘要： 目的探讨脊髓型颈椎病的一体化模式治疗的效果。方法自2001年4月～2004年10月，采用术前、术中、术后的一体化治疗模式，对68例脊髓型颈椎病的患者实行一体化康复治疗。随访并复查X线片，测量术前及术后12个月病变椎间隙高度，采用日本矫形外科学会评分标准(JOA)评价手术前后脊髓功能，对各阶段进行评价。结果全部病例中50例获得随访，患者对手术的满意度高，其中症状明显好转49例，缓解1例，加重0例。术后12个月时，X线显示全部病例植骨愈合、病变椎间隙骨性融合。手术后病变椎间隙高度和术后JOA评分优于手术前。本组无颈髓损伤、钢板和螺钉松动及椎前血肿等并发症发生。结论一体化康复治疗对脊髓型颈椎病具有满意的效果。

关键词: 脊髓型颈椎病, 康复, 一体化

Abstract: ObjectiveTo investigate the clinical effects of systems integrative rehabilitation therapy for cervival spdylotsis myelopathy.MethodsFrom April 2002 to October 2004, 68 cases were intervened with the integrative rehabilitation treatment, which linked up the pre- and post-operational rehabilitation interventions into a continuum. The cases were followed up, and serial radiological evaluations were applied. Then the height of involved interspinal space was measured preoperatively and 12 months after operation,
and the spinal function was evaluated according to the standard of Japanese Orthopeadic Association (JOA).ResultsAll the cases were followed up, of which 49 were better, 1 was improved, none was worsened. 12 months after operation, roentgenographic appearance showed that the allograft healing and interbody fusion of all patients were achieved, and the reserving height of involved interspinal space and JOA evaluation postoperatively were significantly superior to preoperatively. There was no complications such as cervical spinal cord injury, internal fixation loosening and hematoma turned up.ConclusionThe integration rehabilitation therapy has satisfactory effects in the cervical spondylotsis myelopathy.

Key words: cervical spondylotsis myelopathy, rehabilitation, systems integration