|本期目录/Table of Contents|

[1]卫秀洋,王金星,陈勇忠.Arthrex锚钉在颈椎单开门椎管成形术中的应用[J].医学研究与战创伤救治(原医学研究生学报),2014,16(04):343-345,348.[doi:10.3969/j.issn.1672-271X.2014.04.003]
　WEI Xiu-yang,WANG Jin-xing,CHENG Yong-zhong..Validity of arthrex anchor in cervical laminoplasty[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(04):343-345,348.[doi:10.3969/j.issn.1672-271X.2014.04.003]
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Arthrex锚钉在颈椎单开门椎管成形术中的应用()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第16卷
期数:
2014年04期
页码:
343-345,348
栏目:
出版日期:
2014-07-31

文章信息/Info

Title:
Validity of arthrex anchor in cervical laminoplasty
作者:
卫秀洋; 王金星; 陈勇忠
350002 福建福州,南京军区福州总医院476临床部骨科
Author(s):
WEI Xiu-yang; WANG Jin-xing; CHENG Yong-zhong.
Department of Orthopaedics,476 Clinical Branch,Fuzhou General Hospital of PLA,Fuzhou,Fujian 350002,China
关键词:
颈椎病; 颈椎管成形术; 单开门; 锚钉; 轴性症状
Keywords:
cervical disease;  laminoplasty;  single door;  anchor;  axial symptoms
分类号:
R687
DOI:
10.3969/j.issn.1672-271X.2014.04.003
文献标志码:
A
摘要:
目的 评价Arthrex锚钉在颈椎单开门椎管成形术中的临床应用价值,报告其近期随访结果。方法 单开门椎管扩大椎板成形术68例纳入研究,其中35例使用Arthrex锚钉行门轴侧固定为观察组，另33例采用传统缝线悬吊门轴为对照组。对两组的临床和影像学指标进行统计分析。结果 两组患者均获随访，随访时间12～36个月，平均26个月。手术时间、出血量两组比较差异无统计学意义(P>0.05)。末次随访时，JOA评分、改善率、椎管面积改变、颈椎活动度、颈椎曲度改变，两组比较差异有统计学意义(P<0.05)。结论 Arthrex锚钉应用于颈椎单开门椎管扩大椎板成形术中，操作安全，近期疗效满意。
Abstract:
Objective To evaluate the efficacy and short-term results of Arthrex anchor in cervical expansive open-door laminoplasty (ELAP).Methods A total of 68 cases of cervical spondylotic myelopathy (CSM) were assessed in this study.35 patients undergoing ELAP by Arthrex anchor were classified as study group.33 patients undergoing conventional ELAP served as controls.The clinical results and radiological exam inations of both groups were evaluated.Results All patients were followed up 12-36 months (mean,26 months).There were no significant differences in operation time,bleeding quantity (P＞0.05).At last follow-up,the JOA score,cervical spinal area,range of motion(ROM )and cervical curvature index(CCI) of the study group and the control group were significantly improved when compared with preoperative ones (P<0.05).Conclusion The expansive open-door laminoplasty with suture anchor fixation is convenient and safe for clinical application.Recent results were satisfactory.

参考文献/References:

[1]孙天威，张 杭，卢守亮，等.颈椎单开门椎管扩大成形术椎板开门角度对脊髓型颈椎病疗效的影响[J].中国脊柱脊髓杂志，2012，22(1):8-13.
[2]许春雷,李正维,周 伟,等.改良单开门椎管扩大成形术治疗脊髓型颈椎病[J].实用骨科杂志,2009,15(10):729-733.
[3]赵永强,张广泉,崔力扬,等.单开门椎管成形侧块钢板内固定术治疗多节段颈椎管狭窄症[J].中华实用诊断与治疗杂志,2010,24(4):395-396.
[4]杨海云,顾 锐,朱本清,等.影响单开门椎管扩大成形术治疗颈椎病疗效的术后相关因素分析[J].中华骨科杂志,2009,29(9):847-851.
[5]Barrett I,Justin H,Joon L,et al.Laminoplasty versus laminectomy and fusion for multilevel cervical spondylotic myelopathy[J].Clin Orthop Relat Res,2011,469(3):688-695.
[6]林久灶，林 泉，崔为良.带线锚钉在颈椎单开门椎管扩大椎板成形术中的应用[J].中国骨与关节损伤杂志,2013，28(1):43-44.
[7]苗 洁，申 勇，王林峰,等.颈椎后路三种手术方式对改善多节段颈椎病生理曲度及疗效的远期观察[J].中国矫形外科杂志,2012,20(11):987-981.
[8]苗 洁，李冠军，葛志强，等.Centerpiece 系统治疗多节段脊髓型颈椎病疗效观察[J].实用骨科杂志，2013,19(8):735-738.
[9]马大年，李 健，时梦猇.颈椎前路减压钛网植骨钛板固定治疗脊髓型颈椎病[J].东南国防医药，2012，14(1):66-67.
[10]Wang JM,Roh KJ,Kim DJ,et al.A new method of stabilising the elevated laminae in open-door laminoplasty using an anchor system[J].J Bone Joint Surg(Br),1998,80(12):1005-1008.
[11]李玉伟，王海蛟，严晓云，等.颈椎单开门椎管扩大成形术不同椎板固定方法治疗多节段脊髓型颈椎病的疗效分析[J].中国脊柱脊髓杂志，2013，23(11):973-978.
[12]王义生，张 弛，唐囯皓,等.锚定钉在多节段脊髓型颈椎病单开门椎管扩大术中的应用[J].中国脊柱脊髓杂志，2012，22(1):20-23.

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备注/Memo

备注/Memo:
南京军区医学科技创新课题(11MB028)
更新日期/Last Update: 2014-07-20