Anterior Segmental Decompression and Interbody Fusion for Multi-segmental Cervical Spondylotic Myelopathy in the Elderly

摘要: To explore the clinical effect of anterior segmental decompression and interbody fusion in treatment elderly patients with complex cervical spondylotic myelopathy three segments or more, 50 patients, titanium plate internal fixation bone underwent multi spondylosis, were collected. Parameters operation time, intraoperative blood loss, JOA score 1 week before after, 12 months after operation, X-ray, CT MRI measured. Clinical symptoms improvement JOA, grafting fusion, standard sagittal Cobb angle, lateral segment vertebral body height (height border, HAB) posterior HPB), observed. Operation time was 90 ~ 150 minutes, average 120 minutes. The amount bleeding 450 ml, 325.5 ml. Mean follow-up 15.1 months. 2 weeks sympathetic improved obviously, lower limb muscle strength increased, physical activity significantly improved, anesthesia double upper limbs disappeared. Except for 3 cases who had serious spinal cord injury showed no obvious recovery, other 47 significant neurological recovery. X-ray results that fused intervertebral, intervertebral lordosis maintained good. In general, graft is a safe effective treating section above myelopathy, worth recommending.