朱悦 王居强 范广宇 王星铎 朱悦、范广宇、王星铎 110001 沈阳，中国医科大学第一临床学院骨科；王居强 辽宁省邮电医院骨科 中华骨科杂志 1999 0 19 3


    关键词：胸外科学(手术)；颈椎；胸椎；脊髓压迫症；椎间盘移位；骨化；后纵韧带 期刊 zhgkzz 0 临床研究 fur -->


    

【摘要】目的 观察经胸骨前路椎体扩大开窗减压,椎间植骨融合术治疗颈胸段脊髓压迫症的疗效。方法 3例颈胸段脊髓压迫症中，2例为后纵韧带骨化，1例为胸椎骨折。手术取颈胸部联合切口，纵行劈开胸骨，显露颈胸段椎体，用切骨刀及气动球磨钻扩大开窗减压，去除椎体骨质、突出椎间盘或骨化的后纵韧带，取髂骨块行椎间植骨融合。结果 经平均16个月的随访，患者脊髓功能均有不同程度地恢复。结论 经胸骨前路减压是一种安全有效的治疗颈胸段脊髓压迫症的手术方法。

    Anterior Decompression Via Trans-sternal Approach for the Treatment of Cervicothoracic Spinal Cord Compression

ZHU Yue^* , WANG Juqiang, FAN Guangyu, et al.

    ^* Department ofOrthopaedic Surgery, The First Clinical College, China Medical University, Shenyang 110001

【 Abstract 】 Objective Toobserve the therapeutic effects of anterior decompression and fusion via a trans- sternal approach on the treatmentof cervicothoracic spinal cord compression. Methods Among the three casesof cervicothoracic spinal cord compression,two were diagnosed as ossification of theposterior longitudinal ligament and one as fracture of the thoracic spine. The combinedcervicothoracic incison and sternotomy were performed for the exposure of the vertebralbodies, which were removed together with the herniated discs or the ossified posteriorlongitudinal ligaments, using the osteotomes and the air- drill. Fusion was done with the iliac bone graft. Results In a mean follow- upperiod of 16 months,all the patients had different degrees of recovery in the neurologicfunction. Conclusion Anterior decompression through a trans- sternal approach is a safe andeffective method for the treatment of cervicothoracic spinal cord compression.

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