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首页> 外文期刊>Journal of International Medical Research >Effect of microscopically assisted decompression with micro-hook scalpel in the surgical treatment of ossification of the posterior longitudinal ligament
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Effect of microscopically assisted decompression with micro-hook scalpel in the surgical treatment of ossification of the posterior longitudinal ligament

机译：显微钩形手术刀辅助减压在后纵韧带骨化手术中的作用

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Objective This study was performed to investigate the effect of microscopically assisted decompression using a micro-hook scalpel on ossification of the posterior longitudinal ligament (OPLL).Methods Sixty-one patients with OPLL were divided into Group A (posterior surgery with laminectomy of the responsible segment and lateral mass screw fixation) and Group B (anterior cervical corpectomy with intervertebral titanium cage fusion). Neurological function was assessed by the Japanese Orthopaedic Association (JOA) score, visual analog scale (VAS) score, and recovery rate. The fixation status and the result of spinal canal decompression were radiographically assessed.Results In Groups A and B, the JOA score was significantly higher and the VAS score was significantly lower at 1 week postoperatively and at the final follow-up than during the preoperative period. The mean recovery rate in Group A and B was 59.92%?±?13.46% and 62.28%?±?14.00%, respectively. Postoperative radiographs showed good positioning and no damage to the internal fixation materials. The spinal canal was also fully decompressed.Conclusions Microscopically assisted decompression with a micro-hook scalpel in both anterior and posterior surgeries achieved good clinical effects in patients with OPLL.
机译：目的研究显微钩状手术刀在显微辅助减压下对后纵韧带骨化（OPLL）的影响。方法将61例OPLL患者分为A组（术后行椎板切除术） B段和侧向大块螺钉固定术）和B组（颈椎前路钛合金椎间融合器融合术）。通过日本骨科协会（JOA）评分，视觉模拟量表（VAS）评分和恢复率评估神经功能。结果：与手术前相比，A组和B组的术后1周和最后一次随访的JOA评分显着高于VAS评分，而VAS评分则显着低于VAS评分。 。 A组和B组的平均回收率分别为59.92％±1.346％和62.28％±14.00％。术后X线片显示定位良好，对内固定材料没有损坏。椎管也完全减压。结论在OPLL患者的前，后手术中，用微型钩状手术刀在显微镜下辅助减压，取得了良好的临床效果。

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