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首页> 外文期刊>Journal of the Formosan Medical Association =: Taiwan yi zhi >Modified expansive open-door laminoplasty technique improved postoperative neck pain and cervical range of motion
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Modified expansive open-door laminoplasty technique improved postoperative neck pain and cervical range of motion

机译：改良的开门椎板扩大成形术改善了术后颈部疼痛和颈椎活动范围

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Background/Purpose Expansive open-door laminoplasty (EOLP) is a useful technique for multiple-level cervical spondylotic myelopathy. The common postoperative complications of EOLP include moderate to severe neck pain, loss of cervical lordosis, decrease of cervical range of motion, and C5 palsy. We modified the surgical technique to lessen these complications. This study is aimed to elucidate the efficacy of modified techniques to lessen the complications of traditional procedures.Methods We collected data from 126 consecutive patients treated at our institution between August 2008 and December 2012. Of these, 66 patients underwent conventional EOLP (CEOLP) and the other 60 patients underwent modified EOLP (MEOLP). The demographic and preoperative data, axial pain visual analog scale scores at 2 weeks and 3 months postoperatively, clinical outcomes evaluated using Nurick score and Japanese Orthopedic Association recovery rate at 12 months postoperatively, and radiographic results assessed using plain films at 3 months and 12 months postoperatively for both groups were compared and analyzed.Results There were no significant differences regarding the preoperative condition between the CEOLP and MEOLP groups (p?>?0.05). The Japanese Orthopedic Association recovery rate of the MEOLP group was 70.3%, comparable to the result of the other group (70.2%). Postoperative axial neck pain, loss of range of motion, and loss of lordosis of cervical curvature decreased significantly in the MEOLP group (p?
机译：背景/目的扩张性开门椎板成形术（EOLP）是一种用于多级颈椎病脊髓病的有用技术。 EOLP的常见术后并发症包括中度至重度颈部疼痛，颈椎前凸丢失，颈椎活动范围减少和C5麻痹。我们修改了手术技术以减少这些并发症。这项研究旨在阐明改良技术减轻传统手术并发症的功效。方法我们收集了2008年8月至2012年12月在我院接受治疗的126例连续患者的数据。其中66例接受了常规EOLP（CEOLP）治疗，其余60例患者接受改良EOLP（MEOLP）治疗。人口统计学和术前数据，术后2周和3个月时的轴向疼痛视觉模拟量表评分，术后12个月时使用Nurick评分和日本骨科协会康复率评估的临床结局以及3个月和12个月时使用平片评估的影像学结果结果：CEOLP组和MEOLP组的术前状况无显着性差异（p≥0.05）。日本骨科协会MEOLP组的恢复率为70.3％，与其他组的结果相当（70.2％）。 MEOLP组术后轴颈疼痛，活动范围的丧失和颈椎前凸的丧失均明显减少（p <0.05）。 MEOLP组不存在CEOLP组中发现的暂时性C5神经麻痹的并发症。结论MEOLP是一种微创手术治疗多级颈椎病的方法，可有效减少术后并发症。

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