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颈前路减压植骨融合带锁钛板内固定治疗无骨折脱位型颈脊髓损伤的临床探讨[摘要]目的探讨颈前路减压植骨融合带锁钛板内固定治疗无骨折脱位型颈脊髓损伤(SCIWORA)的效果。方法整群选取该院2011年3月―2014年3月收治的无骨折脱位型颈脊髓损伤(SCIWORA)患者60例作为研究对象采用数字随机对照表将患者分为对照组和观察组对照组行颈前路减压植骨融合术治疗观察组在对照组基础上加锁钛板内固定治疗手术前后均行日本骨科协会(JOA)评分评估两组术后临床症状好转率及半年后植骨融合率。结果观察组术后半年后植骨融合率为96.67%显著高于对照组80.0%差异具有统计学意义(P[关键词]颈脊髓损伤;无骨折脱位;颈前路减压;带锁钛板;植骨融合率[中图分类号]R5[文献标识码]A[文章编号]1674-0742(2016)01(a)-0090-02ClinicalObservationonAnteriorCervicalDecompressionandBoneGraftFusionwithLockingPlateInternalFixationinTreatmentofCervicalSpinalCordInjurywithoutFractureandDislocationSUNHai-zhongEmergencysurgeryNanyangFirstPeople'sHospitalNanyangHenanProvince473000China[Abstract]ObjectiveTodiscusstheeffectofanteriorcervicaldecompressionandbonegraftfusionwithlockingplateinternalfixationintreatmentofcervicalspinalcordinjurywithoutfractureanddislocation(SCIWORA).Methods60casesofpatientswithSCIWORAtreatedinourhospitalfromMarch2011toMarch2014wereselectedastheresearchobjectandrandomlydividedintotwogroupsthecontrolgroupweregivenanteriorcervicaldecompressionandbonegrafttreatmentandtheobservationgroupweregivenanteriorcervicaldecompressionandbonegraftfusionwithlockingplateinternalfixationtreatmentbothgroupswerescoredbyJapandepartmentoforthopedicsassociation(JOA)beforeandafteroperationandtheimprovementratesofclinicalsymptomsafteroperationandtheintervertebralfusionratesafterhalfayearofthetwogroupswereevaluated.ResultsSixmonthslaterafteroperationtheintervertebralfusionrateintheobservationgroupwasobviouslyhigherthanthatinthecontrolgroup(96.67%vs80.0%)thedifferencewasstatisticallysignificant(P[Keywords]Cervicalspinalcordinjury;Withoutfractureanddislocation;Anteriorcervicaldecompression;Lockingplate;Bonegraftfusionrate无骨折脱位型颈脊髓损伤(SCIWORA)是一种特殊骨折类型指外力作用致脊髓损伤但影像学检查无异常易