Effect of Posterior Single and Double Door Opening Vertebral Canal En-largement in the Treatment of Multilevel Spinal Cord Compression
Objective To investigate the effect of posterior single and double door opening vertebral canal enlargement in the treatment of multilevel spinal cord compression.Methods A total of 84 patients with multilevel spinal cord com-pression treated in Jinan Eighth People's Hospital from August 2020 to August 2022 were conveniently selected and divided into two groups according to random number table method,with 42 patients in each group.The control group was treated with posterior cervical double door enlarged spinal canal enlargement,and the observation group was treated with posterior cervical single door enlarged spinal canal enlargement.The operative status,cervical function,pain score,quality of life and complications were compared between the two groups of patients.Results The intraop-erative blood loss in the observation group was(281.41±20.38)mL,which was higher than that in the control group(246.34±18.74)mL,and the difference was statistically significant(t=8.209,P<0.05).The subjective symptoms,clini-cal signs,adaptability and total scores of Clinical Assessment Scale for Cervical Spondylosis(CASCS)in the observa-tion group were higher than those in the control group after treatment,and the differences were statistically significant(t=5.579,6.000,10.830,6.962,all P<0.05).Visual Analogue Scale(VAS)scores in the observation group were lower than those in the control group at 7 days and 3 months after surgery,and the differences were statistically significant(t=10.384,7.296,both P<0.05).After treatment,the scores of physiological,psychological,social and environmental fields in the observation group were higher than those in the control group,and the differences were statistically sig-nificant(t=6.436,6.332,6.413,6.858,all P<0.05).There was no significant difference in complications between the two groups of patients(χ2=1.243,P=0.265).Conclusion Posterior cervical single door spondyloplasty is more effective in the treatment of multilevel spinal cord compression,which can reduce cervical functional injury,accelerate the dis-appearance of pain symptoms,and improve the quality of life.However,the amount of intraoperative blood loss is more,and the operation method should be reasonably selected according to the specific situation.
NETL
NSTL
万方数据
维普
