脊柱外科杂志2024,Vol.22Issue(1) :1-4.DOI:10.3969/j.issn.1672-2957.2024.01.001

颈椎后路单开门椎管扩大椎板成形术治疗脊髓型颈椎病合并颈源性头痛的临床疗效

Clinical efficacy of posterior single-door laminoplasty for treatment of cervical spondylotic myelopathy with cervicogenic headache

杨明坤 刘泯邑 贾新冬 杜涛 吴登普 张旭
脊柱外科杂志2024,Vol.22Issue(1) :1-4.DOI:10.3969/j.issn.1672-2957.2024.01.001

颈椎后路单开门椎管扩大椎板成形术治疗脊髓型颈椎病合并颈源性头痛的临床疗效

Clinical efficacy of posterior single-door laminoplasty for treatment of cervical spondylotic myelopathy with cervicogenic headache

杨明坤 1刘泯邑 1贾新冬 1杜涛 1吴登普 1张旭1
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作者信息

  • 1. 巴中市中心医院脊柱外科,巴中 636000
  • 折叠

摘要

目的 探讨颈椎后路单开门椎管扩大椎板成形术治疗多节段脊髓型颈椎病(MCSM)合并颈源性头痛的临床疗效.方法 2018年1月—2021年6月,采用颈椎后路单开门椎管扩大椎板成形术治疗MCSM合并颈源性头痛患者31例,术前及术后1、3、12个月采用日本骨科学会(JOA)评分评价临床疗效,采用颈椎功能障碍指数(NDI)"头痛问题"Q5评分评价头痛程度.结果 所有手术顺利完成,所有患者随访>12个月.患者术后各随访时间点JOA评分较术前显著改善,差异均有统计学意义(P<0.05).除1例轻度头痛患者术后头痛无缓解,其余患者头痛均不同程度缓解.结论 颈椎后路单开门椎管扩大椎板成形术能缓解MCSM合并颈源性头痛患者的临床症状.

Abstract

Objective To explore the clinical efficacy of posterior single-door laminoplasty for the treatment of multi-segment cervical spondylotic myelopathy(MCSM)with cervicogenic headache.Methods From January 2018 to June 2021,31 patients with MCSM and cervicogenic headache were treated with posterior cervical single-door laminoplasty.At pre-operation and postoperative 1,3,12 months,clinical efficacy was evaluated by the Japanese Orthopedic Association(JOA)score,and the intensity of headache was evaluated by the neck disability index(NDI)"headache problem"Q5 score.Results All the operations were successfully completed,and all the patients were followed up for more than 12 months.The JOA scores improved significantly at post-operation compared to pre-operation,all with a statistically significant difference(P<0.05).Except for 1 mild headache patient who had no relief after surgery,all other patients'headache had varying degrees of relief.Conclusion Posterior single-door laminoplasty can alleviate the clinical symptoms of MCSM with cervicogenic headache.

关键词

颈椎/颈椎病/头痛/减压术,外科

Key words

Cervical vertebrae/Cervical spondylosis/Headache/Decompression,surgical

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基金项目

四川省科学技术厅省级科技计划项目(2018JY0308)

出版年

2024
脊柱外科杂志
中华医学会上海分会

脊柱外科杂志

CSTPCD
影响因子:1.033
ISSN:1672-2957
参考文献量4
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