颈椎后路单开门椎管扩大术后引起轴性症状的原因及预防措施

Abstract
Figure/Table
References (14)
Related Citation (1)

Download: PDF (0 KB) HTML (40 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the cause and preventive measure of axial symptoms caused after cervical posterior single open-door laminoplasty.Methods 38 cases of cervical spondylopathy treated with cervical posterior single opendoor laminoplasty and achieved complete follow-up from October 2009 to October 2013 in our hospital were selected and divided into group A and group B.Group A was early given isometric relaxation and contraction motion，muscle strength exercise of neck，shoulder，back muscles after operation，the neck was brake for 4 to 8 weeks by neck collar，the neck joint activity degree exercise，breast enlargement exercise was carried out step by step after 4 to 8 weeks.Group B was given postoperative cervical collar neck brake for 12 weeks，muscle strength and neck joint activity degree exercise was carried out step by step after 12 weeks.The patients were followed up by outpatient review，axial symptoms was evaluated according to the patient′s neck pain，stiffness，limited degree of activity，postoperative MRI image display.Axial symptoms was graded according to the severity of the symptoms，the impact of the quality of life，whether the use of pain medication.Results After operation，gradeⅠof the axial symptoms in group A was 28 cases（90.3%）and gradeⅡwas 3 cases（9.7%）.The axial symptoms in group B was 1 case（14.3%）of gradeⅡ，5 cases（71.4%）of gradeⅢand 1 case （14.3%）of gradeⅣ.Conclusion Isometric relaxation and contraction motion，muscle strength exercise of neck，shoulder，back muscles are early carried out after cervical posterior single open-door laminoplasty　（postoperative 3-5 days），the neck is brake for 4 to 8 weeks by neck collar，the neck joint activity degree exercise，breast enlargement exercise are carried out step by step after 4 to 8 weeks，which can effectively reduce the incidence of axial symptoms.

Key words： Joint capsule suspension method Single open-door laminoplasty Axial symptoms Cervical spondylosis myelopathy

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHOU Zhi-gang
	FU Jiang-ming
	LI Qiang
	YAN Zhao-hua
	ZHOU Huan-bin
	YU WeiHE
	Jia-cheng

Cite this article:

ZHOU Zhi-gang,FU Jiang-ming,LI Qiang, et al. Cause and preventive measure of axial symptoms caused after cervical posterior single open-door laminoplasty[J]. 中国当代医药, 2016, 23(22): 21-24.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I22/21

［1］	朱继超，刘晓光，刘忠军，等.术前颈椎曲度与椎管扩大成形术后脊髓后移程度及疗效的相关性［J］.中国脊柱脊髓杂志，2013，23（7）：587-593.
［2］	Luk KD，Kamath V，Avadhani A，et al.Cervical laminoplasty ［J］.Euro Spine J，2010，19（2）：347-348.
［3］	Kawaguchi Y，Matsui H，Ishihara H，et al.Axial symptoms after en bloc cervical laminoplasty［J］.J Spinal Disord，1999，12（5）：392-395.
［4］	Xia Y，Xia Y，Shen Q，et al.Influence of hinge position on the effectiveness of expansive open-door laminoplasty for cervical spondylotic myelopathy［J］.J Spinal Disord Tech，2011，24（8）：514-520.
［5］	赵晔，李书奎，程才，等.传统单开门术式对颈椎术后轴性症状影响的临床观察［J］.吉林医学，2013，34（15）：2877-2878.
［6］	Hirabayashi K，Watanabe K，Wakano K，et al.Expansive opendoor laminoplasty for cervical spinal stenotic myelopathy［J］. Spine（Phila Pa 1976），1983，8（7）：693-699.
［7］	Hirabayashi K，Satomi K.Operative procedure and results of expansive open-door laminoplasty［J］.Spine（Phila Pa 1976），1988，13（7）：870-876.
［8］	孙宇，潘胜发，陈景春，等.单开门颈椎管扩大椎板成形术对颈椎运动的影响［J］.中国脊柱脊髓杂志，2003，13（4）：212-215.
［9］	潘胜发，孙宇，朱振军，等.单开门颈椎管扩大椎板成形术后轴性症状与颈椎稳定性的相关观察［J］.中国脊柱脊髓杂志，2003，13（10）：604-607.
［10］	周非非，孙宇，张凤山，等.颈椎前路椎间盘切除、植骨融合内固定术治疗脊髓型颈椎病术后轴性症状的前瞻性研究［J］.中国脊柱脊髓杂志，2014，24（6）：505-509.
［11］	王晓冬，潘浩，姜媛媛，等.短期佩戴围领对颈椎术后活动度与轴性症状的影响［J］.医学研究与教育，2013，30（4）：14-18.
［12］	王诗云，杨春雷，赵庆，等.颈椎术后轴性症状诊断与治疗的研究进展［J］.按摩与康复医学，2015，6（11）：4-7.
［13］	Ono A，Tonosaki Y，Numasawa T，et al.The relationship between the anatomy of the nuchal ligament and postoperative axial pain after cervical laminoplasty［J］.Spine（Phila Pa 1976），2012，37（26）：1607-1613.
［14］	张为，陈百成，丁文元，等.术后围领佩戴时间对颈椎轴性症状的影响［J］.中国康复医学杂志，2007，22（2）：129-132.