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Methods. Eleven patients (six men, five woman; mean age 72.8±6.3 years) presenting with refractory neck pain and progressive multilevel cervical radiculopathy and/or myelopathy due to cervical spondylosis with spinal canal and neural foraminal stenosis underwent multilevel laminectomy, foraminotomy, and subsequent instrumented posterior fusion via bilateral or unilateral percutaneous muscle dilation approaches.

11例患者,男6例,女5例,平均年龄72.8±6.3岁,表现为顽固性颈痛,进行性的颈椎神经根和脊髓压迫症状,椎管和椎间孔狭窄,通过双侧或单侧经皮肌肉扩张法,对这些病人进行多节段椎板、椎间孔减压,后路融合固定。

Fabrication of tissue section:after spinal cord injury ld,3d,5d,8d,14d,21d,we sacrificed rats in batch.4% formaldehydum polymerisatum were pured into the cardiac muscle and fixed for 24h.Then obtain the specimen of spinal cord from T_5 to T_(13).Establishing slices,HE dyeing,bcl-2 dectation,terminal doxynucleotidyl transferase-mediated dUTP nick end labeling.On the fourteenth day after spinal cord injury,we detect Gale grading score and tiltboard experiment.

组织切片的制备:脊髓损伤后1d,3d,5d,8d,14d,21d共6个时间段分批处死动物。4%多聚甲醛心肌灌注固定24h,切取每只大鼠T_5~T_(13)节段脊髓组织,常规制成切片,给于HE染色,Bcl-2检测,TUNEL原位末端标记以及伤后第14天检测Gale评分和斜板实验,检测大鼠脊髓损伤后细胞凋亡和脊髓神经功能恢复情况。

Objective:To evaluate the application of titanium plate and titanium mesh in multi-segmental cervical spondylotic myelopathy anterior fixation.Methods:Twenty-five patients of multi-segmental cervical spondylotic myelopathy were treated with anterior cervical corectomy and fixation with titanium plate and titanium mesh from 1998 to 2002.Results:All the twenty-five patients of bone planted were in fusion.Titanium mesh shedding,screw loose,plate breaking were not found after follow-up for an average of twelve months.The function of nerve had been improved.

中文摘要:目的:探讨前路钛钢板加钛网植骨内固定治疗多节段脊髓型颈椎病的效果及意义,方法:总结1998年至2002年期间收治的25例有2-3个节段突出的脊随型颈椎病行前路椎体次全切术前路钛钢板加钛网植骨内固定术,结果:经平均12个月的随访,25例患者植骨全部融合,无钛网移位脱落,无螺钉松动,钢板断裂,神经功能得到了不同程度恢复。

ConclusionThe ganglioneuroma has some characteristic CT appearance that can improve the accuracy of diagnosis. The multilayer spiral CT can show the relationship between tumor and peripheral blood vessel and vicinal structure clearly. It can provide more reference information for clinic and operation.

结论节细胞神经瘤有一些特征性的CT表现,有助于提高节细胞神经瘤诊断的准确性;多层螺旋CT能清晰显示肿瘤与周围血管及邻近结构的关系,可为临床及手术提供更多的参考信息。

The rate of pseudarthrosis was 11% in single-level fusions and increased to 27% with multilevel fusions. Sixty-seven percent of patients with pseudarthrosis were symptomatic, with 17% requiring revision surgery.

单节段假关节发生率为11%,多阶段则高达27%。67%的假关节患者有神经症状,其中17%需行翻修手术。

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