多节

TO STUDY THE CLINICAL ANALYSIS ANDTREATMENT METHOD OF MUTIPLE LEVELLUMBAR DISCI HERNIATIONAbs tract Objective: Analysis from January 1990 To December 1 999.The clynical characteristics and all operation methods for the multiple level lumbar disci hemiation cases.

目的 对我院近10年收治的多节段腰椎间盘突出症（Herniationof Multisegmented Lumber intervertebral Disc简称HMLD）的临床特征进行分析并从诸多的治疗手段随访反馈的疗效中撰选出较好的治疗方法。

The parasitic larval stage of the tapeworm Taenia multiceps that consists of a cyst in which the scolex develops and that infects the central nervous system of ruminants, especially sheep.

共尾幼虫绦虫多节绦虫的寄生虫幼虫阶段，有囊胞，头节在其中生长，使反刍动物尤其是羊的中枢神经系统感染

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。

Anterior cervicaldiscectomy and fusion is the classic treatment of cervical spondylosis at present. In recent years, the rate of premature degeneration of adjacent fusional segment of intervertebral disc with clinical symptoms has increased gradually, due to cervical spine fusion, especially the multi-segmental cervical fusion.

近年来，由于颈椎融合，特别是多节段颈椎融合，导致邻近融合节段椎间盘过早退行性变并出现临床症状的比例逐渐增多。

Eighteen patients had multilevel anterior cervical discectomies with or without internal fixation, 22 patients had decompressive surgery (12 laminectomies and 10 intersegmental decompressions) for multiseg- ment spinal stenosis, 15 patients had laminectomy with posterior spinal fixation, and remaining 9 patients had laminectomy and excision of spinal tumor.

18例患者行多极前颈椎间盘切除术伴或不伴内固定， 22例患者因多节段椎管狭窄行减压手术（ 12例椎板切除术和10例节间减压）， 15例行椎板切除、后脊柱固定术，其余9例行椎板切除术和脊髓肿瘤切除术。

When surgery is indicated after central cord injury in the stable spondylotic spine, it is the overall cervical spinal alignment and the number of levels affected that determine the surgical approach.30 When the spine is lordotic, and particularly when there are multiple levels of compression; a posterior approach, either a laminectomy and fusion or a cervical laminoplasty are recommended approaches.28 If the spine is neutral or slightly kyphotic, then occasionally, after a posterior laminectomy, lordosis may be achieved with intraoperative positioning and maintained with posterior lateral mass fixation and fusion.

当不伴有颈椎不稳的颈椎病并颈髓中心管损伤患者需要手术治疗时，整个颈椎的序列和受累的节段决定了手术入路的选择。颈椎处于前凸状态，尤其是多节段颈髓均有受压时，建议采用后方入路进行全椎板切除融合或颈椎椎板成形术。假如颈椎处于中立位或稍微后凸时，有时通过后方的全椎板切除，术中复位和侧块螺钉固定融合，可以恢复颈椎的前凸。

Is the Outcome After Single Segment Implantation Similar to Multisegmental Implantation?

单节段置换与多节段置换术后的结果是否相似？

In multisegmental disc herniation, monosegmental limited surgery was performed on the basis of suggestion from blocking.

根据封闭提示对多节段椎间盘突出作单节段有限手术。

When the spine is focally kyphotic, particularly when there is a fixed kyphosis, or in the presence of anterior compression from a disc protrusion or spondylotic bar at 1 or 2 segments, an anterior surgical decompression (vertebrectomy or multiple discectomies) is indicated.19 Fusion and stabilization by means of an anterior strut and plate is also supported.27

当颈椎处于明显的后凸，尤其是僵硬性后凸，或者颈髓压迫来自前方的1到2个节段的突出椎间盘或椎间关节时，经过前方入路进行减压（椎体切除或多节段椎间盘切除）是合适的。融合固定的方法包括前方支撑和钉板系统固定。

The rat L5/6 interertebral disc is multi-segmentally innerated from the L1-L6 dorsal root ganglions. Substance P and the neurokinin-1 receptor contribute to inflammatory pain transmission.

大鼠L5/6椎间盘受L1-L6背根神经节多节段神经支配的。P物质和神经激肽-1受体对感染性疼痛的传导起重要作用。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。