Résumé
@#Objective To investigate the effects of anterior cervical decompression and implanting bone fusion with plate internal fixation under microscope on cervical spondylotic myelopathy. Methods 64 patients were performed anterior cervical decompression and implanting bone fusion with plate internal fixation under microscope. They were assessed with the assessment of Japanese Orthopedic Association (JOA), imageologic and clinical finding 6 months after operation. Results The score of JOA improved from (9.1±2.4) pre-operation to (13.5±3.1) post-operation. Imageologic and clinical features showed satisfactory outcome. Conclusion Most patients with cervical spondylotic myelopathy can achieve satisfied prognosis by decompression through anterior approach; microsurgery.
Résumé
@#Objective To observe the effects of rehabilitation exercises on limb function of patients with cervical spondylotic myelopathy (CSM) after artificial intervertebral disc replacement.Methods 42 CSM patients undergone anterior cervical decompression and Bryan disc prosthesis under microscope were randomly divided into the normal care group (n=20) and rehabilitation exercises group (n=22). All patients of two groups were assessed by JOA scale at 2nd week and 6th month after operation.Results The JOA scores of two groups at 6th month were all higher than that at 2nd week and scores of the rehabilitation exercises group were also higher than that of the normal care group ( P<0.01).Conclusion Rehabilitation exercises after artificial intervertebral disc replacement can improve spine cord function of CSM patient.