Cervicothoracic Clinical Analysis, Combined With The Ministry Of Reconstructive Surgery

Objective To discuss the selection of operative methods and stability of reconstitution of affection of cervicothoracic junction.Methords From January 2001 to February 2008,131 cases of affection of cervicothoracic junction were treated surgically.88 patients were treated with anterior approach,31 with posterior approach,5 with anterior combined posterior approach and 7 with cervicothoracic fixation.The neurological function of 83 cases of injury of cervicothoracic junction was assessed by ASIA criteria,and the rest was assessed by JOA criteria;bone arthrodesis and restoring lordosis of cervical spinf was assessed by Bohlman radiographic criteria.Results The ASIA score increased from 1.6 preoperatively to 2.1 postoperatively;The JOA score increased from 10.5 preoperatively to 13.0 postoperatively.Bone fusion reached in all patients;The lordosis of cervical spine of 98 cases was restored.Conclusion The advantage of surgical reconstitution of cervicothoracic junction included promoting the nerofunction recovery,restoring the alignment and lordosis of cervical spine and decreasing the rate of complication.The selection of reconstituted methods depends on decompression and spinal stabilization synthetically.