Myelopathic Type Was Three Kinds Of Cervical Spondylosis Anterior Surgical Curative Effect Analysis And Comparison

Objective:Research with anterior cervical decompression with autogenous iliac bone graft fusion and anterior cervical intervertebral disc excision and intervertebral fusion implant fusion, anterior cervical decompression and titanium mesh bone graft and anterior plate fixation in three different surgical treatment of cervical spondylosis myelopathic type was the security and reliability of clinical treatment of cervical spondylosis myelopathic type was to provide new ideas and solutions.Methods:Clinical case study USES the contrast before and after operation and parallel comparison test method. Statistical analysis in October2011to September2013, in shandong university of Chinese medicine affiliated hospital orthopedic surgery of the spine spondylotic myelopathy60cases, depending on the selected operation patients can be divided into:anterior cervical decompression with autogenous iliac bone graft fusion group (group A), anterior cervical intervertebral disc excision and intervertebral fusion implant arthrodesis group (group B), anterior cervical decompression and bone graft in titanium mesh anterior plate fixation group (group C) three sets of all patients were followed up and were followed up for6to12months, an average follow-up of10months, as the last one as the final evaluation on the basis of follow-up data. Through the observation of three groups of cases, respectively, the operation time, intraoperative blood loss, VAS pain score, the Japanese orthopedic association low back pain score (JOA) surgery, Oswestry disability index, evaluation degree of symptoms improvement, nerve functional status and calculate its at the same time period.ResultsAll data entry SPSS12.0, using F test, with P<0.05(double side) for differences Statistical significance., three kinds of operation in patients with preoperative postoperatie JOA score comparison, B and C operation points,Rate is better than A surgery (P<0.05), no difference between points B and C operation of statistical significance,(P>0.05). Conclusionsanterior cervical decompression3months postoperatively in patients with autogenous iliac bone graft fusion JOA score points rate was lower than those of other two kinds of operation method, and the anterior cervical intervertebral disc excision and intervertebral fusion implant fusion and anterior cervical decompression and bone graft in titanium mesh there was no statistically significant difference between anterior plate fixation, explain two kinds of surgical treatment with myelopathic type cervical vertebra disease is better than that after anterior cervical decompression with autogenous iliac bone graft fusion.