Treatment of anterior decompression, bone grafting and internal fixation combined with coblation neucleoplasty for patients with cervical spondylosis involved multilevel
ZHANG Fei
LI Qing
ZHANG Aiming
LIANG Daochen
Abstract：Objective To explore clinical effect of anterior decompression, bone grafting and internal fixation combined with coblation neucleoplasty in the treatment of multilevel cervical spondylosis. Methods Clinical data of 30 patients with multilevel cervical spondylosis from March 2012 to December 2012 were retrospectively analyzed and all of them were treated by mono-segmented cervical anterior decompression, bone grafting and internal fixation combined with coblation neucleoplasty in Zhongshan People's Hospital. Clinical effects were evaluated by Japanese Orthopaedic Association (JOA) score. Results All patients obtained follow-up with the average time of 6.8 months (4-9 months). Discomfort symptoms were improved after the operation. No nerve function aggravation occurred, also, no serious complications such as internal fixation loosening or cage pull-out had happened. Compared to preoperative JOA score, JOA score at 3 months postoperatively was improved from (10 ± 2) to (14 ± 1) (t = 8.143,P = 0.000), JOA improvement rate was 45%. Conclusions Mono-segmented cervical anterior decompression, bone graft fusion combined with nucleus pulposus coblation is recommended technique for multilevel cervical spondylosis by its stable short-term effects and less complications.
Keywords：Cervical spondylosisMultilevelDecompressionsurgicalBone transplantationBone platesNeucleoplasty
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 278-281 )