椎板切除術為常見脊椎外科手術，卻有5%到11%的患者術後發生頸椎肌節麻痺而造成上肢持續性肌無力的現象。其原因有可能是椎體本身前後壓力不平均，而造成椎骨滑脫或椎間盤突出壓迫神經組織所造成；或是椎管血腫與缺氧等使得脊髓神經受壓迫而受傷。此類型病患目前並無確切的治療模式，物理治療介入之療效研究亦尚嫌不足。在本研究中，我們治療一位因接受椎板切除術，且於術後二個月產生頸椎肌節麻痺與上肢無力現象的72歲男性。物理治療介入計畫開始之前二週以電刺激方式預防肱二頭肌肉萎縮，但改善效果並不明顯。從第三週起，我們將治療內容改成頸椎穩定運動，並陸續加入頸椎牽引與關節鬆動術，經過三個月治療，病人自覺改善指數增加，且頸關節活動度，與上肢肌力皆有進步；傳導性疼痛亦降低；影像學上則見到其椎骨滑脫與椎間盤突出等改善的現象。審慎且經過評估的頸椎牽引與關節鬆動術，再輔以頸椎穩定運動確實能改善頸椎術後肌節麻痺等後遺症，但肌力恢復的效果是否能持續則尚須往後更多研究予以觀察及探討。

Laminectomy is a common surgical approach. However, approximately 5 to 11% of cases encounter postoperative complications of myelopathy in the operated level and suffer muscle weakness in the upper extremity. An imbalance of intraspinal pressure on vertebral body may lead to isthmic spondylolisthesis or intervertebral disk protrusion. Ischemic damage or hematoma in the spinal cannal is another reason that can cause compression to the neurological tissues of the spine. In this case report, we described our approach to treat a 72 year-old male who suffered cervical myelopathy after laminectomy 2 months ago. In the first 2 weeks, electrical muscle stimulation was given to prevent muscle atrophy to his biceps brachialis, but no significant progress had been made. Therefore, we started a cervical stabilization exercise protocol with the aim of improving his head and neck movement control. Mechanical traction and joint mobilization were given to relieve his pain if necessary. After 3 months of therapy, the outcome score rated by the patient with the Global Rating Scale was increased, so were the cervical range of motion and muscle strength of upper extremity. The magnetic resonance image of his cervical spine also showed improvement with decreased displacement of the spondylolisthesis and intervertebral disk protrusion on the operated level.