摘要
为观察颈前路钢板结合钛网植骨对脊髓型颈椎病的疗效和钛网植入后融合及沉降情况。对 2 3例行颈前路椎体次全切减压、钛网植骨、颈前路钢板内固定术的脊髓型颈椎病患者进行了 10～ 18个月 (平均 15个月 )的随访 ,以观察其神经功能恢复情况、钛网植骨融合率及钛网沉降率。结果显示 ,2 3例患者神经功能改善情况依据JOA评定标准评定优 15例 ,良 4例 ,中 4例 ;JOA评定由术前 8.6± 1.4分升至术后 15 .5± 2 .8分 ;均存在显著差异 (P <0 .0 5 )。结合Zdeblick影像学判定椎体间融合的标准 ,术后 6个月钛网植骨融合率达到 89% ,1年达到 91%。术后 6个月沉降出现率 11% ,1年 13%。表明应用颈前路减压、钛网植骨、颈前路钢板系统内固定术治疗脊髓型颈椎病具有术后颈椎即时稳定性好 ,沉降率低 ,没有供骨区并发症 。
The objective of the paper is to observe the therapeutic effect of anterior cervical plate (ACP) and titanium-meshes bone grafting (TBG) on cervical spondylotic myelopathy (CSM) and the intervertebral fusion and titanium-meshes subsidence after TBG. Twenty-three cases of CSM treated by anterior semi-vertebral decompression, TBG and ACP were followed up (Range: 10 to 18 and Mean: 15 months) in order to observe the nerve functional recovery and the rates of the TBG fusion and titanium-meshes subsidence. The results showed that the nerve functional recovery of 23 cases was: excellent in 13/23, good in 6/23 and fair in 4/23; the scores according to JOA evaluating standards were: 8.6±1.4 preoperatively and 15.5±2.8 postoperatively with a significant difference (P < 0.05); the rates of the TBG fusion and titanium-meshes subsidence according to Zdeblick image criterion were: 89 % and 11 % six months postoperatively; 91 % and 13 % one year postoperatively, respectively. It was suggested that the treatment of CSM by anterior cervical decompression, ACP and TBG has some advantages, such as good postoperative stability, low rate of titanium-meshes subsidence, no complications of the donor, and high TBG fusion rate.
出处
《中医正骨》
2004年第10期11-12,共2页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
脊髓型颈椎病/手术
颈前路钢板固定术
钛网檀骨术
临床研究
cervical spondylotic myelopathy/surgery, anterior cervical plate fixation, titanium-meshes bone grafting, clinical study
