摘要
目的:观察CodmanACP颈前路钢板结合Harms钛网植骨对脊髓型颈椎病的疗效和钛网植入后中 期的融合及沉降情况。方法:对48例脊髓型颈椎病患者行颈前路椎体次全切减压、钛网植骨、CodmanACP颈前路 钢板固定术。术后随访观察神经功能恢复情况、钛网植骨融合率及钛网沉降率。结果:术后进行12～22个月(平 均17个月)随访。神经功能改善依据JOA评定标准:优23例,良14例,中7例,无效4例,JOA评分由术前(9.1± 2.4)分上升至术后(16.5±3.1)分。存在显著性差异(P=0.0278)。结合Zdeblick标准和FDA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92%,术后1年钛网植骨融合率达到96%。术后6个月沉降出现率 10.4%,术后1年沉降出现率16%。结论:应用颈前路减压、钛网植骨、CodmanACP颈前路钢板系统内固定术治疗 脊髓型颈椎病具有以下优点:术后颈椎即时稳定性好,沉降率低,没有供骨区并发症,钛网植骨融合率高。
Objective:To study the application of Harms titanium mesh cage and Codman ACP in the treatment of cervical spondylotic myelopathy(CSM). Methods:48 cases of CSM were treated by anterior semivertebra decompression, intervertebral fusion with Harms titanium mesh and bone grafting, fixation with Codman ACP. Nerve functional restoration、intervertebral fusion rate of mesh and subsidence of mesh were observed. Result:Average follow-up 17 months post operation(12～22 months) in all cases. According to JOA, excellent in 23/48, good in 14/48, fine in 7/48, inefficiency in 4/48. The JOA score 9.1±2.4 in preoperation and 16.5±3.1 in post operation (P=0.0278). And according to Zdeblick and FDA criterion, fusion rate 92% in 6 months and 96% in 1 year post operation. Subsidence occurred in 10.4% in 6 months and 16% in 1 year post operation. Conclusion:The presented method can ensure the stability of the fixed segments and promote bone fusion, and lower subsidence rate, and which was satisfactory in the treatment of CSM.
出处
《军医进修学院学报》
CAS
北大核心
2005年第1期54-56,共3页
Academic Journal of Pla Postgraduate Medical School
