摘要
目的探讨颈前路椎体次全切除钛网植骨锁定钢板内固定术用于脊髓型颈椎病的疗效。方法我院骨科确诊为脊髓型颈椎病患者38例,均采用颈前路椎体次全切除钛网植骨锁定钢板内固定术,对比术前术后颈椎(JOA)评分,分析术前术后及随访期间颈椎正侧位X线片+动力侧位X线片,钛网、锁定钢板位置及颈椎前凸角等变化。结果38例均被随访,术后12～16个月36例植骨融合,2例在术后18个月植骨融合。术后颈椎前凸角改善明显,椎间高度及生理曲度维持满意,钛网及锁定钢板位置稳定,JOA评分经手术治疗后显著提高(P<0.05)。结论颈前路椎体次全切除钛网植骨锁定钢板内固定术在脊髓型颈椎病应用中近期疗效肯定,是一种值得推广的术式,但此术式要严格掌握其适应证,其远期疗效有待进一步随访。
Objective To evaluate the clinical effect of titanium mesh in anterior cervical subtotal subcorpectomy with locking plate for treatment of cervical spondylotic myelopathy. Methods Thirty-eight patients with cervical spondylotic myelopathy were treated with anterior cervical subtotal corpectomy using titanium mesh and locking plate. The JOA score of the patients were assessed before and after the operation, and the pre- and postoperative lateral cervical radiographs were taken to observe the instability of the titanium mesh, dynamic plates and changes of the cervical curvature. Results The patients were followed up for 12-18 months. Radiographic cervical fusion was achieved in 12-16 months （36 cases） or 18 months （2 cases） postoperatively. The degree of Jordosis was improved and the height of the anterior spinal column and physical curvature were effectively maintained after the operation. The titanium mesh and locking plate showed no signs of loosening and the JOA scores was significantly improved after the operation （P〈0.05）. Conclusion Titanium mesh in anterior cervical subtotal corpectomy with locking plate allows effective treatment of cervical spondylotic myelopathy, but the indications of this procedure must be carefully evaluated. The long-term effect of this approach still needs verification by further follow-up data.
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2009年第6期1226-1228,共3页
Journal of Southern Medical University
关键词
颈椎病
椎体次仝切除
钛网
锁定钢板
cervical spondylotic myelopathy
cervical subtotal subcorpectomy
titanium mesh
locking plate
