| 鲍达,马远征.锚定式颈椎椎间融合器在颈椎前路再手术中的应用[J].脊柱外科杂志,2014,12(6):363-366. |
锚定式颈椎椎间融合器在颈椎前路再手术中的应用  点此下载全文 (Fulltext) |
| 鲍达 马远征 |
| 100091 北京, 解放军第309医院全军骨科中心;100091 北京, 解放军第309医院全军骨科中心 |
| 基金项目： |
| DOI：10.3969/j.issn.1672-2957.2014.06.011 |
| 摘要点击次数: 857 |
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| 摘要： |
| 目的 观察既往曾行颈椎前路手术的病例,再次行其他病变椎间盘切除减压并应用锚定式颈椎椎间融合器(anchoring cervical intervertebral fusion cage,ACIFC) 行植骨融合的临床疗效。方法 2009年1月~2012年6月收治颈椎前路手术后,其他颈椎节段再次发病患者12例,其中男7例,女5例;年龄35~64岁,平均49.6岁。再次手术原因:融合邻近节段退变性疾病8例,非邻近节段再发颈椎病3例,急性颈椎椎间盘突出症1例。均经前路行病变颈椎椎间盘切除减压、ACIFC植骨术,共置入ACIFC 12枚。术后定期行X线片及MRI复查;采用中华医学会骨科学分会(Chinese Orthopaedic Association, COA) 40分法及颈椎残障指数(neck disability index, NDI) 评分系统评价患者术前、术后颈脊髓神经功能及生活质量。结果 随访时间2~4.5年,平均3.5年。12个再手术节段均获骨性融合,融合时间2.5~5个月,平均3.3个月。术前COA评分32.00±2.00分,术后末次随访时37.92±1.08分,差异有统计学意义(P< 0.05)。术前NDI评分39.08±3.32,术后末次随访时29.08±2.15,差异有统计学意义(P< 0.05)。结论 在颈椎前路再手术中应用ACIFC行植骨融合,施术方便、固定确切、融合率高,近期随访结果满意。 |
| 关键词：颈椎 脊柱融合术 内固定器 椎间盘切除术 再手术 |
| Clinical application research on anterior cervical reoperation by using of anchoring cervical intervertebral fusion cage Fulltext |
| BAO Da MA Yuan-zheng |
| Orthopaedics Center of Peoples Liberation Army, 309 Hospital of Peoples Liberation Army, Beijing 100091, China;Orthopaedics Center of Peoples Liberation Army, 309 Hospital of Peoples Liberation Army, Beijing 100091, China |
| Fund Project: |
| Abstract: |
| Objective To study the clinical application of the anchoring cervical intervertebral fusion cage (ACIFC), which was used in the anterior cervical reoperation.Methods All 12 cases of the cervical spinal diseases in another segments from January 2009 to June 2012 were reviewed, who were operated with anterior cervical decompression and fusion (ACDF) before. There were total 7 male and 5 female, 35-64 years old (mean 49.6 years old). Adjacent segment disease(ASD), 8 cases, cervical spondylosis, 3 cases and 1 case was acute cervical disc herniation. All patients were treated with anterior discectomy, bone grafting by anchoring cervical intervertebral fusion cages. There were total 12 cages implanted. Postoperative radiographs and MRI were taken regularity. The functions of cervical spinal cords and life qualities at preoperative and follow-up were evaluated by Chinese Orthopaedic Association (COA) 40 score and neck disability index (NDI) systems.Results All patients were followed up for an average of 3.5 years (range, 2-4.5 years). Fusion were reached in all cases in the mean time of 3.3 months (range 2.5-5 months). There were significant differences on COA score between preoperative (32.00±2.00) and follow-up(37.92±1.08). The mean improve rate was 74.0%. And there were significant differences on NDI systems between preoperative (39.08±3.32) and follow-up(29.08±2.15).Conclusion A satisfactory short-term outcome for anterior cervical reoperations can be obtained by using of ACIFC. The certain internal fixation and a higher fusion rate can be obtained as well. |
| Keywords:Cervical vertebrae Spinal fusion Internal fixators Diskectomy Reoperation |
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