| 李国,宫峰,阮亮.自锁双锚定融合器治疗颈椎病早期疗效[J].脊柱外科杂志,2016,14(1):10-15. |
自锁双锚定融合器治疗颈椎病早期疗效  点此下载全文 (Fulltext) |
| 李国 宫峰 阮亮 |
| 解放军第411医院骨科, 上海 200081 |
| 基金项目： |
| DOI：10.3969/j.issn.1672-2957.2016.01.003 |
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| 摘要： |
| 目的 探讨应用自锁式双锚定融合器(ROI-C)行前路颈椎椎间盘切除融合术(anterior cervical discectomy and fusion,ACDF)治疗颈椎病的早期疗效。方法 选择2011年12月-2013年4月采用ROI-C行ACDF治疗的37例(64个节段)颈椎病病例,记录手术情况和术后并发症,统计分析术前和术后各随访时间点的颈椎功能障碍指数(neck disability index,NDI)、日本骨科学会(Japanese Orthopaedic Association,JOA)评分、椎间隙高度和颈椎整体曲度,观察植骨融合情况。结果 所有手术顺利完成。术后随访25~40个月,平均32个月。NDI术前(21. 6±9.4)%,末次随访时为(10.9±11.2)%,差异具有统计学意义(P<0.01)。JOA评分术前(6.2±2.9)分,末次随访时为(12.9±1.6)分,差异具有统计学意义(P<0.01)。JOA评分评价优良率达91.9%(34/37)。椎间隙高度术前(5.1±1.8)mm,末次随访时为(7.8±0.7)mm,差异具有统计学意义(P<0.01)。颈椎整体曲度术前5.2°±7.1°,末次随访时为9.2°±13.1°,差异具有统计学意义(P<0.01)。4例患者术后并发轻度吞咽困难,术后1周至3个月症状自行消失;1例出现声音嘶哑,术后2周症状自行消失。术后6个月随访,X线或CT检查证实64个节段均获骨性融合。结论 ACDF中使用自锁式双锚定融合器可以恢复颈椎椎间隙高度,重建颈椎生理曲度,为颈椎提供即刻稳定性,植骨融合率高,早期临床疗效满意。 |
| 关键词：颈椎病 脊柱融合术 减压术,外科 治疗结果 |
| Early curative effect analysis of self-locking double-anchored cages for treatment of cervical spondylosis Fulltext |
| LI Guo GONG Feng RUAN Liang |
| Department of Orthopaedics, 411th Hospital of People's Liberation Army, Shanghai 200081, China |
| Fund Project: |
| Abstract: |
| Objective To explore the curative effect of a new self-locking double-anchored cage(ROI-C) in the anterior cervical discectomy and fusion(ACDF) for treatment of cervical spondylosis. Methods From December 2011 to April 2013, ACDF with ROI-C was performed on 37 patients(64 levels). The neck disability index(NDI), Japanese Orthopaedic Association(JOA) score and postoperative complications were recorded at pre-operation and at the each follow-up time point to evaluate the clinical outcome. Meanwhile, the pre-operation and post-operation roentgenographs were accumulated to measure the height of interbody space, whole curvature of cervical spine and the rate of fusion for repeated measures analysis of variance. Results All cases were operated successfully, and were followed up for 25-40 months, mean 32 months. The NDI was(21.6±9.4)% at pre-operation, and(10.9±11.2)% at the final follow-up;the difference was statistically significant(P<0.01). The JOA score was 6.2±2.9 at pre-operation, and 12.9±1.6 at the final follow-up;the difference was statistically significant(P<0.01). The excellent and good rate evaluated by JOA score was 91.9%(34/37). The height of the interbody space was(5.1±1.8)mm at pre-operation, and(7.8±0.7)mm at the final follow-up;the difference was statistically significant(P<0.01). The curvature of the cervical spine was 5.2°±7.1åt pre-operation, and 9.2°±13.1åt the final follow-up;the difference was statistically significant(P<0.01). Mild dysphagia occurred in 4 patients, and disappeared spontaneously in 1 week-3 months. Hoarseness occurred in 1 patient, and disappeared spontaneously in 2 weeks. All the 37 cases(64 levels) achieved bone fusion at 6 months post-operation. Conclusion The use of ROI-C in ACDF can restore the height of cervical intervertebral space and the cervical curvature, and can also provide immediate stability for cervical spine. It has high bone grafting fusion rate and satisfactory early clinical curative effect. |
| Keywords:Cervical spondylosis Spinal fusion Decompression,Surgical Treatment outcome |
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