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杨寿志,周炳华,黄卫民,祝晓聪,黄伟,余文忠,冯文龙,邓凯,李艳青.颈椎前路椎间盘切除融合术治疗神经根型颈椎病[J].脊柱外科杂志,2022,20(5):313-316.
颈椎前路椎间盘切除融合术治疗神经根型颈椎病     点此下载全文 (Fulltext)
杨寿志  周炳华  黄卫民  祝晓聪  黄伟  余文忠  冯文龙  邓凯  李艳青
深圳市龙华区中心医院脊柱关节外科, 深圳 518110
基金项目:
DOI:10.3969/j.issn.1672-2957.2022.05.005
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摘要:
      目的 探讨颈椎前路椎间盘切除融合术(ACDF)治疗神经根型颈椎病(CSR)的临床疗效。方法 2017年6月—2019年6月,采用ACDF治疗CSR患者43例,患者病程为8~28个月,病变位于C4,5节段12例、C5,6节段14例、C6,7节段11例、C7~T1节段6例。评估并比较术前及术后3、6个月颈椎功能障碍指数(NDI)及颈部和上肢疼痛视觉模拟量表(VAS)评分;测量并比较术前及术后3、6个月颈椎曲度(C2-7 Cobb角)、椎间高度和颈椎活动度(ROM),观察并发症发生情况。结果 所有患者术后颈椎曲度、NDI、颈部和上肢疼痛VAS评分均较术前改善,差异有统计学意义(P < 0.05);椎间高度、颈椎ROM与术前相比,差异无统计学意义(P > 0.05)。发生脑脊液漏2例,术后血肿及感染2例。结论 ACDF治疗CSR可取得较好的疗效,其可改善颈椎曲度,恢复神经功能。
关键词:颈椎  颈椎病  椎间盘切除术  脊柱融合术
Anterior cervical discectomy and fusion in treatment of cervical spondylotic radiculopathy    Fulltext
Yang Shouzhi  Zhou Binghua  Huang Weimin  Zhu Xiaocong  Huang Wei  Yu Wenzhong  Feng Wenlong  Deng Kai  Li Yanqing
Department of Spine and Joint Surgery, Longhua District Central Hospital, Shenzhen 518110, Guangdong, China
Fund Project:
Abstract:
      Objective To investigate the clinical effect of anterior cervical discectomy and fusion(ACDF) in the treatment of cervical spondylotic radiculopathy(CSR).Methods From June 2017 to June 2019,43 patients with CSR were treated with ACDF.The course of the disease was 8~28 months.The lesions were located at C4,5 in 12 cases,C5,6 in 14,C6,7 in 11 and C7-T1 in 6.The neck disability index(NDI) and visual analogue scale(VAS) of neck and upper limb pain were evaluated and compared before operation and 3,6 months after operation.The cervical curvature(C2-7 Cobb angle),intervertebral height and cervical range of motion(ROM) were measured and compared before operation and 3,6 months after operation.The complications were observed.Results The postoperative cervical curvature,NDI,VAS scores of neck and upper limb pain were significantly improved in all the patients compared with those before operation,all with a statistical significance(P < 0.05).There was no significant difference in intervertebral height and cervical ROM between pre-operation and past-operation(P > 0.05).Cerebrospinal fluid leakage occurred in 2 cases,postoperative hematoma and infection in 2.Conclusion ACDF can achieve good therapeutic effect in the treatment of CSR,improve cervical curvature and restore nerve function.
Keywords:Cervical vertebrae  Cervical spondylosis  Diskectomy  Spinal fusion
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