摘要
目的评价一种单独使用无前方钢板的MC+PEEK融合器在颈椎间盘突出症前路手术中应用的临床效果。方法对颈椎间盘突出症44例采用椎间盘摘除,应用该融合器内植自体髂骨行椎间融合术,以术后X线片和JOA评分评价疗效。结果本组获随访6～40个月,平均26个月,植骨融合时间平均4.5个月,术后3 d和3、6、12、18、24、36个月复查X线片未见融合器松动和移位,病变椎间隙高度恢复正常,未出现相关内固定并发症,JOA评分由术前平均10.20分恢复到术后平均16.30分。结论采用此融合器无需使用前方钢板,手术创伤小,避免了内固定相关并发症的发生,是治疗颈椎间盘突出症的一种理想方法。
Objective To evaluate the clinical results of surgical treatment for cervical disc herniation with stand-alone MC＋ PEEK cage without anterior cervical plating. Methods All of 44 patients with cervical disc herniation were reconstructed after discectomy with the cage fdled with autogenous cancellous illic-bone graft. Recovery of nerve function was observed by JOA score and every patient was followed up by X-ray. Results All patients were followed up for an average time of 26 months （from 6 to 40 months）. The average time of bone graft fusion was 4.5 months. No dislocation or dislodging of the cage was seen by X-ray every 3 days and 3,6,12,18,24,36 months, and the heights of intervertebral spaces were restored. The complications of internal fixation were not found. The average JOA was 10.20 before operation and 16.30 after operation. Conclusion Using this new cage, cervical disc herniation can be safely treated without the need of anterior cervical plating, and the surgery is minimally invasive and can exclude complications of internal ~Lxation.
出处
《中国骨与关节损伤杂志》
2012年第11期975-977,共3页
Chinese Journal of Bone and Joint Injury
