摘要
目的比较颈前路减压两种术式(椎间盘切除植骨内固定术和椎体次全切植骨内固定术)治疗2或3节段颈椎病的优缺点,以确定哪种术式更适用于治疗2或3节段颈椎病。方法回顾性分析自2006年7月～2011年7月行颈前路减压手术治疗2或3节段颈椎病70例,其中行颈椎间盘切除植骨内固定术(ACDF)者38例,椎体次全切植骨内固定术(ACCF)者32例。结果 ACDF组和ACCF组平均随访(15±5.2)、(13±6.2)个月,平均节段失血量ACDF组少于ACCF组(分别80±18.5 ml和193±67.2 ml,P=0.001);平均节段手术时间ACDF组少于ACCF组(分别61.7±16.9 min和83.4±28.2 min,P=0.026);手术相关并发症发生率(分别15.8%和12.5%)和随访期间不良情况发生率(分别5.3%和9.4%),两组比较差异无统计学意义。结论颈前路手术治疗2或3节段颈椎病,如椎体中部后方无致压物,建议选择椎间盘切除植骨融合内固定术。
Objective To compare the clinical and radiographic results and complications of anterior cervical discectomy auto-graft fusion （ACDF） and anterior cervical corpectomy auto-graft fusion （ACCF） with internal fLxation in the treatment of 2- or 3- level cervical spondylosis. Methods Between July 2006 to July 2011, 70 patients underwent surgical treatment for 2- or 3- level cervical spondylosis, including 38 who underwent ACDF and 32 who underwent ACCF. Results The mean durations of follow-up were （ 15 ±5.2） months （ACDF） and （13±6.2） months （ACCF）. The blood loss was significantly less in ACDF than ACCF group （80±18.5ml and 193±67.2ml per segment, respectively）. The operation time was significant longer in ACDF than ACCF group （61.7±16.9min and 83.4±28.2min per segment, respectively）. There were no significant differences in surgery-related complications rate and complications rate during the follow-up time between the two groups. Conclusion Anterior cervical discectomy auto-graft fusion with internal fixation is the optimal surgical approach for 2- or 3- level cervical spondylosis if there are no compression in the spinal cord behind vertebra body.
出处
《中国骨与关节损伤杂志》
2013年第1期4-6,共3页
Chinese Journal of Bone and Joint Injury
