摘要
目的 观察高位颈椎采用椎间融合器、低位采用颈椎前路钢板固定治疗脊髓型颈椎病的近期效果。方法 对 86例C3～ 4、C5～ 6或C6～ 7脊髓型颈椎病患者行前路减压、植骨及C3～ 4椎间融合器和C5～ 6、C6～ 7钢板内固定术。术后随访观察神经功能恢复情况、植骨融合率及有无植入物并发症。结果 术后进行 6～ 12个月 (平均 10个月 )随访。术后 6个月X线片显示全部病例植骨愈合良好 ;症状明显改善者 75例 (占 87% ) ;无椎间融合器下沉、脱位 ,无钢板及螺钉松动或断裂现象。结论 高位颈椎采用椎间融合器、低位采用钢板内固定术治疗脊髓型颈椎病 ,具有以下优点 :明显减少手术并发症 ,手术操作相对简单 ,术后颈椎可获得即刻稳定 ,防止植骨块移位 ,术后无需石膏固定 ,能显著提高植骨融合率。
Objective To observe short term effect of interbody fusion with cage for superior cervical spondylitic myelopathy and anterior plating for inferior cervical spondylitic myelopathy. Methods 86 cases with cervical spondylitic myelopathy were treated with anterior decompression, bone graft and interbody fusion with cage (C 3～4 ) or plate fixation C 5～6 ,C 6～7 . The neural function recovery, fusion, and implant complication were monitored. Results 86 cases were followed up for 6～12 months (average 6 months). The symptom was improved significantly in 75 cases (87%). No interbody fusion cage sink, dislocation or plate and screws looseness and breakage was found. Conclusion This method for cervical spondylitic myelopathy has the advantages of few complications, simple manipulation, immediate stability, prevention of bone graft displacement, unneccessary for plaster immobilization and significant improvement of bone fusion rate.
出处
《临床骨科杂志》
2003年第4期338-340,共3页
Journal of Clinical Orthopaedics
关键词
颈椎病
椎间融合器
颈椎前路钢板
脊柱融合术
cervical spondylosis
interbody fusion cage
anterior plate fixation
spinal fusion
