后纵韧带的切除与保留在颈椎人工椎间盘置换术中的临床观察

发布时间：2018-01-12 09:35

本文关键词：后纵韧带的切除与保留在颈椎人工椎间盘置换术中的临床观察　出处：《中国矫形外科杂志》2016年23期 　论文类型：期刊论文

【摘要】：[目的]比较颈椎人工椎间盘置换术中颈椎后纵韧带(posterior longitudinal ligament,PLL)切除与保留的疗效及对颈椎曲度和活动度的影响。[方法]对本科2009年12月~2013年04月因颈椎病行单节段Pro Disc-C颈椎人工椎间盘置换术且有完整临床资料的28例患者行回顾性分析,根据术中是否切除颈椎PLL,分为颈椎PLL切除组(15例)和颈椎PLL保留组(13例),比较两组患者的一般情况、影像学结果及临床疗效。[结果]两组患者年龄、性别分布、诊断类型、病变节段、手术时间、术中出血量、随访时间差异均无统计学意义(P0.05)。两组患者末次随访时置换节段Cobb角、颈椎整体曲度、置换节段活动度差异均无统计学意义(P0.05)。两组患者末次随访时颈痛VAS评分差异及JOA脊髓功能评分改善率差异均有统计学意义(P0.05)。随访期间未发现严重并发症。[结论]颈椎PLL切除与否对置换节段曲度及活动度影响不大,切除颈椎PLL在提高颈椎人工椎间盘置换患者的临床疗效方面优于保留颈椎PLL。
[Abstract]:[Objective] comparison of posterior longitudinal ligament of the cervical spine cervical artificial disc replacement (posterior longitudinal, ligament, PLL) of the analysis of the effect of removal and retention of]. Effect of cervical curvature and the activity of undergraduate in December 2009 ~2013 years 04 months because of cervical spondylosis underwent single segment Pro Disc-C artificial cervical disc replacement and with complete clinical data of 28 patients were, according to whether the removal of the cervical PLL surgery, divided into cervical PLL resection group (15 cases) and cervical PLL preservation group (13 cases), compared with the general situation of the two groups of patients, clinical and radiological results. Results: two groups of patients with age and gender distribution. The diagnosis of type, lesion segment, operation time, intraoperative blood loss, duration of follow-up showed no significant difference (P0.05). The two groups of patients at the last follow-up replacement segment of Cobb angle, cervical curvature, the replacement segment activity difference was not statistically significant (P0.0 5). Two groups of patients at the last follow-up neck pain VAS score between the JOA and the spinal cord function score improvement rate differences were statistically significant (P0.05). During the follow-up period, no serious complication was found. Conclusion] cervical PLL resection of cervical curvature and replacement activity has little effect in improving the removal of cervical PLL artificial cervical intervertebral disc the replacement of patients with clinical efficacy than the preservation of cervical PLL.

【作者单位】：解放军总医院第一附属医院骨科;
【分类号】：R687.3
【正文快照】： 颈椎人工椎间盘置换术(cervical disc arthroplas-ty,CDA)已成为治疗颈椎病的一种重要手术方式。较常用的Pro Disc-C人工椎间盘置换可以保留或恢复颈椎的运动功能[1-2],延缓临近节段退变及减少翻修[18-19],其早期临床效果与颈椎前路减压融合术相当甚至在某些方面还要优于后者,

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