零切迹椎间融合器治疗多节段伴后凸畸形颈椎病

发布时间：2018-02-01 15:25

本文关键词： 多节段颈椎病颈前路减压植骨融合术零切迹系统颈椎后凸畸形　出处：《中国矫形外科杂志》2017年13期 　论文类型：期刊论文

【摘要】：[目的]评价颈前路零切迹椎间融合器(Zero-profile interbody fusion device,Zero-P)治疗多节段颈椎病伴后凸畸形的临床疗效,探讨其对颈椎后凸畸形矫形的影响。[方法]2012年8月~2015年3月,26例多节段颈椎病患者均行颈椎间隙减压后Zero-P系统固定。比较术前、术后1个月及末次随访患者的X线片、MRI或CT,根据颈椎Cobb角、椎间高度等指标的变化情况,评价零切迹椎间融合器的矫形效果;分析JOA评分、VAS评分、NDI指数,对该术式的临床效果进行评价。[结果]所有患者均获得16~33个月的随访,平均22.7个月。26例患者术后主要症状均明显减轻,无严重术后并发症出现,并随着术后时间的延长症状改善愈发明显甚至消失;患者JOA评分、VAS评分、NDI指数术前分别为:(9.37±0.99)分、(6.70±0.55)分、(23.48±2.39)%,末次随访时分别为:(14.18±1.03)分、(2.02±0.37)分、(10.10±1.67)%;颈椎Cobb角:术前(-2.26±1.04)°,末次随访(14.73±1.00)°;颈椎椎间高度:术前(4.16±0.54)mm,末次随访(7.42±0.88)mm;患者JOA评分、VAS评分、NDI指数、颈椎Cobb角及椎间高度术后均较术前有明显改善,差异具有统计学意义(P0.05)。[结论]对于伴有后弓畸形的多节段颈椎病患者行颈椎前路减压Zero-P固定可以达到良好的近期治疗效果。
[Abstract]:[Objective] to evaluate the Zero-profile interbody fusion device of zero-notch interbody fusion cage in anterior cervical approach. Zero-P) was used to treat multiple cervical spondylosis with kyphosis and its effect on correction of cervical kyphosis was investigated. [Methods: from August 2012 to March 2015, 26 patients with multilevel cervical spondylosis were treated with Zero-P system after cervical space decompression. According to the changes of cervical Cobb angle and intervertebral height, the orthopedic effect of zero-notch interbody fusion cage was evaluated. To evaluate the clinical effect of JOA score and VAS score and NDI index. [Results: all the patients were followed up for 16 ~ 33 months, the average number of patients was 22.7 months. The main symptoms of 26 patients were obviously alleviated, and no serious postoperative complications appeared. With the prolongation of postoperative time, the symptoms improved more obviously or even disappeared. Before operation, the JOA score and the VAS score and the NDI index of the patients were 9. 37 卤0. 99), 6. 70 卤0. 55) and 23. 48 卤2. 39% respectively. At the last follow-up, the score was 14.18 卤1.03min (2.02 卤0.37) and 10.10 卤1.67m (P < 0.05). The Cobb angle of cervical spine was 2.26 卤1.04 掳before operation and 14.73 卤1.00 掳at the last follow-up. The cervical intervertebral height was 4.16 卤0.54 mm before operation and 7.42 卤0.88 mm at the last follow-up. The JOA score, the cervical Cobb angle and the intervertebral height were significantly improved after operation, and the difference was statistically significant (P 0.05). [Conclusion: anterior cervical decompression and Zero-P fixation in patients with multiple cervical spondylopathy with posterior arch malformation can achieve good short-term therapeutic effect.
【作者单位】：广东省深圳市宝安区人民医院骨科;山东省临沂市人民医院骨科;桂林医学院附属医院骨科;
【分类号】：R687.3
【正文快照】： body fusion device(Zero-P),kyphosis由于颈椎前路减压植骨融合术能够在解除神经压迫的同时,恢复和维持椎间隙高度及颈椎的生理曲度,近远期效果肯定,已逐渐成为保守治疗无效的退变性颈椎病的常规术式[1,2,3]。然而,随着手术节段的增多,也可增加手术风险和创伤,如术后吞咽困难

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