Centerpiece钛板在颈椎后路非融合固定技术中的应用

发布时间：2018-03-01 10:05

本文关键词： 多节段脊髓型颈椎病颈椎后路 Centerpiece钛板非融合固定　出处：《中国骨与关节损伤杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的探讨Centerpiece钛板在多节段脊髓型颈椎病后路非融合固定技术中的应用。方法回顾性分析自2008-01—2013-10诊治的多节段(3节或3节以上)脊髓型颈椎病82例,22例行单开门丝线悬吊椎管扩大成形术(丝线组),27例行单开门丝线悬吊椎管扩大成形加侧块螺钉固定(钉棒组),33例行单开门Centerpiece钛板固定椎管扩大成形术(钛板组)。结果与钉棒组比,丝线组与钛板组手术时间更短、术中出血量更少、住院时间更短,术后1年颈椎活动度、颈椎曲率指数更优,差异有统计学意义(P0.001);但丝线组与钛板组手术时间、术中出血量、住院时间、颈椎活动度、颈椎曲率指数比较差异无统计学意义(P0.05)。术后1年钛板组最窄椎管面积、JOA评分优于丝线组与钉棒组,差异有统计学意义(P0.001);但丝线组与钉棒组最窄椎管面积、JOA评分比较差异无统计学意义(P0.05)。结论颈椎后路非融合技术治疗多节段脊髓型颈椎病的方法有很多,但采用Centerpiece钛板行后路单开门固定手术效果较好,并发症较少。
[Abstract]:Objective to investigate the application of Centerpiece titanium plate in posterior non-fusion fixation of cervical Spondylotic myelopathy. Methods A retrospective analysis of 82 cases of cervical Spondylotic myelopathy with single open door filaments was performed in 82 patients with cervical Spondylotic myelopathy treated from 2008-01-2013-10. Extended laminoplasty for suspended spinal canal (27 cases in the silk thread group were treated with single open wire suspension spinal canal forming plus lateral mass screw fixation (33 cases in the nail rod group) and 33 cases in the single open door Centerpiece titanium plate fixation group (titanium plate group). The results were compared with those in the nail rod group. The operation time of silk thread group and titanium plate group was shorter, the amount of intraoperative bleeding was less, the hospitalization time was shorter, the cervical movement and curvature index of cervical vertebra were better in one year after operation, the difference was statistically significant (P 0.001), but the operation time of silk thread group and titanium plate group, the amount of intraoperative bleeding, There was no significant difference in hospitalization time, cervical movement and cervical curvature index (P 0.05). The JOA score of the narrowest spinal canal area in the titanium plate group was better than that in the wire group and the screw rod group. The difference was statistically significant (P 0.001), but there was no significant difference in JOA score between the silk thread group and the nail rod group. Conclusion there are many methods for the treatment of multilevel cervical Spondylotic myelopathy by the posterior cervical spine non-fusion technique. But Centerpiece titanium plate was used for single door fixation, and the complications were less.
【作者单位】：寿光市人民医院脊柱外科;
【基金】：潍坊市卫生局科研项目(2014年第140号)
【分类号】：R687.32

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