摘要
目的分析比较3种不同颈椎前路融合术植骨相关并发症情况。方法回顾分析92例的因颈椎间盘突出导致脊髓型颈椎病而行颈椎前路减压植骨术的患者的植骨相关并发症情况。结果6例单纯植骨术患者2例发生植骨块脱出,1例发生融合节段假关节形成,1例发生髂骨供区疼痛;21例椎体间自体髂骨植骨内固定术患者6例发生椎间高度丢失,3例发生髂骨供区疼痛;65例椎体间钛网植骨融合内固定术患者11例发生内植物下沉,椎间高度丢失,1例发生内固定断裂。结论单纯植骨术因外固定时间长、并发症多目前较少使用;自体髂骨植骨内固定术存在植骨吸收和供区并发症的缺点;椎体间钛网植骨融合内固定术解决了供区并发症的问题,但仍存在钛网下沉、椎间高度丢失的缺点,要注意适应症的选择和规范的操作。
Objective To analysis and compare the complications of three different intervertebral fusion methods in anterior cervical decompression surgery. Methods Analysis the complications of 92 cases of cervical spondylotic myelopathy treated by anterior cervical decompression and three different intervertebral fusion methods. Results 2 of 6 autogenous bone grafting cases suffered from graft bone dislocation,1 case suffered from from pseudoarthrosis formation; 6 of 21 autogenous bone graft with cervical plate-screw fixation cases suffered from loss of intervertebral heigh, 3 cases suffered from pain of donated ilium; 11 of 65 pyramesh with anterior cervical plate-screw fixation cases suffered from titanium mesh subsidence,1 case suffered from breakage of fixation screw. Conclusion Simple autogenous bone grafting surgery were abandoned for long duration of external fixation and too much complications. Autogenous bone grafting with anterior cervical plate-screw fixation surgery has shortage of grefted bone absorption and pain of donated ilium. Pyramesh with anterior cervical plate-screw fixation surgery overcomed the shortage of donated iliac pain, but still had the shortage of titanium mesh subsidence and lose of intervertebral heigh.
出处
《当代医学》
2009年第22期90-92,共3页
Contemporary Medicine
关键词
颈椎
手术
并发症
cervical
surgery
complication
