摘要
[目的]探讨应用锁片型Cage及前路钛板治疗颈椎退行性不稳的融合疗效。[方法]2008年2月～2009年5月,采用颈椎前路减压,锁片型Cage联合锁定钛板治疗脊髓及神经根型颈椎病伴有颈椎不稳37例,术后拍摄过伸及过屈位X线片,评估稳定性及观察椎间融合情况。对比治疗前后颈肩痛VAS(visuala nalogue scale)评分及颈椎JOA17分评分。[结果]术后2～3d常规下地活动,未发生瘫痪、脑脊液漏、内固定失效及Cage松动等并发症。随访8～22个月,颈肩痛VAS评分达到(1.76±0.75)分,JOA17分评分达(14.76±0.30)分,优良率82.3%,同手术前比较,均有统计学意义(P<0.01)。椎间融合良好,患者生活质量良好。[结论]锁片型Cage联合锁定钛板融合治疗颈椎退变导致不稳,损伤小,即刻稳定性好,有效恢复颈椎屈度,椎间高度接近正常解剖,融合成功率高,近期疗效满意。
[Objective]To investigate the clinical fusion outcome of cage with self-locking anchoring inserter and anterior locking plate in treatment of cervical spondylosis and spinal instability. [Methods]Thirty-seven cases of cervical spondylotic myelopathy and radiculopathy with spinal instability were treated by using cage with self-locked anchoring inserter and anterior locking plate from February 2008 to May 2009. All cases were followed up. X-ray films were taken to examine the outcome of fusion,VAS scale and JOA scores were recorded.[Results]All patients were able to move out of bed in 2~3 days after operation,and got multi-symptom relief. Internal fixation system and cage kept stable. There was no spinal cord injury,nerve complication or leakage of cerebrospinal fluid. All cases were followed up for 8~22 months. VAS scale for neck and shoulder pain improved to (1.76±0.75). JOA scores improved to (14.76±0.30). The excellent and good rates were 82.3%,showing significant differences (P<0.01). Interbody fusion was well. All patients had a satisfactory result and got a better life.[Conclusion]The cage with self-locking anchoring inserter combined with anterior locking plate for cervical spondylosis can get good clinical fusion outcome. It has advantage of little injury,and is better designed to enhance the immediate stability of the anterior cervical vertebra,and good restoration of spinal segment height and curvature.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2010年第15期1242-1245,共4页
Orthopedic Journal of China
