摘要
[目的]评估ROI融合器治疗颈椎退行性病变的早期临床结果及影像学结果。[方法]2011年1月至2013年4月(最后1个患者随防末期的时间)我院应用ROI融合器对16名患者行前路颈椎间盘切除融合术。临床结果应用神经根数字疼痛分级量表(numeric rating scale,NRS)和颈椎功能障碍指数(neck disability index,NDI)评估。在术前和术后1、3、6、12个月采集数据。颈椎影像学资料在术后当日以及术后3、6、12个月采集。应用动力位X光片和颈椎CT来评估椎间融合情况。另外记录每个节段所需的手术时间、出血量及术后并发症的发生。[结果]NDI、NRS评分均按时间顺序逐渐降低,半年后趋于稳定,1年后两者平均评分分别从23.32、8.93降至8.64、1.57,差异有统计学意义(P<0.05)。椎间角术后即增加,后逐渐降低,半年后趋于稳定,1年后平均角度为3.6°。椎间高度术后最大,然后逐渐降低,1年后平均椎间高度为5.32mm左右。1年后16例患者椎间全部获得了融合。短期融合率达到100%。[结论]应用ROI融合器行颈前路椎间融合可以获得良好的早期临床及影像学结果。
[Objective] The objective of the study was to determine the clinical and radiological outcomes of cervical interbody fusion using ROI cages.[Methods] Patients showing degenerative cervical mono-or bi-level pathology were prospectively included.Using AP and lateral radiographs,segmental height of the treated segments was determined quantitatively.Cage characteristics were described qualitatively.Clinical data such as the neck disability in dex（NDI）,numeric rating scale（NRS） were collected at all time points.[Results] The scores of NDI,NRS were decreased gradually,and stable after half year;but they were respectively reduced to 8.64 and 1.57 from 23.32 and 8.93,with difference of statistical meaning.The intervertebral angle increased af ter operation,then decreased gradually and was stable after half year,was 3.6°after 1 year.The intervertebral height was maximum after operation,then reduced gradually,and was 5.32mm or so after 1 year.16 patients were all cured after 1 year,with short fusion rate reaching 100%.[Conclusions] The clini cal and radiological short-term outcome of anterior cervical discectomy and fusion using ROI cage are excellent.
出处
《浙江中医药大学学报》
CAS
2013年第7期877-880,共4页
Journal of Zhejiang Chinese Medical University
关键词
颈椎退行性病变
前路颈椎间盘切除融合术
ROI融合器
早期
degenerative cervical lesion
anterior cervical intervertebral disc resection arthrodesis
ROI fusion cage
early
