摘要
目的探讨应用ROI-C自锁式融合器治疗单节段颈椎病的早期临床疗效。方法回顾性分析2013年9月~2014年8月应用前路减压、ROI-C自锁式融合器椎间植骨融合内固定治疗28例单节段脊髓型颈椎病患者的临床资料,病变节段：C3/4 4例,C4/5 8例,C5/6 11例,C6/7 5例。结果 28例均顺利完成手术,术中出血量平均53.7（30~130）ml;手术时间平均75（55~100）min。无神经血管损伤、脑脊液漏等并发症发生。28例患者平均随访13（8~21）个月。末次随访时JOA评分由术前7.2±2.1提高至14.3±1.9（P〈0.05）,椎间隙高度较术前明显改善（（7.2±1.4）mm VS（5.3±1.8）mm,P〈0.05）。术后3个月及末次X线片提示内固定无松动,椎间高度无丢失。结论 ROI-C自锁式融合器有较优异的材料及力学性能,治疗单节段脊髓型颈椎病可获得较好的临床疗效,且具有简化手术操作步骤、对椎前软组织无干扰的优点,早期疗效满意。
Objective To explore the clinical effect of ROI-C self-locking cervical intervertebral fusion cage in the treatment of single segmental cervical spondylotic myelopathy. Methods From September 2013 to August 2014, a total of 28 patients suffered single segmental cervical spondylotic myelopathy were treated by cer- vical disc excision and vertebra fusion with RIO-C self-locking cage via anterior approach. The involved segment was C3/4 in 4 cases, CA/5 in 8 cases,C5/6 in 11 cases and C6/7 in 5 cases. Results The surgical interven- tions were successful in all 28 patients without severe complications as vascular and nerve injury. The blood loss was 30 to 130 ml with an average of 53.7 ml, and the operative duration was 55 to 100 minutes with an average of 75 minutes. All 28 cases were followed up for 8 to 21 months with an average of 13 months. The JOA score was improved from 7.2± 2.1 to 14.3± 1.9 （P 〈 0.05）, and the intervertebral space heights was increased from （5.3 ± 1.8 ） mm to （7.2 ± 1.4） mm （ P 〈 0.05 ）. No cage subsidence and loosening were observed in the X-ray film of 3 months after operation and the last follow-up. Conclusion The anterior cervical discectomy and fusion with ROI-C self-locking cervical intervertebral fusion cage can achieve satisfactory effect for single segmental cervical spondylosis based on excellent material and mechanical properties, and it has many advanta- ges such as simple operation, no disturbance of prevertebral tissue and restoration of the cervical alignment.
出处
《中国现代手术学杂志》
2015年第6期436-438,共3页
Chinese Journal of Modern Operative Surgery
