保留终板前路减压Syn Cage植骨融合治疗脊髓型颈椎病的短期疗效  

The short-term efficency of anterior decompression and Syn Cage-assisted fusion with endplate-retaining for treatment of cervical spondylotic myelopathy

作　　者：李钦亮[1] 刘艺[1] 陈鸣[1] 陈金传[1] 朱海泉[1] 朱赤[1] 邹国友[1] 储朝明[1] 

机构地区：[1]徐州医学院附属连云港医院院骨科,连云港222002

出　　处：《山西医科大学学报》2006年第3期292-295,共4页Journal of Shanxi Medical University

摘　　要：目的探讨保留终板椎间盘切除减压Syn Cage植骨融合治疗脊髓型颈椎病(CSM)的短期疗效及融合节段高度的维持。方法对25例脊髓型颈椎病施行保留终板的颈椎间盘切除Syn Cage植骨融合术,术后根据JOA评分及X线表现探讨病例的改善率、植骨融合率及融合节段高度的丢失情况。结果平均随访15个月,术前及随访JOA评分比较,二者间存在显著性差异(P<0.01),平均改善率为71%,优16例,良6例,可3例,优良率88%。无脊髓损伤等严重并发症。植骨融合率为100%,平均融合时间为术后3.1个月,均未发现融合节段前方塌陷。将术后1周、3个月、6个月及1年融合节段平均高度与同体邻近节段平均高度比较,两者无明显差异(P>0.05)。结论保留终板椎间盘切除减压Syn Cage植骨融合术治疗脊髓型颈椎病短期疗效好,能较好地保持融合节段高度,并能获得满意的融合率。Objective To investigate the short-term effieeney of anterior decompression and Syn Cage-assisted fusion with endplate - retaining for treatment of CSM and observe the changes of the height of intervertebra spaces. Methods Twenty-five CSM patients were treated with anterior decompression and fusion with endplate- retaining. The amelioration rate, graft fusion rate and the loss of the height of intervertebra spaces were observed. Results All cases were followed-up for 15 months in average. The differenee was significant between postoperative and preoperative JOA scores （P 〈 0.01 ）. The mean amelioration rate was 71% without any severe complications. All cases achieved satisfactory graft fusion rate （100%） without anterior collapse of fusion fragments and the average fusion time was 3.1 monthes. There was no significant difference between the height of the fusion fragment and the mean value of the upper and lower fragments（ P 〉 0.05）, Conclusion The short-term efficency of anterior decompression with endplateretaining for treatment of CSM was satisfactory, which could retain the height of intervertebral spaces efficiently and achieved satisfactory graft fusion.

关 键 词：颈椎病 脊柱融合 前路减压 

分 类 号：R681.55[医药卫生—骨科学]