钛网笼、钢板在颈椎椎体次全切除和椎体融合术中的应用  

Anterior cervical vertebrectomy and fusion with titanium cages and anterior plate

作　　者：韩晓斌[1] 李玉民[1] 汪韬[1] 刘郑生[2] 

机构地区：[1]民航总医院骨科,北京100025 [2]解放军总医院骨科

出　　处：《中国骨肿瘤骨病》2006年第4期193-196,共4页Chinse Journal Of Bone Tumor And Bone Disease

摘　　要：目的评价应用钛网笼、钢板在椎体次全切除和椎体融合术中治疗颈椎病的疗效及放射学检查结果。方法2003年9月～2004年9月在椎体次全切除术中应用钛网笼、钢板治疗颈椎病35例。其中脊髓型28例,神经根型5例,混合型2例,切除1个椎体28例,2个椎体7例。结果35例患者中32例获得随访,随访时间(16.4±1.2)个月。术后31例患者3～5个月随访时,植骨出现融合,1例于术后9个月出现融合。植骨融合率达100%。术前术后采用JOA评分评定脊髓功能,JOA评分从术前的(11.3±1.6)分提高到术后的(16.4±1.1)(P<0.05)。术后获得的颈椎前凸平均为7.36。,范围为3～16。。结论钛网笼、钢板应用于椎体次全切除脊柱融合术可以恢复颈椎的正常生理前凸,使固定节段获得即刻和长期稳定,并可获得良好的植骨融合率。Objective To evaluate the efficacy of using titanium cage and internal fixation with anterior titanium plate in cervical vertebrectomy and fusion in treatment of cervical spondylosis. Methods Thirty-five patients with cervical spondylosis underwent cervical vertebrectomy and fusion using titanium cage and internal fixation with anterior titanium plates. Twenty-eight cases involved one segment and 7 cases involved double segments. Results Thirty-two in 35 patients were followed up. The mean follow-up time was （16.4±1.2） months. Radiographic cervical fusion was achieved in 31 patients during 3-5 months and one case in 9 months after operation. The final fusion rate was 100%. JOA scores system were used for clinical assessment. The mean JOA scores was （11.3 ± 1.6） preoperatively and improved to （16.4 ± 1.1 ） （P〈0.05）. The average degree of Jordosis was 7.3° after operation, scale from 3-16° C. Conclusion Titanium cage and internal fixation with anterior titanium plate in cervical vertebrectomy and fusion is an effective method to treat cervical spondylosis. This method can enhance the fusion rate and effective maintain cervical lordosis and satisfy the need of cervical instance and long-term stability.

关 键 词：椎体次全切除 钛网笼 椎间融合 

分 类 号：R687[医药卫生—骨科学]