前路钢板对脊髓型颈椎病术后脊柱生理曲度恢复的研究  

Study of anterior plate application for cervical spondylotic myelopathy in restoring the physiological lordosis of cervical spine

作　　者：高志增[1] 曹凯[1] 张志宏[1] 舒勇[1] 韩智敏[1] 

机构地区：[1]南昌大学第一附属医院骨科,南昌330006

出　　处：《江西医药》2007年第6期485-487,共3页Jiangxi Medical Journal

基　　金：江西省卫生厅科技项目(编号033001)

摘　　要：目的评价颈椎前路钢板对恢复脊髓型颈椎病术后颈椎生理前凸的应用价值。方法对72例脊髓型颈椎患者行前路减压+自体髂骨植骨+钛质钢板内固定术,分别摄术前、术后即刻、术后随访时颈椎标准侧位X线片,以Cobb角测量融合节段的前凸,以D值评价颈椎的前凸,对数据进行统计分析。结果经12个月随访,平均12周所有病例均获骨性融合,术前与术后即刻,术前与术后随访时Cobb角及D值差异有显著性,术后即刻与术后随访Cobb角及D值差异均无显著性。结论应用颈椎前路钢板治疗脊髓型颈椎病对恢复术后颈椎生理前凸效果满意。Objective To investigate the applicative value of anterior plate for cervical spondylotic myelopathy （CSM）in restoring the physiological lordosis of cervical spine.Methods 72 cases of CSM coped with anterior cervical discectomy and fusion and titanium plate fixation were included. Lateral cervical vertebrae X-rays of pre-operative,immediate post-operative,6 months follow-up and 12 months follow-up were taken,lordosis of the fusion segment with Cobb＇s angle and with D numerical value were measured. The data was analyzed by statistic software.Results Fusion were reached in all cases during the mean follow-up 12 weeks.There were signifi-cant differences between pre-operative and immediate post-operative, between pre-operative and follow-up groups in Cobb＇s angle or in D numerical value （P〉0.05）,there were no significant differences between immediate post-operative and follow-up groups in Cobb＇s angle or in D numerical value（P〈0.05）. Conclusion For CSM,anterior plate application has satisfactory effect on restoring the physiological lordosis of cervical spine post-operatively.

关 键 词：前路钢板 颈前路椎间盘切除椎间融合术 脊髓型颈椎病 生理性前凸 

分 类 号：R681.5[医药卫生—骨科学]