人工颈椎间盘假体置换治疗颈椎病的早期临床研究  

The early clinical effects of Bryan cervical disc prosthesis in treating the cervical spondylotic myelopathy

作　　者：李鹏[1] 勘武生[1] 肖军[1] 李琨[1] 李文武[1] 马德彰[1] 

机构地区：[1]武汉市普爱医院脊柱外科,430033

出　　处：《临床外科杂志》2008年第10期692-693,共2页Journal of Clinical Surgery

摘　　要：目的探讨初期应用人工颈椎间盘假体治疗颈椎病的疗效。方法应用Bryan人工椎间盘假体置换治疗脊髓型颈椎病和神经根型颈椎病患者18例(22个节断),术前、术后进行JOA评分比较评价早期治疗效果;术后摄置换节段前屈后伸位,左右侧屈位X线片,观察稳定性和植入节段的活动度。结果随访16～36个月,平均20个月。无伤口感染及假体脱位病例,患者JOA评分由术前平均9.0(7～11)分上升至术后平均15.0(13～17)分,术后3个月置换节段前屈后伸活动范围平均4.8°(4.1°～5.5°),左右侧屈活动范围分别为3.7°(3.4°～4.0°)和3.6°(3.3°～3.9°)。X线片显示颈椎稳定性好,运动功能无明显丢失。结论应用人工颈椎间盘假体置换治疗颈椎间盘疾病早期效果良好。Objectives To investigate the early clinical effects of Bryan cervical disc prosthesis in treating the cervical spondylotic myelopathy （CSM）. Methods Bryan disc prosthesis replacement was performed on 18 cases （22 levels） of CSM. JOA score and radiological （X- ray of flexion, extension; left and right bending position） follow -up was carried out. Systemic radiographic study about stability and ROM of replaced level post - operation was done. Results All cases were followed up for 16 -36 months, 20 on average. There was no infection or prosthesis dislocation. According to JOA score, all patients were improved from average 9.0 to 15. 0. Replaced segment achieved stability and restored motion. Conclusion Byran cervical disc prosthesis is a new choice for the treatment of CSM.

关 键 词：颈椎病 人工颈椎间盘 

分 类 号：R687.3[医药卫生—骨科学]