人工颈椎间盘置换术在后纵韧带骨化症中的应用  

Clinical study of Bryan prosthetic disc in the treatment of ossification of posterior longitudinal ligament of cervical spine

作　　者：侯勇[1] 聂林[1] 汤继文[1] 程雷[1] 张海滨[1] 曲高伟[1] 耿伟[1] 梁延琛[1] 

机构地区：[1]山东大学齐鲁医院骨创科,济南250012

出　　处：《中国矫形外科杂志》2008年第23期1771-1773,共3页Orthopedic Journal of China

摘　　要：[目的]观察应用Bryan颈椎间盘假体置换术治疗后纵韧带骨化症的近期效果。[方法]2005年10月～2007年6月应用Bryan人工颈椎间盘假体置换术治疗局限型后纵韧带骨化症患者15例,术前和术后6个月时进行JOA评分,并摄颈椎前屈后伸位X线片,观察假体稳定性及颈椎置换节段的活动度。[结果]患者术后症状均明显缓解,随访6～24个月,JOA评分由术前平均8.5分上升至术后平均15.8分。置换节段保留了运动功能,假体稳定无移位。[结论]人工颈椎间盘置换术近期可保持前路减压的良好效果,同时可获得术后即刻稳定性。维持颈椎近正常的活动度。人工颈椎间盘置换术是治疗局限型后纵韧带骨化症的一种有效方法。[Objective] To observe the clinical effect of Bryan cervical prosthetic disc in treating ossification of posterior longitudinal ligament （OPLL） of cervical spine. [Method] From October 2005 to June 2007, 15 localized OPLL patients were treated surgically by cervical arthroplasty using Bryan disc prosthesis. JOA score and radiological study were performed be- fore and after operation. The range of movement （ROM） of replaced level were investigated postoperatively. [Result] Neuro-logical deficit was alleviated in all patients. All patients were followed up at least 6 months, JOA score increased from an average of 8.5 to 15.8. Replaced segment restored the normal ROM in flexion and extension. [Conclusion] Cervical arthroplasty using Bryan disc prosthesis can achieve good clinical outcome in treating localized OPLL of cervical spine; and the normal ROM can be retained in the replaced level.

关 键 词：颈椎 后纵韧带骨化症 人工颈椎间盘置换术 

分 类 号：R687.3[医药卫生—骨科学]