颈椎前路术后融合节段椎间隙高度变化与轴性症状的相关性研究  

Correlation of height change of intervertebral space of fused segment with axial synptoms after anterior cervical fusion

作　　者：李华[1] 丁文元[2] 牛洪峰[1] 靳宪辉[1] 张庆胜[1] 崔胜杰[1] 

机构地区：[1]哈励逊国际和平医院骨病科,河北衡水053000 [2]河北医科大学第三医院脊柱外科,河北石家庄050051

出　　处：《中国矫形外科杂志》2008年第23期1774-1777,共4页Orthopedic Journal of China

摘　　要：[目的]探讨颈椎前路术后融合节段的椎间隙高度变化与颈部轴性症状发生率的关系。[方法]对122例颈椎前路融合手术患者进行2～5年随访,平均3.9年,分别于手术前、术后3个月和术后2年随访时拍摄颈椎中立侧位X线片,测量融合节段椎间隙高度,计算融合节段椎间隙高度的变化值,依据患者术后椎间隙高度变化情况将全部样本分为三组,对三组患者术后轴性症状发生率进行观察、分类及统计学分析。[结果]三组颈椎轴性症状发生率分别为54.55%、25.84%和45.45%,经过统计学分析,A组:B组x2值=7.18,P<0.0125;B组:C组x2值=6.81,P<0.0125,差异有统计学意义。A组:C组x2值=3.19,P>0.0125,差异无统计学意义。[结论]颈椎前路术后融合节段椎间隙高度的变化与颈部轴性症状的发生率有显著相关性。[Objective] To investigate the height change of intervertebral space after anterior cervical fusion and its relation to neck axial symptoms. [Method] Totally 122 patients receiving anterior cervical fusion were followed up for 2 to 5 years , average 3.9 years. The height change of intervertebral space of the fused segment on X-rays were evaluated before, 3 months and 2 years after operation. All patients were classified into 3 groups by means of the postoperative height change of intervertebral space. The axial symptoms after operation were observed and analyzed during follow-up. [Result] The incidence of neck axial symptoms was 54. 55% , 25.84% and 45.45% , respectively. There were significant differences in statistical analysis in group A group B, group B to group C（x^2=7.18, P 〈0.0125; x^2 =6.81, P〈0.0125） . There was no significant difference in group A to group C（x^2 =3.19, P〉0.0125） . [Conclusion] There is significant relation between height change of intervertebral space and neck axial symptoms after anterior cervical fusion.

关 键 词：颈椎病 颈椎前路融合术 椎间高度 轴性症状 相关性 

分 类 号：R687.3[医药卫生—骨科学]