颈前路减压术后颈椎重建的研究进展  

Cervical reconstruction after anterior cervical decompression

作　　者：黄平[1] 陈德玉[1] 

机构地区：[1]第二军医大学附属长征医院骨科,上海200003

出　　处：《中国矫形外科杂志》2009年第11期841-842,共2页Orthopedic Journal of China

摘　　要：颈前路减压后重建颈椎生理曲度、椎间高度及稳定性对保证手术疗效、避免手术并发症较为重要。文中综述了颈前路经间隙椎间盘切除减压和椎体次全切减压后的颈椎重建。经间隙减压后颈椎重建有单纯骨块植骨、骨块植骨钛板内固定、椎间融合器植骨、椎间融合器植骨钛板内固定以及颈椎人工椎间盘置换;椎体次全切减压颈椎重建有单纯骨块植骨、骨块植骨钛板内固定、钛网植骨钛板内固定、椎间融合器和钛网植骨钛板内固定。颈椎融合术后部分患者存在椎间高度丢失和植骨不融合是两个主要的问题。人工椎间盘可保留椎节运动,但适应证较窄。颈椎彻底减压后应选择最合适的方式重建颈椎椎间高度和稳定性。It is of great importance for surgery efficacy and avoidance of complications to reconstruct cervical curve, intervertebral height and cervical stability. Anterior cervical decompression includes discectomy and subtotal corpeetomy. The former reconstruction comprises simple bone graft, bone graft with plating, cage implantation, cage with plating and total disc replacement. The latter comprises simple hone graft, bone graft with plating, titanium mesh cage with plating, eonbinding cage and titanium mesh cage with plating. The common problem is loss of intervertebral height or nonunion occurring in a part of patients. Total disc replacement may preserve motion of affected levels but narrow indication. Based in the decompression, the best method should be ehoosen to reconstruct cervical stability and intervertebral height.

关 键 词：颈前路减压 颈椎重建 融合器 钛网 人工椎间盘置换 

分 类 号：R687.3[医药卫生—骨科学]