Orion钢板结合钛网植骨在不稳定型颈椎疾病中的应用  

Application of Orion anterior plate combined with titanium mesh and bone graft in the treatment of unstable cervical spondylosis

作　　者：崔德铮 

机构地区：[1]沈阳市第一人民医院骨科,辽宁省沈阳市110041

出　　处：《中国组织工程研究与临床康复》2010年第17期3173-3176,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：目的:总结分析钛网结合Orion钢板内固定治疗不稳定型颈椎疾病的临床效果。方法:由作者检索1990/2008 PubMed数据及万方数据库有关Orion钢板结合钛网植骨治疗不稳定型颈椎疾病方面的文献,英文检索词为"cervical vertebrae,Orion anterior plate,titanium mesh,spinal fusion",中文检索词为"颈椎,Orion前路钢板,钛网,脊柱融合"。排除重复性研究。计算机初检得到54篇文献,根据纳入标准保留13篇进一步归纳总结。结果:Orion颈椎前路钢板联合钛网植骨在治疗不稳定型颈椎疾病时可以重建颈椎前柱,有效保持颈椎的生理弯曲和椎间隙的高度,防止远期颈椎的不稳定和后凸畸形,提升椎间孔的高度和容量促进神经根症状的恢复,同时避免了自体骨移植时的供骨区的并发症,较传统的自体骨有着突出的优点,而带锁钢板又可有效避免滑脱所造成的后果,弥补了单独应用钛网在颈椎后伸运动时的不稳定现象,使各个方面的稳定性得到了加强,是一种较为理想的颈椎前路内固定方法。结论:应用Orion颈椎前路钢板内固定结合钛网植骨治疗不稳定型颈椎疾病是一种较为理想的颈椎前路内固定方法。OBJECTIVE：To analyze the clinical effects of Orion anterior plate combined with titanium mesh and bone graft in the treatment of unstable cervical spondylosis.METHODS：The databases of PubMed and Wanfang were retrieved using search terms of ＂cervical vertebrae,Orion anterior plate,titanium mesh,and spinal fusion＂ both in English and Chinese for documents concerning Orion anterior plate combined with titanium mesh and bone graft in the treatment of unstable cervical spondylosis.The literatures published between 1990 and 2008 were selected.The repetitive studies were excluded.A total of 54 documents were searched by computer,and 13 papers were included in the final analysis according to inclusive criteria.RESULTS：By the application of Orion anterior plate combined with titanium mesh and bone graft in the treatment of unstable cervical spondylosis,the cervical curvature and stability could be restored,the intervertebral height would be maintained and the implanted bone could get fusion easily.The injury and complications caused by auto-ilium graft could be avoided.In addition,the locking cervical plate could effectively prevent damage caused by spondylolisthesis,and strengthened the cervical stability.It is a good method for anterior internal fixation of cervical vertebrae.CONCLUSION：It is an ideal method to treat unstable cervical spondylosis by using Orion anterior plate combined with titanium mesh and bone graft.

关 键 词：颈椎 Orion前路钢板 钛网 脊柱融合 置入内固定 数字化骨科 

分 类 号：R318[医药卫生—生物医学工程]