自稳型颈椎椎间融合器在外伤性颈椎间盘突出症中的临床应用  

Clinical application of MC ＋ PEEK cage in traumatic cervical disc herniation

作　　者：江兵[1] 刘立明[1] 曹燕庆[1] 金卫国[1] 章小军[1] 潘宏[1] 

机构地区：[1]安徽医科大学附属安庆医院骨科,安徽省安庆市246003

出　　处：《中华医学杂志》2012年第41期2909-2912,共4页National Medical Journal of China

摘　　要：目的探讨自稳型颈椎椎间融合器（MC＋PEEK）在外伤性颈椎间盘突出症手术中应用的临床效果。方法2008年1月至2011年6月安徽医科大学附属安庆医院骨科手术治疗单节段颈椎间盘突出症51例，分为MC＋PEEK组（A组：20例），颈椎前路钢板加颈椎椎间融合器或钛网组（B组：31例），比较两组术中出血量、手术时间、手术并发症和椎间融合情况、椎间隙高度和JOA评分等指标。结果本组病例随访6—40个月，平均26个月，术中出血量、手术时间、手术并发症A组明显优于B组，（55±8）min比（130±11）min，（100±10）ml比（350±13）ml，5．0％比29．0％，差异有统计学意义（P〈0．05）。椎间融合情况、椎间隙高度和JOA评分两组均良好，（91％±15％）比（90％±12％），差异无统计学意义（P〉0．05）。结论采用自稳型颈椎椎间融合器无需使用前方钢板，手术创伤小，是治疗外伤性颈椎间盘突出症的一种理想的方法。Objective To explore the clinical outcomes of surgical treatment for traumatic cervical disc herniation with MC ＋ PEEK cage. Methods A total of 51 patients with traumatic cervical disc herniation in mono-segment were surgically treated. The patients in group A （ n = 20） were treated by MC ＋ PEEK cage while those in group B （n = 31 ） by anterior cervical plate with PEEK cage or titanium mesh. Various parameters of operative duration, blood loss volume, operative complications, bone union, height of intervertebral space and Japanese Orthopedic Association （JOA） score were recorded and compared. Results Fifty-one patients were followed up for an average time of 26 months （ range ： 6 - 40）. Operative duration, blood loss volume and operative complications of group A were better than group B with statistical significance （ P 〈 0. 05 ）. Bone union, height of intervertebral space and recovery of spinal cord function were satisfactory with no statistical difference （P 〉 O. 05）. Conclusion With this new cage, traumatic cervical disc herniation may be safely and micro-invasively treated without the need of anterior cervical plate.

关 键 词：椎间盘移位 脊柱融合术 颈椎 

分 类 号：R687.3[医药卫生—骨科学]