颈前路融合术后相邻节段退变120例  

Fusion of Adjacent Segment Degeneration after Anterior Portion Cervical Decompression

作　　者：占蓓蕾[1] 叶舟[1] 

机构地区：[1]浙江省衢州中心医院骨科,衢州324000

出　　处：《中国中西医结合外科杂志》2014年第2期143-145,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的：探讨颈椎前路减压融合术后相邻节段退变的因果关系。方法：对237例患者行前路椎间节段减压植骨融合术（87例），椎体次全切除减压植骨融合术（109例），椎间节段减压、椎体次全切除减压植骨融合术（41例）。通过影像学检查，观察不同手术方法术后相邻节段退变发生情况。结果：术后随访时间2.6~13年，平均6.8年；发生相邻节段明显退变的120例（50.6%），头侧相邻节段退变发生率明显高于尾侧邻近节段（P＜0.05），其中27例（22.2%）需2次翻修手术。结论：颈椎前路融合术后可导致颈椎相邻节段的退变。Objective To investigate the result of anterior cervical decompression and fusion of adjacent segment degeneration after causality. Methods among 237 patients（87 cases） weretreated with anterior decom-pression and interbody fusion intervertebral segments, 109cases with subtotal excision of the vertebral body with decompression and interbody fusion,and 41 cases with intervertebral segmental decompression, vertebral body subtotal resection decompression and interbody fusion.By imaging examination, different surgical methods and postoperative adjacent segment degeneration were observed. Results Postoperative follow-up at time of 2.6-13 years, averaging 6.8 years; showed significantly degeneration of adjacent segments in 120 cases （50.6%）, the cranial adjacent segment degeneration rate significantly higher than that of the caudal adjacent segment （P〈0.05）, among them,27 cases （22.2%）needed 2 times of revision surgery. Conclusion The anterior cervical fu-sion surgery can lead to cervical vertebral adjacent segment degeneration.

关 键 词：颈椎病 颈椎融合术 相邻节段退变 

分 类 号：R681.55[医药卫生—骨科学]