零切迹颈椎前路椎间融合固定系统治疗颈椎病及无骨折脱位颈脊髓损伤  

Zero-P anterior cervical intervertebral fusion system for cervical spondylotic myelopathy and spinal cord injury without fracture dislocation

作　　者：高招文[1,2] 吴建斌[1,2] 赖必华[1,2] 连伟飞[1,2] 喻文波[1,2] 

机构地区：[1]福建医科大学附属南平第一医院 [2]南平市第一医院骨二科,福建南平353000

出　　处：《临床骨科杂志》2015年第3期265-268,共4页Journal of Clinical Orthopaedics

摘　　要：目的探讨零切迹颈椎前路椎间融合固定系统（简称Zero-P系统）治疗颈椎病及无骨折脱位颈脊髓损伤患者的临床疗效。方法对行颈椎前路手术的14例颈椎病患者（16节段）和5例无骨折脱位颈脊髓损伤患者（5节段）采用Zero-P系统进行减压固定。观察手术时间、术中出血量、术后早期并发症;颈椎病患者采用JOA评分评价疗效。结果手术时间为55~120（75±16）min;术中出血量为50~450（150±85）ml。术后11例出现吞咽困难,2~5 d基本恢复,未出现其他早期并发症。患者均获随访,时间3个月~3年6个月,末次随访时14例颈椎病患者JOA评分改善率为72.7%,其中优9例,良3例,中2例;5例颈脊髓损伤患者Frankel分级均为E级。影像学资料提示术后椎间融合良好,未出现临近节段椎间盘退变。结论仅需处理椎间盘的颈椎前路手术采用Zero-P系统进行减压固定,可以取得早期良好的临床疗效,但应注意患者的选择。Objective To evaluate the clinical effect of Zero-P anterior cervical intervertebral fusion system（ Zero-P ACIF） for cervical spondylotic myelopathy and spinal cord injury without fracture dislocation. Methods 14 cases of cervical spondylosis（ 16 section） and 5 cases of cervical spinal cord injury without fracture and dislocation（ 5 section） were treated with Zero-P ACIF by decompression and fixation; The results were evaluated by observing the operative time,bleeding volume,postoperative complications and JOA score（ cervical spondylosis patient）. Results Operative time was 55 ~ 120（ 75 ± 16） min,bleeding volume was 50 ~ 450（ 150 ± 85） ml; 11 cases got postoperative dysphagia,and recovered after 2 ~ 5 days,without other complications. All the patients had been followed up for 3 ~42 months; at last follow-up,JOA score of cervical spondylosis（ 14 cases） improvement rate were 72. 7%. JOA score improvement rate analysis showed excellent in 9 cases,good in 3,fair in 2; 5 cases of cervical spinal cord injury were Frankel E when they were followed up. Through observation the imaging data,postoperative intervertebral fusion were well,no adjacent segment disc degeneration was found. Conclusions Zero-P ACIF fixation system is effective in decompression and fixation of intervertebral disc anterior cervical operation. The indications should be controlled well.

关 键 词：脊髓损伤 脊柱融合术 颈椎手术 零切迹 

分 类 号：R683.2[医药卫生—骨科学] R687.3[医药卫生—外科学]