前路Zero-P椎间融合系统与传统钛板cage融合器治疗双、多节段颈椎病的疗效比较  

Comparison of the efficacy of anterior Zero-P interbody fusion system and traditional titanium plate and cage fusion device in the treatment of double and multi-segment cervical spondylosis

作　　者：方冠军[1] 刘先银[1] 黎松波[1] 黎建文[1] 陈耀鑫[1] 

机构地区：[1]广东省东莞市人民医院脊柱外科,广东东莞523000

出　　处：《广东医科大学学报》2017年第1期50-53,共4页Journal of Guangdong Medical University

摘　　要：目的比较颈椎前路减压Zero-P椎间融合器与传统钛板椎间cage融合内固定治双多节段颈椎病的疗效。方法56例行颈椎前路减压椎间融合内固定术的双多节段颈椎病患者分为A、B两组,每组28例。A组采用颈椎前路减压Zero-P椎间融合器治疗,B组采用传统钛板传统钛板cage融合器治疗。比较两组的手术时间、术中出血量、术后JOA评分、颈椎生理曲度(Cobb角)、病变椎间隙高度和吞咽困难率。结果 A组手术时间短于B组(P<0.05),两组的术中出血量差异无统计学意义(P>0.05)。术后3 d、6个月随访时:两组JOA评分均较术前明显好转(P<0.01),但两组术后同时段比较差异无统计学意义(P>0.05);两组术后Cobb角及病变椎间隙高度变化均较术前明显改善(P<0.01);两组术后6个月,两组的Cobb角差异有统计学意义(P<0.01)。结论颈椎前路减压Zero-P椎间融合系统治疗双、多节段颈椎病不但拥有传统前路钛板固定相似的临床疗效,且具有手术时间短、恢复状况好及维持颈椎生理曲度等优点。Objective To compare the efficacy of anterior cervical decompression and Zero-P interbody fusion cage with traditional titanium plate in the treatment of double and multi-segmental cervical spondylosis. Methods 56 patients with multiple segmental cervical spondylosis undergoing anterior cervical decompression and fusion and internal fixation were divided into two groups, 28 cases in each group. Group A （Zero-P） received treatment with Zero-P interbody fusion cage while Group B received the treatment with traditional titanium plate. The two groups were compared in terms of the operation time, intraoperative blood loss, postoperative JOA score, cervical lordosis （Cobb angle）, the height of intervertebral disc space and dysphagia rate. Results There was significant difference between the two groups in the operation time （P〈0.05）, and there was no significant difference between the two groups in intraoperative blood loss （P〉0.05）. For the follow-up 3d and 6 months after operation： the JOA score of the two groups were significantly improved compared with that before the operation, and the difference was statistically significant （P〈0.01）. There was no significant difference between the two groups in the same time period （P〉0.05）. The changes of Cobb angle and height of intervertebral disc space of the two groups were significantly improved compared with those before operation, and the difference was statistically significant （P〈0.01）. The difference of Cobb angle between the two groups in the same time period was statistically significant six months after operation （P〈0.01）. Conclusion Anterior cervical decompression and Zero-P interbody fusion system for the treatment of double and multisegment cervical spondylosis not only has the similar clinical efficacy as traditional anterior titanium plate fixation, but also has such advantages as shorter operation time, better recovery and maintaining cervical curvature.

关 键 词：Zero-P 钛板 双、多节段 颈椎病 

分 类 号：R681.5[医药卫生—骨科学]