颈椎前路4间隙融合内固定治疗长节段颈椎病变可行性分析  

A Feasibility Analysis of Anterior Approach 4 Segments Fusion and Internal Fixation for the Treatment of Multi-segmental Cervical Disease

作　　者：伦智法 冯杰[1] 刘光旺[1] 马超[1] 戴维享[1] 王振飞 拾坤[1] LUN Zhifa;FENG Jie;LIU Guangwang;MA Chao;DAI Weixiang;WANG Zhenfei;SHI Kun(Department of Spine Surgery, Xuzhou Central Hospital, Xuzhou Jiangsu 221009, China)

机构地区：[1]徐州市中心医院骨脊柱外科,江苏徐州221009

出　　处：《中国继续医学教育》2017年第34期51-53,共3页China Continuing Medical Education

基　　金：江苏省卫生计生委科研课题(H201673)

摘　　要：目的探讨颈椎前路4间隙融合内固定治疗长节段颈椎病变的可行性。方法选取2013年9月—2016年9月在我科行颈椎手术治疗的长节段颈椎病变患者32例作为研究对象,将其分为颈椎前路组和颈椎后路组。对手术时间、术中出血量、颈椎融合节段Cob角度变化、颈痛VAS评分、JOA改善率、并发症进行比较分析。结果颈椎前路组手术时间、术中出血量、颈椎融合节段Cob角度变化、颈痛VAS评分均优于颈椎后路组,差异具有统计学意义(P<0.05);两组JOA改善率、并发症发生情况比较,差异无统计学意义(P>0.05)。结论颈椎前路4间隙融合内固定治疗长节段颈椎病变疗效确切,是一种可行的治疗方法。Objective To explore the feasibility of anterior cervical 4 segments fusion and internal fixation in treatment of multi-segmental cervical disease. Methods From September 2013 to September 2016, 32 cases of patients with multi-segmental cervical disease underwentcervical spine surgery were retrospectively analyzed. The operation time, intraoperative blood loss, change of angle of Cob, VAS score of neck pain, improvement rate of JOA and complication were compared. Results The operation time, intraoperative blood loss, change of angle of Cob, VAS score of cervical pain of the anterior cervical surgery were superior to the posterior cervical spine surgery, the difference was statistically significant （P〈0.05）; JOA improvement rate and complication,the difference was not statistically significant （P〉0.05）.Conclusion Anterior cervical 4 segments fusion and internal fxation of multi-segmental cervical disease is a viable treatment.

关 键 词：颈椎前路手术 4间隙融合 长节段手术 

分 类 号：R687[医药卫生—骨科学]