颈椎桥型锁定融合器在颈椎前路减压融合术中的应用  

Clinical application of zero-profile anchored spacer in anterior cervical discectomy and fusion

作　　者：陈丹华[1] 葛许锋[1] 成红兵[1] 卢荣[1] 马烽烽 CHEN Danhua;GE Xufeng;CHENG Hongbing;LU Rong;MA Fengfeng(Department of Orthopaedics,The Fourth Clinical Medical College of Yangzhou University,Nantong Rich Hospital of Jiangsu Province,Nantong,Jiangsu,226010)

机构地区：[1]江苏省南通瑞慈医院扬州大学第四临床医学院骨科

出　　处：《实用临床医药杂志》2020年第1期32-35,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨颈椎桥型锁定融合器(ROI-C)在颈椎前路减压融合术中的应用效果。方法采用ROI-C对脊髓型或神经根型颈椎病患者25例(共32间隙)进行颈椎前路减压融合手术,记录出血量和手术时间,并比较术前和术后1、3、6个月时的视觉模拟评分法(VAS)评分、日本骨科学会(JOA)评分及椎间隙高度。结果本组患者随访时间均超过6个月,手术时间(78.40±52.34)min,手术出血量(86.00±22.73)mL。术后各时点,患者的JOA评分均高于术前,VAS评分均低于术前,椎间隙高度均高于术前,差异有统计学意义(P<0.05);患者术后各时点之间的JOA评分、VAS评分及椎间隙高度比较,差异无统计学意义(P>0.05)。结论ROI-C是一种比较理想的颈椎椎间融合器,有操作简单、创伤小、术后并发症少等优点,同时能有效恢复椎间隙高度,重建颈椎生理曲度及稳定性。Objective To investigate the clinical outcomes of zero-profile anchored spacer(ROI-C)for anterior cervical decompression and fusion.Methods Anterior cervical decompression and fusion were performed by ROI-C system in 25 patients with cervical spondylotic myelopathy and cervical spondylotic radiculopathy(32 intervertebral discs).The operation time,intraoperative blood loss were recorded.Visual Analogue Scale(VAS)score,Japanese Orthopaedic Society(JOA)score and intervertebral height at time points of before surgery,at 1-,3-and 6-month of surgery,respectively were recorded.Results All the 25 patients were followed up for more than months.The operation time was(78.40±52.34)min,intraoperative blood loss was(86.00±22.73)mL.The JOA score and intervertebral height at each time point after the operation were higher than operation before,VAS scores at each time point after surgery was lower than those before surgery,the differences were statistically significant(P<0.05).There were no significant between-group differences in JOA score,VAS score and intervertebral space height at the postoperative time points(P>0.05).Conclusion ROI-C is an ideal cervical intervertebral fusion cage,with the advantages of simple operation,less trauma and fewer complications after operation.At the same time,the height of intervertebral space can be effectively restored,and the physiological curvature and stability of cervical spine can be reconstructed.

关 键 词：脊髓型颈椎病 神经根型颈椎病 前路减压植骨融合内固定 颈椎桥型锁定融合器 

分 类 号：R681.5[医药卫生—骨科学]