两种不同颈前路固定系统治疗双节段脊髓型颈椎病早期临床效果观察  

An early outcome analysis of two types of implants for treatment of cervical spondylotic myelopathy of double segments

作　　者：张国栋[1] 种衍学[1] 李勇[1] 李明[1] 孙晋保 姜广宗 朱中蛟 ZHANG Guo-dong;CHONG Yan-xue;LI Yong;LI Ming;SUN Jin-bao;JIANG Guang-zong;ZHU Zhong-jiao(Department of Spine Surgery,Tengzhou Central People’s Hospital,Tengzhou,Shandong 277599,China)

机构地区：[1]滕州市中心人民医院脊柱外科,山东277599

出　　处：《中国骨与关节损伤杂志》2021年第3期229-231,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的比较颈椎前路椎间盘切除减压术(Anterior cervical decompression and fusion operation,ACDF)术中使用ROI-C零切迹自稳型颈椎融合器与钛板联合cage治疗双节段脊髓型颈椎病的临床疗效。方法回顾性分析自2018-01—2019-12诊治的83例双节段脊髓型颈椎病,39例采用ROI-C零切迹自稳型颈椎融合器行ACDF术治疗(观察组),44例采用钛板联合cage行ACDF术治疗(对照组),比较2组手术时间、术中出血量、术后吞咽困难数以及术后3 d疼痛VAS评分、JOA评分、颈椎Cobb角。结果 83例均顺利完成手术并获得随访,随访时间3~23个月,平均15.2个月。观察组手术时间较对照组少,术后出现吞咽困难数较对照组少,差异有统计学意义(P<0.05)。2组术中出血量比较差异无统计学意义(P>0.05)。2组术后3 d疼痛VAS评分、JOA评分、颈椎Cobb角比较差异无统计学意义(P>0.05)。结论采用ROI-C零切迹自稳型颈椎融合器行ACDF术治疗双节段脊髓型颈椎病可以取得优良的早期疗效,ROI-C内固定系统为ACDF手术提供了一种可靠的内固定选择方案。Objective To compare the early clinical outcome of zero notch interbody fusion cage(ROI-C) and cage combined with titanium plate during anterior cervical decompression and fusion operation(ACDF) operations in treatment of double segment cervical spondylotic myelopathy.Methods segment cervical spondylotic myelopathy were selected for a retrospective study. Cage combined with titanium plate was used in44 patients(control group), while ROI-C was used in 39 patients(observation group). The operative time, blood loss and occurrence of dysphagia as well as VAS score, JOA score and the Cobb angle of cervical vertebra 3 days after operation were compared between the two groups.Results months, mean 15.2 months. The operation time and dysphagia occurrence of observation group were less than control group’s,with statistical significance(P<0.05). There was no statistical difference in blood loss between two groups(P>0.05), and no statistical difference in VAS score, JOA score, the Cobb angle of cervical vertebra 3 days after operation were found between two groups(P>0.05).ConclusionThe zero notch interbody fusion cage(ROI-C) during ACDF operation can gain excellent early clinical outcomes in treatment of double segment cervical spondylotic myelopathy. The emergence of zero notch interbody fusion cage(ROI-C) can supply an appropriate implant choice during ACDF operations.

关 键 词：双节段脊髓型颈椎病 颈椎前路减压植骨融合术 零切迹椎间融合器 临床疗效 

分 类 号：R681.5[医药卫生—骨科学]