颈椎动态稳定器植入术与Prestige LP人工椎间盘置换术治疗颈椎间盘突出症的临床效果比较  

Comparision of clinical results of Dynamic Cervical Implant inner fixation and Prestige LP artificial cervical replacement for the treatment of cervical disc herniation

作　　者：邹黎[1] 戎鑫[2] 丁琛[2] 刘浩[2] ZOU Li;RONG Xin;DING Chen(Department of Pediatric surgery,West China Hospital,Sichuan iniversity,Sichuan Province,Chengdu 610041,China)

机构地区：[1]四川大学华西医院小儿外科,成都610041 [2]四川大学华西医院骨科,成都610041

出　　处：《临床外科杂志》2021年第4期345-348,共4页Journal of Clinical Surgery

基　　金：四川省科技厅重点研发资助项目(2019YFQ0002)。

摘　　要：目的比较颈椎动态稳定器(dynamic cervical Implant,DCI)植入术与Prestige LP人工椎间置换术治疗颈椎间盘突出症的近中期临床疗效。方法因颈椎间盘突出症在我院手术治疗的病人49例,按术式分为两组,A组DCI植入,B组采用Prestige LP人工椎间盘置换。比较两组病人VAS、JOA、SF-36评分量表和活动度。结果A组22例,平均随访24.5个月。B组27例,平均随访25.8个月。两组病人VAS、JOA和SF-36评分比较差异无统计学意义(P>0.05)。两组C2~7活动度比较差异无统计学意义(P>0.05)。末次随访B组手术节段活动度大于术前,差异有统计学意义(P<0.05),大于A组末次随访,差异有统计学意义(P<0.05)。结论DCI近中期临床效果与Prestige LP人工椎间盘置换术相当,但前者理论上在一定程度上对手术节段小关节具有保护作用,具有更宽的适应证。Objective To compare the mid-term therapeutic effect of dynamic cervical implant(DCI)and Prestige LP artificial cervical replacement for the treatment of cervical disc herniation.Methods 49 patients were included for cervical disc herniation and underwent surgery in our hospital.They were divided into DCI group(Group A)and Prestige LP group(Group B).The VAS,JOA,SF-36 and Range of motion(ROM)were compared of the two groups.Results There were 22 patients in Group A,with a mean follow-up time of 24.5 months.27 patients were included in Group B,with a mean follow-up time of 25.8 months.The VAS,JOA and SF-36 of the two groups were no significant difference between the two groups(P>0.05).The ROM of C2-7 of the two groups showed no significant difference(P>0.05).The ROM of operated level was greater at last follow up than pre-operation in Group B(P<0.05),and the ROM of operated level was greater in Group B than Group A at last follow up significantly(P<0.05).Conclusions The clinical results in DCI were similar as Prestige LP artificial cervical replacement in early-medium period.The semi-constrained feature of DCI may take protection for the facet joint of operated level to some extent and the indications was larger than cervical disc implantation.

关 键 词：颈椎间盘突出症 颈椎动态稳定器 颈椎间盘置换术 非融合 活动度 

分 类 号：R687.3[医药卫生—骨科学]