颈前路减压融合两种内固定的进展  

Advance in two anterior internal fixation systems for anterior cervical decompression fusion

作　　者：李秋园 孙中仪 田纪伟 LI Qiu-yuan;SUN Zhong-yi;TIANJi-wei(Department of Orthopedics,Jiangbei People's Hospital,Nantong University,Nanjing 210048,China)

机构地区：[1]南通大学附属南京江北人民医院骨科中心,江苏南京210048

出　　处：《中国矫形外科杂志》2022年第3期244-247,共4页Orthopedic Journal of China

摘　　要：退行性颈椎间盘疾病(即颈椎病)是一种常见病,严重影响人们的身体健康和生活质量.颈椎前路减压融合术是治疗颈椎病的经典术式,但采取不同颈椎前路内固定系统会对手术产生不同的影响,相对于传统钛板联合融合器减压内固定系统,颈椎前路零切迹内固定系统具有能够显著缩短手术时间、减少术中出血量、降低术后吞咽困难和喉痛发生率以及预防邻近节段退变等优点.本文就两种颈前路内固定系统在手术治疗颈椎病中的优缺点做一综述.Degenerative cervical disc disease,also known as cervical spondylosis,is out of commen diseases that does seriously affect people's physical health and quality of life.Anterior cervical decompression fusion(ACDF)is a classic surgical procedure for cervical spondylosis,however,what kind of anterior cervical internal fixation system used will have different effects on surgical outcomes.Compared with the traditional titanium plate combined with cage,the new internal fixation system,zero-profile cage-plate device can significantly shorten the operation time,reduce intraoperative blood loss,reduce the incidence of postoperative dysphagia and sore throat and prevent adjacent segment degeneration.This article reviews the advantages and disadvantages of two anterior cervical internal fixation systems for ACDF in the surgical treatment of cervical spondylosis.

关 键 词：退行性颈椎间盘疾病 颈椎前路减压融合术 传统钛板联合笼架系统 零切迹笼架-钢板系统 

分 类 号：R681.55[医药卫生—骨科学]