零切迹融合器下颈前路减压植骨融合术治疗单节段脊髓型颈椎病的效果观察  

Observation of therapeutic effect of anterior cervical discectomy and fusion with zero notch fusion cage on single-segment cervical spondylotic myelopathy

作　　者：杜爱民[1] 段永壮[1] Du Aimin;Duan Yongzhuang(Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院骨科,郑州450000

出　　处：《中国实用医刊》2023年第22期1-4,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨零切迹融合器下颈前路减压植骨融合术治疗单节段脊髓型颈椎病的临床效果。方法抽取2020年4月至2022年4月在郑州大学第一附属医院确诊的单节段脊髓型颈椎病患者70例,采用简单随机分组分为对照组和观察组,每组35例。对照组采用钉板融合器内固定术治疗,观察组采用零切迹融合器下颈前路减压植骨融合术治疗。记录两组患者的手术时间、术中出血量,采用视觉模拟评分法(VAS)评估患者的术后疼痛程度;评估患者的临床疗效;分别于术前及术后3、6、12个月,采用日本骨科学会(JOA)评分评价患者的手术效果;采用颈椎功能障碍指数(NDI)评估患者的颈椎功能;比较两组术后并发症发生情况。结果观察组手术时间和术中出血量少于对照组,术后VAS评分低于对照组(P<0.05)。观察组总有效率(91.43%,32/35)与对照组(80.00%,28/35)比较差异未见统计学意义(P>0.05)。术后6、12个月,观察组JOA评分高于对照组(P<0.05)。术后3、6、12个月,观察组NDI评分低于对照组(P<0.05)。观察组术后并发症发生率(14.29%,5/35)低于对照组(37.14%,13/35),P<0.05。结论零切迹融合器下颈前路减压植骨融合术治疗单节段脊髓型颈椎病患者的临床疗效显著,并发症发生率低,术后患者颈椎功能评分高,是一种安全有效的治疗方式。Objective To investigate the clinical effect of anterior cervical discectomy and fusion with zero notch fusion cage in the treatment of single-segment cervical spondylotic myelopathy.Methods A total of 70 patients with single-segment cervical spondylotic myelopathy confirmed in the First Affiliated Hospital of Zhengzhou University from April 2020 to April 2022 were selected.According to simple random grouping method,they were divided into control group and observation group,with 35 cases in each group.The control group underwent internal fixation with nail plate fusion cage,while the observation group underwent anterior cervical discectomy and fusion with zero notch fusion cage.The operation time and intraoperative blood loss of the two groups were recorded.The postoperative pain was evaluated by visual analogue scale(VAS).The curative effect was evaluated.Before surgery and 3,6 and 12 months after surgery,the surgical effect was evaluated by Japanese Orthopaedic Society(JOA)score;the cervical function was evaluated by neck disability index(NDI).The postoperative complications of the two groups were compared.Results The operation time and intraoperative blood loss in the observation group were less than those in the control group,while the postoperative VAS score was significantly lower than that in the control group(P<0.05).There was no significant difference in the total effective rate between the observation group(91.43%,32/35)and the control group(80.00%,28/35),P>0.05.The JOA score in the observation group was significantly higher than that in the control group 6 and 12 months after surgery(P<0.05).The NDI score in the observation group was significantly lower than that in control group 3,6 and 12 months after surgery(P<0.05).The incidence of postoperative complications in the observation group(14.29%,5/35)was lower than that in the control group(37.14%,13/35),P<0.05.Conclusions Anterior cervical discectomy and fusion with zero notch fusion cage has significant therapeutic effects on single-segment cervical s

关 键 词：脊髓型颈椎病 单节段 零切迹融合器 颈前路减压植骨融合术 钉板融合器内固定术 疗效 并发症 

分 类 号：R687.3[医药卫生—骨科学]