微型钛板与带线螺钉用于颈椎后路单开门术治疗多节段脊髓型颈椎病的效果对比  

Comparison on the Effects of Mini-Titanium Plate and Suture Screw Applied in Posterior Cervical Single-Open-Door Surgery in the Treatment of Multi-Segmental Cervical Spondylotic Myelopathy

作　　者：王高锋 王林杰[1] 汝强[1] 曹进 赵仕博 WANG Gaofeng;WANG Linjie;RU Qiang;CAO Jin;ZHAO Shibo(3^(rd)Ward of Department of Orthopedics,Pingdingshan First People's Hospital,Pingdingshan 467000,China)

机构地区：[1]平顶山市第一人民医院骨科三病区,河南平顶山467000

出　　处：《临床医学工程》2024年第10期1239-1240,共2页Clinical Medicine & Engineering

摘　　要：目的对比微型钛板与带线螺钉固定在多节段脊髓型颈椎病患者中的应用效果。方法82例行颈椎后路单开门术治疗的多节段脊髓型颈椎病患者随机分为两组,带线螺钉组应用带线螺钉进行悬吊固定,微型钛板组应用微型钛板进行固定,比较两组的治疗效果。结果两组的术中出血量、手术时间、术后住院时间比较,差异无统计学意义(P>0.05)。术后,微型钛板组的VAS评分、颈椎轴性症状发生率均低于带线螺钉组,颈椎曲度指数高于带线螺钉组(P<0.05)。结论微型钛板固定可减轻多节段脊髓型颈椎病患者的术后疼痛,减少颈椎曲度丢失和颈椎轴性症状的发生。Objective To compare the application effects of mini-titanium plate fixation and suture screw fixation in patients with multi-segmental cervical spondylotic myelopathy.Methods 82 patients with multi-segmental cervical spondylotic myelopathy who underwent posterior cervical single-open-door surgery were randomly divided into two groups.The suture screw group received suture screw for suspension fixation,and the mini-titanium plate group received mini-titanium plate for fixation.The therapeutic effects of the two groups were compared.Results No significant difference was found in the intraoperative blood loss amount,operation time and postoperative hospitalization time between the two groups(P>0.05).After surgery,the VAS score and the incidence of cervical axial symptoms in the mini-titanium plate group were lower than those in the suture screw group,and the cervical curvature index was higher than that in the suture screw group(P<0.05).Conclusions Mini-titanium plate fixation can relieve postoperative pain in patients with multi-segmental cervical spondylotic myelopathy,and reduce the loss of cervical curvature and the occurrence of cervical axial symptoms.

关 键 词：多节段脊髓型颈椎病 微型钛板 带线螺钉 颈椎轴性症状 

分 类 号：R681.55[医药卫生—骨科学]