颈椎前路植入PEEK PREVAIL系统与传统前路减压植骨融合术治疗单节段颈椎病的疗效比较  

Effect comparision between the PEEK PREVAIL system and traditional anterior decompression bone grafting and fusion in the treatment of single segment cervical spondylosis

作　　者：熊小春 梁田子 周成洪 龙亨国 虞杰 刘邦能 XIONG Xiaochun;LIANG Tianzi;ZHOU Chenghong(Department of Spine,Zhoushan Hospital of Traditional Chinese Medicine,Zhoushan 316000,China)

机构地区：[1]舟山市中医院脊柱科,浙江舟山316000

出　　处：《全科医学临床与教育》2025年第3期219-222,共4页Clinical Education of General Practice

基　　金：舟山市医药卫生科技计划项目(2021YB01)。

摘　　要：目的 探讨颈椎前路植入PEEK PREVAIL系统与传统前路减压植骨融合术治疗单节段颈椎病的疗效差异。方法 选取单节段颈椎病患者68例,随机分为观察组和对照组,每组34例。对照组采用传统前路减压植骨融合术进行治疗,观察组采用颈椎前路植入PEEK PREVAIL系统手术方式进行治疗,比较两组患者的临床效果,及术后相关指标。结果 观察组患者的手术时间、住院时间明显短于对照组,术中出血量少于对照组,差异均有统计学意义(t分别=3.52、7.84、7.01,P均<0.05)。术后1年,观察组患者的日本矫形外科评分(JOA)、颈部残障功能指数(NDI)评分及颈部和上肢的视觉模拟疼痛评分(VAS)均低于对照组,差异均有统计学意义(t分别=6.25、3.03、3.16、10.52、10.37,P均<0.05)。观察组患者在术后1年Odom功能性评估优良率明显高于对照组,手术并发症发生率明显低于对照组,差异均有统计学意义(χ^(2)分别=12.53、9.86,P均<0.05)。结论 相对于传统前路减压植骨融合术,颈椎前路植入PEEK PREVAIL系统的方式对单节段颈椎病患者疗效更优。Objective To investigate the differential effect of anterior cervical PEEK PREVAIL implantation and traditional anterior decompression and graft fusion on single segment cervical spondylosis.Methods A total of 68 patients with cervical spondylosis were selected and randomly divided into observation group and control group,with 34 patients in each group.The control group was treated with traditional anterior decompression and bone graft fusion,and the observation group was treated with anterior cervical implantation of PEEK PREVAIL system surgery.The clinical effects and postoperative indexes of the two groups were compared.Results The operation time and hospital stay time of the observation group were significantly shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(t=3.52,7.84,7.01,P<0.05).One year after surgery,the Japanese orthopaedic score(JOA),neck disability function index(NDI)score and visual analog pain score(VAS)of the neck and upper limb were lower than those of the control group,the differences were statistically significant(t=6.25,3.03,3.16,10.52,10.37,P<0.05).The excellent and good rate of Odom functional evaluation in observation group was significantly higher than that in control group one year after surgery,and the incidence of surgical complications was significantly lower than that in control group,the differences were statistically significant(χ^(2)=12.53,9.86,P<0.05).Conclusion Compared with traditional anterior decompression and bone graft fusion,anterior cervical PEEK PREVAIL system is more effective for patients with single-segment cervical spondylosis.

关 键 词：颈椎前路 PEEK PREVAIL系统 传统前路减压植骨融合术 单节段颈椎病 疗效 

分 类 号：R68[医药卫生—骨科学]