摘要
目的 分析Zephir半限制性钢板和Window动力性钢板结合三面皮质骨自体髂骨植骨治疗脊髓型颈椎病的疗效。方法 回顾性分析43例行颈椎前路减压、保留终板三面皮质骨自体髂骨植骨、Zephir半限制性钢板或Window动力性钢板固定术患者的疗效；术后随访0．5～4．0年，观察临床功能、植骨融合率、手术节段椎间隙高度变化、相邻节段退变的情况。结果 JOA评分，术后与术前比较差异有高度统计学意义（P〈0．01）。植骨融合率100％。手术节段椎间隙高度维持满意，相邻节段椎间盘无明显退变，未发生内置物和植骨并发症。结论 手术治疗脊髓型颈椎病时，彻底减压、保留终板、三面皮质骨自体髂骨植骨和非刚性固定是保证疗效的有效措施。
Objective To analyse the results of Zephir semiconstrained or Window dynamic cervical plates with autogenous cortical bone graft in treating the cervical spondylotic myelophathy（CSM）. Methods A retrospective review was performed with 43 patients who underwent anterior cervical discectomy, autogenous cortical bone graft with endplate retaining, fixation with Zephir or Window cervical plates. Follow- up period ranged from 0.5 to 4.0 years （in average of 22 months）. The clinical effect, the fusion rate, the intervertebral height and the degeneration of adjacent levels were observed. Results The JOA score after operation was significant higher than that before operation （P〈0.01）. The fusion rate was 100%. The intervertebral height was maintained. There was no degeneration of adjacent plate and complications related to bone graft. Conclusion The operation results of CSM may be ensured by the procedure of decompression absolutely, autogenous conical bone graft with endplate retaining, fixation with Zephir or Window cervical plates.
出处
《中国医师进修杂志（外科版）》
2006年第2期21-22,28,共3页
Chinese Journal of Postgraduates of Medicine
关键词
颈椎
脊柱融合术
内固定器
Cervical vertebrae
Spinal fusion
Internal fixation
