摘要
[目的]评价一种新型翼形钛网在退行性颈椎病前路手术中应用的临床效果。[方法]应用该椎间融合器治疗退变性颈椎病27例,男18例,女9例;颈椎间盘突出（herniation of cervical disc,CDH）19例,后纵韧带钙化（ossification of posterior longitudinal ligament,OPLL）8例;单节段病变21例,双节段病变6例。术前均经X线及MRI排除骨折、脱位。手术方式采用椎体次全切除减压,新型翼形钛网内植骨及螺钉内固定。[结果]本组27例随访6~14个月,平均10个月,植骨融合时间平均10周,术后3、6及12个月复查X线未见钛网松动、脱出、塌陷。[结论]该翼形钛网内固定植入能提供颈椎次全切除后脊柱即时稳定性,术后可避免钛网移位,塌陷、脱出。手术操作简单安全,不需取髂骨,同时减轻患者经济负担。且为弹性固定,骨融合率高。
[ Objective] To apply interal fixation with new pterygo-shape titanium mesh cage in the treatment of degenarative cervical spondylosis. [ Method] Twenty-seven patients of degenarative cervical spondylosis were reconstructed after vertecotomy with the cage including 19 cases of CDH, 8 cases of OPLL, 18 cases in male and 9 cases in female; single segment degenaration were 21 cases, double segment degenaration were 6 cases. All cases were excluded fracture, dislocate by X-ray and MRI preoperatly. [Result] All 27 patients were followed up for an average time of 10 months （from 6 to ld months）. The anverage time of bone graft fusion was 10 weeks. [ Conclusion] The pterygo_ shape titanium mesh cage can provide immediate biomechanical stability and prevent the mesh cage displace, subsidence, exodus after operation. The surgical procedure is simple, safety and without illic-bone graft, meanwhile can greatly relieve patients＇ economy burden. Then the internal fixation is elastic fixation, the bone fusion shows a satisfactory result.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2007年第15期1126-1128,共3页
Orthopedic Journal of China
关键词
翼形钛网
颈椎病
前路减压
new pterygo-shape titanium mesh cage
cervical spondysis
anterior decompression
