摘要
目的颈椎病前路融合术后颈椎活动度下降与邻近节段椎间盘退变加速越来越受到人们的重视，人工颈椎间盘置换术可在进行脊髓减压并提供稳定的同时保持手术节段颈椎的活动度，为颈椎病的外科治疗开辟了新的途径。方法自2005年12月至2008年3月，对16例颈椎病患者进行显微减压后椎间植入Bryan人工颈椎间盘，平均随访时间17个月。结果所有患者术后症状均明显缓解，脊髓功能明显改善，颈椎活动度良好，1例术后发生短暂声音嘶哑，无手术死亡率。结论人工颈椎间盘植人为颈椎病的外科治疗开辟了新的手段，在提供颈椎稳定的同时保持手术节段颈椎的良好活动度，把握严格的适应证和手术技术能取得满意的效果。
Objective Anterior cervical fusion has been a routine method for the surgical treatment of cervical spondylosis, but concerns for the possibility of acceleration of adjacentsegment disease after fusion have been growing. The artificial cervical disc replacement provides the opportunity to preserve motion after neural decompression while providing stability,which opens a new pathway for the surgical therapy of cervical spondylosis. Method We summarized the results of 16 patients of cervical herniated disc treated by artificial cervical disc replacement after cervical microdecompression and arthroplasty from December 2005 to March 2008. The average followup time was 17 momths. Results All patients got improved neurological function postoperatively. The cervical flextion and extention X - film showed good curvature and motion. 1 patient developed temporary hoarseness and recovered within 1 week. There was no other complications. Conclusions Cervical microdecompression with Bryan disc replacement is a good choice for adequate patient of cervical degenerative disc disease.
出处
《中华神经外科杂志》
CSCD
北大核心
2009年第3期238-241,共4页
Chinese Journal of Neurosurgery
关键词
颈椎病
人工颈椎间盘置换
显微减压术
Cervical spondylosis
Cervical degenerative disc disease
Cervical microdecompression
