摘要
目的探讨颈前路椎体次全切除钛笼植骨融合联合锁定钢板内固定术的手术方法与临床疗效。方法对24例颈椎骨折、脱位伴截瘫，无骨折脱位型颈髓损伤及颈椎病患者行椎体次全切除减压钛笼植骨融合联合锁定钢板内固定术。结果所有患者均获得随访，耐间6～24个月，平均13个月，其中1例患者术后1个月出现钛笼下沉（3个月后未见继续下沉），所有患者椎体间3～5个月全部获得融合，未见有钢板螺丝钉松动、断裂。术后所有患者神经功能评价Frankel分级较术前均有1—2个级别的提高。结论虽然颈前路椎体次全切除钛笼植骨融合联合锁定钢板内固定术有钛网下沉、颈椎邻近椎体退变等并发症的可能，但只要术中正确仔细的操作，术后仍能获得较好的椎体融合和神经恢复，临床疗效满意，是目前颈前路融合术中一种有效的手术方法。
Objective To explore the clinical effects and techniques of titanium mesh and bone graft combining with plate internal fixation after anterior cervical corpectomy. Methods Titanium mesh and bone graft combining with plate internal fixation after anterior cervical corpectomy was applied in 23 cases of cervical spine fracture, dislocations complicated with paraplegia, spinal cord injury with fracture or dislocations and disease of vertebrae cervieales. Results All the patients were followed up for 6 - 24 months（ mean 13 months）, titanium mesh fell in one case one month later（ the falling stopped after 3 months）, all the eentrum vertebrae fused within 3 - 5 months, no screws or plate were found loosed or broken. All the cases had a 1 - 2 leve of improvement in Frankel grading. Conclusions Although titanium mesh and bone graft combining with plate internal fixation after anterior cervical eorpeetomy has the risks of falling of titanium mesh and degeneration of nearbly centrum, the eetrum fusion and nerve recovery can be achieve with satisfactory clinical results, so it is an effective treatment.
出处
《浙江临床医学》
2011年第10期1101-1103,共3页
Zhejiang Clinical Medical Journal
关键词
钛笼
锁定钢板
融合术
Titanium mesh Fixing plate Fusion
