摘要
目的探讨Zero-P零切迹颈椎前路椎间融合固定系统(ACIF)在颈前路融合术中的临床疗效。方法回顾分析自2009-01-2010-12对36例颈椎患者采用的颈前路椎间盘切除减压Zero-P椎间融合术治疗。采用日本骨科学会(JOA)及视觉模拟评分(VAS)评分,观察术前、术后3天、3个月、12个月疗效。结果所有患者采用JOA评分,术前(8.57±1.03)分,随访终末评分(:14.3±1.22)分。VAS评分(:6.73±1.12)分,随访终末评分(2.03±1.06)分。术后12个月植骨融合率为100%,手术前Cobb角为11.2°(-5.5°~17.1°),随访终末Cobb角为15.7°(0°~19.1°)。术前与术后差异均有统计学意义(P<0.05)。术后均无感染、喉返神经、喉上神经及椎动脉损伤,切口均一期愈合,无翻修手术者。结论Zero-P零切迹颈椎前路椎间融合固定系统(ACIF)能使融合节段获得即刻稳定,融合率高,疗效满意,具有创伤小、神经损伤风险小、可预防临近节段的骨化、操作简便的优点。
Objective To explore the Zero-P ation system （ACIF） in cervical anterior fusion zero incisura anterior cervical interbody fusion fixin clinical efficacy. Methods Retrospective analysis from January 2009 to December 2010 in 36 cases of cervical spondylosis with anterior cervical disceetomy intervertebral fusion for the treatment of decompression of Zero-P. Using the Japanese Orthopaedic Association （Japanese orthopaedics assoeiation,JOA） and visual analogue scale （visualanalogous scale,VAS） score, observation of preoperative,postoperative 3days, 3 months, 12 months, curative effect. Results All the patients with JOA score, preoperative （8.57±1.03）, follow-up final score：（14.3±1.22） points. The score of VAS：（6.73±1.12）, follow-up final score （2.03±1.06） points. 12 months after bone grafting fusion rate of 100%, before the operation of Cobb angle is 11.2 degrees （-5.5° to 17.1°）, follow-up of terminal Cobb＇s angle 15.7^（0° to 19.1°）. Preoperative and postoperative differences were statistically significant（P〈0.05）. After operation there was no infection, recurrent laryngeal nerve, the superior laryngeal nerves and the verte- bral artery injury, incision healing period, no revision operation. Conclusion Zero-P zero incisura anterior cervical interbody fusion fixation system （ACIF） can make the fusion segment to obtain immediate stability, high rate of fusion, the curative effect is satisfied, with less trauma, less risk of nerve injury, can prevent adjacent segment of ossification, the advantages of easy to operate.
出处
《颈腰痛杂志》
2012年第6期428-431,共4页
The Journal of Cervicodynia and Lumbodynia
关键词
颈椎病
椎间融合术
Zero-P
cervical vertebra disease
interbody fusion
Zero-P
