摘要
ACDF一直是治疗颈椎病的经典术式,术中应用颈前路钛板具有显著的优越性,但长期随访研究发现颈前路钛板的使用存在诸多并发症,特别是在长节段ACDF中。为克服颈前路钛板使用过程中出现的一系列问题,一种新型零切迹椎间融合系统应运而生。自Zero-P颈前路椎间融合系统在2008年应用临床以来,单/双节段ACDF研究诸多,其安全性及有效性已经经过大量研究得到证实。3/4节段颈椎病治疗的手术方法目前仍存在争议,然而应用Zero-P行ACDF治疗3/4节段颈椎病已成为国内外研究热点,但临床应用是否安全有效目前仍没有达成共识,存在争论。
ACDF is a classical operation for the treatment of cervical spondylosis. Applying anterior cervical titanium plate during operation is with significant advantages. However, researches including long-term follow-up found there were many complications of the application of anterior cervical titanium plate, especially in the long-segment ACDF.To solve the problems of anterior cervical titanium plate application, a new kind of zero-profile anterior cervical interbody fusion system appeared. Since Zero-P anterior cervical interbody fusion system began to be applied in clinical treatment, there were many studies on single/double-segment ACDF. The safety and effectiveness of this system has been confirmed by massive researches. The method of operation on the cervical spondylosis of 3/4 segment is still controversial. It has been a hot issue to treat cervical spondylosis of 3/4 segment using ACDF with the application of ZeroP. However, the safety and effectiveness of clinical application of this method have not reached a consensus and remain controversial.
作者
王翔
宋文慧
WANG Xiang;SONG Wenhui(Shanxi Medical University,Taiyuan 030001,China;Department of Bone and Spinal Column,Second Hospital of Shanxi Medical University,Taiyuan 030001,China)
出处
《中国现代医生》
2018年第14期159-163,共5页
China Modern Doctor
