摘要
目的比较ROI-C、Zero-P零切迹颈前路椎间融合内固定系统治疗颈椎病的疗效。方法行单节段颈椎零切迹椎间减压、融合、内固定手术的患者64例,随机分为ROI-C组(36例)和Zero-P组(28例),分别以ROI-C、Zero-P零切迹颈前路椎间融合内固定系统治疗。比较两组的手术时间、出血量、日本骨科协会评估治疗分数(JOA)及视觉模拟评分法(VAS)评分、并发症及植骨融合、椎体间高度、Cobb角变化。结果两组所有患者术后均获得随访。ROI-C组的手术时间及术中出血量均少于Zero-P组(P<0.01)。两组患者术后的VAS、JOA评分、椎间高度、Cobb角较术前均有明显提高(P<0.01),但两组组间差异无统计学意义(P>0.05)。结论与Zero-P相比,ROI-C颈椎零切迹椎间融合内固定系统治疗颈椎病具有操作方便、手术时间短、术中出血少的优点,值得临床推广应用。
Objective To compare the clinical efficacy of ROI-C and Zero-P anterior cervical interbody fusion and internal fixation system in the treatment of cervical spondylosis. Methods 36 cases with single level cervical spondylosis were treated with the ROI fixation and fusion system following anterior cervical decompression while 28 cases were treated with Zero-P system. The operation time, blood loss, clinical efficacy, JOA and VAS, perioperative complications and bone graft fusion, intervertebral height and the change of Cobb angle were compared and analyzed retrospectively. Results All the two groups were followed up. There was no statistical difference in preoperative data between ROI-C and Zero-P Group. ROIC Group had a shorter operation duration and less intraoperative bleeding amount compared with Zero-P Group. Both groups had the postoperative VAS, JOA score, intervertebral height and Cobb angle significantly increased compared with those before the operation（P〈0.01）, but there was no statistical difference between the two groups（P〈0.05）. Conclusion This ROI-C system is a good choice for the anterior cervical spine surgery compared with Zero-P. It has such advantages as convenient operation, shorter operation duration and less intraoperative bleeding, and is worth clinical promotion.
作者
叶永胜
黄雄飞
邓方跃
庄沙斌
屈锡亮
吴显奎
YE Yong-sheng;HUANG Xiong-fei;DENG Fang-yue;ZHUANG Sha-bin;QU Xi-liang;WU Xian-kui(The Department of Orthopaedics IV,the Traditional Chinaese Hospital of Dongguan,Dongguan 523000,China)
出处
《广东医科大学学报》
2018年第3期329-332,共4页
Journal of Guangdong Medical University
关键词
颈椎病
零切迹
融合
内固定
cervical spondylosis
zero incisure
fusion
internal fixation
