摘要
目的:探讨零切迹颈椎融合器ROI-C和钛板融合器系统在单节段颈椎病患者中的应用效果。方法:选择88例颈椎病患者作为研究对象,根据治疗方法不同分为观察组和对照组,每组各44例。对照组采用钛板融合器系统治疗,观察组采用零切迹颈椎融合器ROI-C治疗;术后6个月比较两组疼痛程度、颈椎功能、颈脊髓功能以及影像学结果。结果:两组的日本骨科协会(JOA)评分,差异无统计学意义(P>0.05)。观察组的视觉模拟评分(VAS)、颈椎功能障碍指数评分(NDI)低于对照组,差异有统计学意义(P<0.05)。两组的椎间隙高度、融合节段前凸角、颈椎整体曲度、颈椎整体活动度ROM、上位相邻节段活动度相比,差异无统计学意义(P>0.05)。结论:零切迹颈椎融合器ROI-C可减轻单节段颈椎病患者的疼痛感,改善颈椎和颈脊髓功能,有一定的推广应用价值。
Objective:To investigate the application effect of zero-notch cervical fusion apparatus ROI-C and titanium plate fusion apparatus system in patients with single cervical spondylosis.Methods:88 patients with cervical spondylosis were selected and divided into two groups according to the treatment methods,44 cases in each group.The control group was treated with titanium plate fusion cage system,and the observation group was treated with zero notch cervical fusion cage ROI-C.6 months after operation,the pain degree,cervical function,cervical spinal cord function and imaging results of the two groups were compared.Results:There was no statistically significant difference in the scores of the Japanese Orthopaedic Association(JOA)between the two groups at 6 months after surgery(P>0.05).The visual analogue score(VAS)and vertebral dysfunction index(NDI)of the observation group were significantly lower than those of the control group,the difference was statistically significant(P<0.05).There was no significant difference in intervertebral space height,lordosis angle at fusion stage,overall cervical lordosis,C2-C7ROM,superior adjacent segment ROM between the two groups(P>0.05).Conclusion:ROI-C can relieve the pain of patients with single cervical spondylosis,improve cervical spine function and cervical spinal cord function,which is worthy of promotion and application.
作者
顾俊
王春明
毛渊青
严雪飞
金正帅
陈胜
GU Jun;WANG Chun-ming;MAO Yuan-qing;YAN Xue-fei;JIN Zheng-shuai;CHEN Sheng(Department of Orthopedics,Jiangsu Shengze Hospital Affiliated to Nanjing Medical University,Suzhou 215228;Department of Orthopedics,The First Affiliated Hospital with Nanjing Medical University,Nanjing 210000,Jiangsu,China)
出处
《川北医学院学报》
CAS
2021年第8期1029-1032,共4页
Journal of North Sichuan Medical College
基金
江苏省苏州市尼生科技——关键技术应用研究(SS201850)
江苏省苏州市吴江区科教兴卫项目(wwk201709)。
