摘要
背景:颈椎人工间盘置换对于颈椎病的治疗可以保留颈椎病变节段活动度,能够有效改善伴交感神经症状的颈椎病症状。目的:探讨颈椎人工间盘置换治疗伴交感神经症状颈椎病的临床疗效。方法:回顾性分析2018年12月至2021年12月行人工间盘置换治疗的伴有明显头晕、头痛等交感神经症状的颈椎病患者56例。观察比较术前、术后3个月及末次随访的颈椎矢状位参数变化,包括颈交感神经症状评分及日本骨科协会评分(JOA),手术节段角度、C_(2)-C_(7)Cobb角、C_(2)-C_(7)矢状面轴向距离和T1倾斜角,并分析交感神经症状评分和JOA评分手术前后的变化值与颈椎矢状位参数变化值的相关性。结果与结论:(1)所有患者术后伴交感神经症状均有改善,术后3个月及末次随访时交感神经症状评分和JOA评分与术前比较均有明显改善(P<0.05),JOA评分末次随访时与术后3个月比较差异无显著性意义(P>0.05);(2)术后3个月及末次随访时颈椎矢状位参数比术前增大,末次随访时与术后3个月比较差异无显著性意义(P>0.05);(3)交感神经症状评分手术前后变化值与手术节段角度、C2-7Cobb手术前后变化值具有相关性(P<0.05);(4)结果说明,颈椎人工间盘置换治疗伴交感神经症状颈椎病的疗效良好,有利于恢复颈椎矢状位参数,减轻患者交感神经症状。
BACKGROUND:The treatment of cervical spondylosis with total disc replacement can retain the range of motion of the cervical lesion segment and can effectively improve the symptoms of cervical spondylosis with sympathetic symptoms.OBJECTIVE:To investigate the clinical efficacy of total disc replacement for cervical spondylosis with sympathetic symptoms.METHODS:Retrospective analysis was made on 56 patients with cervical spondylosis with obvious sympathetic symptoms such as dizziness and headache who were operated on from December 2018 to December 2021.The sagittal parameters of the cervical spine before,3 months after surgery and at the last followup were observed and compared,including cervical sympathetic symptom score and Japanese Orthopaedic Association Scores,operation segment angle,C_(2)-C_(7)Cobb angle,C_(2)-C_(7)sagittal vertical axis and T1 slope.The correlation between the changes in sympathetic symptoms and Japanese Orthopaedic Association Scores before and after surgery and the changes in cervical sagittal parameters before and after surgery was analyzed.RESULTS AND CONCLUSION:(1)All patients showed improvement in sympathetic symptoms after surgery,and the sympathetic symptom scores and Japanese Orthopaedic Association Scores were significantly improved at 3 months and at the last follow-up compared with those before surgery(P<0.05),but Japanese Orthopaedic Association Scores did not show significant differences at the last follow-up compared with those at 3 months after surgery(P>0.05).(2)The cervical sagittal parameters increased at 3 months and at the last follow-up compared with those before surgery,but not at the last follow-up compared with those at 3 months after surgery(P>0.05).(3)The pre-and post-operative change values of sympathetic symptom scores significantly correlated with the preand post-operative change values of operation segment angle and C2-7 Cobb angle(P<0.05).(4)The results indicate that total disc replacement has a good effect in the treatment of cervical spondylosis with sympath
作者
马慧
贾象元
杨浩田
袁林
李亚锋
赵学千
贾育松
Ma Hui;Jia Xiangyuan;Yang Haotian;Yuan Lin;Li Yafeng;Zhao Xueqian;Jia Yusong(Department of Orthopedics and Traumatology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Department of Orthopedics,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;Department of Orthopedics,Yuquan Hospital,Tsinghua University(Tsinghua University Integrated Hospital of Traditional Chinese and Western Medicine),Beijing 100040,China)
出处
《中国组织工程研究》
CAS
北大核心
2023年第36期5818-5822,共5页
Chinese Journal of Tissue Engineering Research
基金
横向科研项目(新型颈椎前后路内固定系统的生物力学及动物实验研究,HX-DZM-2017001),项目负责人:贾育松。
关键词
颈椎病
颈椎人工间盘置换术
交感神经症状
矢状位参数
颈椎
人工假体
cervical spondylosis
total disc replacement
sympathetic symptom
sagittal parameter
cervical vertebra
artificial prosthesis
