摘要
目的探讨Zero-P颈椎前路融合系统治疗双节段颈椎病的临床疗效。方法选取2013年1月~2017年12月于本院因颈椎退行性疾病行双节段前路颈椎间盘切除椎间融合术的患者,应用传统椎间融合器+钉板固定系统者为A组,应用Zero-P融合器者为B组。对两组患者的围手术期指标和术后疗效、并发症情况进行评价。结果A组患者手术时间显著长于B组(P<0.05),术后吞咽困难发生率显著高于B组(P<0.05)。与术前相比,两组患者术后3个月、12个月和末次随访时(>24个月)的JOA评分、NDI指数和VAS评分均显著改善(P<0.05),但组间差异无统计学意义(P>0.05)。两组术后各时间点的颈椎整体前凸角、颈椎间隙高度均较术前显著矫正(P<0.05);与术后3个月相比,上述指标在末次随访时的矫正程度有所丢失,但差异无统计学意义(P>0.05)。结论Zero-P手术治疗双节段颈椎病,可取得与传统钉板系统固定同样的手术效果,且手术时间短、吞咽困难发生率低。
Objective To evaluate the clinical effect of traditional plate with internal fixation and zero-profile fusion cage(Zero-P)in the treatment of two consecutive segments of cervical spondylosis with anterior cervical discectomy and interbody fusion(ACDF).Methods A retrospective study of patients who have been diagnosed with cervical myelopathy,radiculopathy,cervical disc herniation and underwent double consecutive level anterior cervical discectomy and interbody fusion from January 2013 to December 2017 was conducted.The patients who used the traditional interbody fusion cage combined with the plate fixation system were selected as group A,and the patients who used the Zero-P fusion cage were selected as group B.The perioperative indicators and postoperative outcomes,complications were evaluated in two groups.Results The operation time of group A was significantly longer than that of group B(P<0.05),and the incidence rate of postoperative dysphagia of group A was significantly higher than that of group B(P<0.05).Compared with preoperation,the JOA score,NDI index,and VAS score in both two groups were significantly improved at postoperative 3,12 months,and the last follow-up(>24 months),but there were no significant differences between the two groups(P>0.05).The overall cervical lordosis angle and the height of the cervical space in both two groups at each postoperative time point were significantly corrected compared with preoperation(P<0.05).The degree of correction of the above indicators at the last follow-up was lost compared with that at 3 months after surgery,but the difference was not statistically significant(P>0.05).Conclusion Zero-P surgery in the treatment of double segmental cervical spondylosis can achieve the same surgical results as conventional nail plate system fixation,and the surgical time is short and the incidence rate of dysphagia is low.
作者
张硕
刘正
吴四军
贾俊秀
唐冲
汪文龙
ZHANG Shuo;LIU Zheng;WU Si-jun;JIA Jun-xiu;TANG Chong;WANG Wen-long(Department of Orthopedics,Shougang Hospital,Peking University,Beijing 100041,China)
出处
《颈腰痛杂志》
2023年第2期193-196,共4页
The Journal of Cervicodynia and Lumbodynia
基金
宁夏回族自治区自然科学基金(编号:NZ16212)。
关键词
颈椎病
零切迹融合器
颈椎前路手术
椎间融合
吞咽困难
cervical spondylopathy
Zero notch fuser
anterior cervical surgery
interbody fusion
dysphagia
