摘要
目的探讨应用零切迹椎间融合器(Zero-P)治疗跳跃型颈椎病的临床效果。方法回顾性分析2017年6月~2019年6月本院采用Zero-P椎间融合器治疗的跳跃型颈椎病患者21例。其中男12例,女9例;年龄45-72岁,平均(59.71±8.49)岁。采用JOA评分、疼痛VAS评分和颈椎NDI指数评价临床效果,采用C_(2-7)Cobb角评价颈椎曲度恢复情况,并记录术中术后并发症情况。结果21例患者均获随访12~36个月,神经功能均得到不同程度恢复,与术前相比,患者末次随访时的JOA评分、C_(2-7)Cobb角均显著提高(P<0.01),VAS评分、NDI指数均显著降低(P<0.01),差异均有统计学意义。1例患者术后出现吞咽困难。所有患者随访中无邻椎病、内置物沉降、螺钉松动、断裂和移位等并发症的发生,末次随访时均达骨性融合。结论采用颈前路椎间盘切除减压结合Zero-P椎间融合器置入治疗跳跃型颈椎病,可获得满意的临床效果。
Objective To evaluate the surgical outcomes of Zero-P intervertebral fusion for skip cervical spondylosis.Methods From June 2017 to June 2019,the clinical data of 21 patients(12 males,9 females)with skip cervical spondylosis,aged 45-72 years old[average(59.71±8.49)years old],who underwent Zero-P intervertebral fusion were retrospectively analyzed.The JOA score,VAS scale and NDI index were used to evaluate pre-and post-operative clinical outcomes.The C_(2-7)Cobb angle was used to assess the recovery of cervical spine curvature.All intraoperative and postoperative complications were recorded.Results All 21 patients were followed up for 12-36 months,and their neurological function was restored to varying degrees.Compared with preoperation,the JOA score and C_(2-7)Cobb angle of the patients at the last follow-up were significantly increased(P<0.01),while the VAS score and NDI index were significantly decreased(P<0.01),with statistically significant differences.One patient had dysphagia after surgery.There were no complications such as adjacent spondylopathies,loosening of screws,breakage and displacement were observed during follow-up period.All patients achieved bony fusion at the last follow-up.Conclusion Zero-P intervertebral fusion can obtain satisfactory clinical results in the treatment of skip cervical spondylosis,and it is an alternative surgical treatment for skip cervical spondylosis.
作者
王海波
李欣
陈德纯
黄波
郑华伟
许文根
卢一生
WANG Hai-bo;LI Xin;CHEN De-chun;HUANG Bo;ZHENG Hua-wei;XU Wen-gen;LU Yi-sheng(Department of Orthopedics,No.903 Hospital of the Joint Service Support Force of the Chinese People's Liberation Army,Hangzhou,Zhejiang 310007,China)
出处
《颈腰痛杂志》
2023年第2期208-210,共3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
零切迹椎间融合器
跳跃型颈椎病
颈前路减压椎间融合术
Zero-P intervertebral fusion
skip cervical spondylosis
anterior cervical discectomy and fusion
