两种颈前路减压融合内固定系统治疗颈椎病的疗效比较

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1157 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the clinical effects between traditional titanium plate with cage (group A)and Zero-P (group B) in treating cervical spondylosis.Methods The clinical data of 46 patients with cervical spondylotic myelopathy who underwent anterior cervical discectomy and fusion(ACDF) by traditional titanium plate with cage (group A， n ＝24) or Zero-P implant (group B， n ＝24) between July 2012 and June 2014 were retrospectively analyzed.The operation time，intraoperative blood loss，postoperative JOA scores，NDI score，Bazaz dysphagia score，cervical curvature，vertebral angle displacement and horizontal displacement were compared between groups.Results There was no statistical significance in terms of operation time and blood loss between group A and B(P＞0.05).The JOA score，NDI score of the last follow-up was significant improved (P＜0.05)，but no statistical difference was found between both groups(P＞0.05).The cervical curvature showed significantly increases after operation (P＜0.05)，Bazaz dysphagia score between the two groups was statistically significant (P＜0.05).The cervical curvature，angle displacement and horizontal displacement were significantly higher in group A than in the group B at 6 months and final follow-up.Conclusion Zero-P implant and traditional titanium plate with cage have similar effective treatments for cervical spondylosis，while Zero-P implant has lower incidence of dysphagia and adjacent segment degeneration.

Key words： anterior decompression interbody fusion cervical spondylosis zero profile

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2016/V22/I11/961

［1］Vanek P，Bradac O，De Lacy P，et al.Comparison of 3 fusion techniques in the treatment of the degenerative cervical spine disease.Is standalone autograft really the“gold standard?”：prospective study with 2-year follow-up［J］.Spine，2012，37(19)：1645-1651.
［2］Rihn JA，Kane J，Albert TJ，et al.What is the incidence and severity of dysphagia after anterior cervical surgery?［J］.Clin Orthop Relat Res，2011，469(3)：658-665.
［3］邓雄伟，闵志海，龚雅强，等.颈前路减压融合术结合切除后纵韧带治疗神经根型颈椎病疗效分析［J］.中国骨与关节损伤杂志，2012，27(9)：814-815.
［4］袁文.进一步观察颈椎融合与非融合对邻近节段退变的影响［J］.中国脊柱脊髓杂志，2011，21(1)：1-2.
［5］Bazaz R，Lee MJ，Yoo JU.Incidence of dysphagia after anterior cervical spine surgery：a prospective study［J］.Spine，2002，27(22)：2453-2458.
［6］徐广辉，贾连顺.颈前路减压融合术后植骨融合的影像学评价方法及标准［J］.中华外科杂志，2009，12(23)：1824-1825.
［7］Morgan JP，Asfora WT.Extreme multi-level anterior cervical discectomy and fusion［J］.S D Med，2013，66(7)：271-279.
［8］Stachniak JB，Diebner JD，Brunk ES.Analysis of prevertebral soft-tissue swelling and dysphagia in multilevel anterior cervical discectomy and fusion with recombinant human bone morphogenetic protein-2 in patients at risk for pseudarthrosis［J］.J Neurosurg Spine，2011，14(2)：244-249.
［9］武刚，申勇.颈椎病前路手术的并发症［J］.中国矫形外科杂志，2009，17(17)：1315-1318.
［10］陈昆，蔡惠民，陈荣滋.Zero-P与钛板＋cage内固定治疗颈椎间盘突出近中期疗效对比［J］.实用骨科杂志，2016，22(3)：193-197.
［11］Park JB， Watthanaaphisit T， Riew KD.Timing of development of adjacent-level ossification after anterior cervical arthrodesis with plates［J］.Spine J，2007，7(6)：633-636.
［12］韦竑宇，蒋欣，谭明生.颈椎前路钢板固定融合术后邻近节段骨化发生的因素［J］.中日友好医院学报，2009，23(2)：70-72.
［13］Park MS，Kelly MP，Lee DH，et al.Sagittal alignment as a predictor of clinical adjacent segment pathology requiring surgery after anterior cervical arthrodesis［J］.Spine J，2014，14(7)：1228-1234.
［14］王磊，陈华，祁荣，等.颈椎前路零切迹融合器治疗青年颈椎病的临床疗效分析［J］.实用骨科杂志，2015，21(12)：1057-1061.
［15］程彩霞，卢旭华，谢宁，等.Zero-P椎间融合术在治疗颈前路融合术后相邻节段退变性疾病中的应用［J］.脊柱外科杂志，2012，10(3)：152-154.
［16］Scholz M，Schnake KJ，Pingel A，et al.A new Zero-Profile implant for stand-alone anterior cervical interbody fusion［J］.Clin Orthop Relat Res，2011，469(3)：666-673.