双节段ACDF和单节段ACCF手术治疗脊髓型颈椎病疗效比较

Abstract
Figure/Table
References (0)
Related Citation (9)

Download: PDF (2079 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the clinical outcomes between anterior cervical discectomy and fusion(ACDF) and anterior cervical corpectomy and fusion(ACCF) in treating the adjacent two segments cervical spondylotic myelopathy.Methods 51 patients with cervical spondylotic myelopathy who underwent ACDF and ACCF between June 2009 and March 2014 were enrolled in this study.27 patients underwent ACDF and 24 patients underwent ACCF.We recorded operative time，blood loss，length of hospital stay，complications rates and fusion rates.The JOA score，VAS pain score，NDI index and Cobb angle data were obtained.Results In ACDF group，the mean follow-up was(30.2±10.5)months.The average operation time was(83.5±15.7)min.The average operative blood loss was(135.5±21.4)mL.The complications rates was 14.8%.The fusion rates was 88.9%.The average postoperative JOA score，VAS pain score，NDI index and Cobb angle improved significantly.In ACCF group，the mean follow-up was(28.3±12.1)months.The average operation time was(118.3±20.9)min，the average operative blood loss was(329.3±70.2)mL，the complications rates was 16.7%，the fusion rates was 91.7%.The average postoperative JOA score，VAS pain score，NDI index and Cobb angle improved significantly.No significant differences were found between 2 groups with respect to VAS pain score，NDI index and JOA score.The operation time、operative blood loss and postoperative Cobb angle of ACDF group was better than that of ACCF group.Conclusion 2-level ACDF has better outcomes compared with 1-level ACCF in treating adjacent two segments cervical spondylotic myelopathy.It has shorter operation time，less bleeding and better Cobb angle.

Key words： anterior cervical discectomy and fusion anterior cervical corpectomy and fusion cervical spondylotic myelopathy clinical outcomes

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Chen Wenheng
	Guo Tuanmao
	Liu Qiang

Cite this article:

Chen Wenheng,Guo Tuanmao,Liu Qiang. Comparison between 2-level ACDF and 1-level ACCF in Treating Cervical Spondylotic Myelopathy[J]. sygkzz, 2017, 23(2): 100-104.

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2017/V23/I2/100

［1］Toledano M，Bartleson JD.Cervical spondylotic myelopathy［J］.Neurol Clin，2013，31(1)：287-305.
［2］Leveque JC，Marong-Ceesay B，Cooper T，et al.Diagnosis and treatment of cervical radiculopathy and myelopathy［J］.Phys Med Rehabil Clin N Am，2015，26(3)：491-511.
［3］Li JF，Zheng QX，Guo XD，et al.Anterior surgical options for the treatment of cervical spondylotic myelopathy in a long-term follow-up study［J］.Arch Orthop Trauma Surg，2013，133(6)：745-751.
［4］Han YC，Liu ZQ，Wang SJ，et al.Is anterior cervical discectomy and fusion superior to corpectomy and fusion for treatment of multilevel cervical spondylotic myelopathy? A systemic review and meta-analysis［J］.PloS One，2014，9(1)：e87191.
［5］Kato S，Fehlings M.Degenrative cervical myelopathy［J］.Curr Rev Musculoskelet Med，2016，9(3)：263-271.
［Song KJ，Lee KB，Song JH.Efficacy of multilevel anterior cervical discectomy and fusion versus corpectomy and fusion for multilevel cervical spondylotic myelopathy：a minimum 5-year follow-up study［J］.Eur Spine J，2012，21(8)：1551-1557.
［7］Shamji MF，Massicotte EM，Traynelis VC，et al.Comparison of anterior surgical options for the treatment of multilevel cervical spondylotic myelopathy a systematic review［J］.Spine，2013，38(22 suppl 1)：195-209
［8］Hartmann S，Tschugg A，Obernauer J，et al.Cervical corpectomies：results of a survey and review of the literature on diagnosis，indications，and surgical technique［J］.Acta Neurochir(Wien)，2016，158(10)：1859-1867.
［9］Oh MC，Zhang HY，Park JY，et al.Two-level anterior cervical discectomy versus one-level corpectomy in cervical spondylotic myelopathy［J］.Spine，2009，34(7)：692-696.
［10］Jiang SD，Jiang LS，Dai LY.Anterior cervical discectomy and fusion versus anterior cervical corpectomy and fusion for multilevel cervical spondylosis：a systematic review［J］.Arch Orthop Trauma Surg，2012，132(2)：155-161.
［11］Lin QS，Zhou XH，Wang XW，et al.A comparison of anterior cervical discectomy and corpectomy in patients with multilevel cervical spondylotic myelopathy［J］.Eur Spine J，2012，21(3)：474-481.
［12］Aghayev K，Doulgeris JJ，GonzalezBlohm SA，et al.Biomechanical comparison of a two-level anterior discectomy and a one-level corpectomy，combined with fusion and anterior plate reconstruction in the cervical spine［J］.Clin Biomech，2014，29(1)：21-25.
［13］Fei Q，Li J，Su N，et al.Comparison between anterior cervical discectomy with fusion and anterior cervical corpectomy with fusion for the treatment of cervical spondylotic myelopathy：a meta-analysis［J］.Ther Clin Risk Manag，2015(11)：1707-1718.
［14］Tortolani PJ，Cunningham BW，Vigna F，et al.A comparison of retraction pressure during anterior cervical plate surgery and cervical disc replacement：a cadaveric study［J］.J Spinal Disord Tech，2006，19(5)：312-317.