中国组织工程研究2012，Vol.16Issue(9)：1651-1655,5.DOI:10.3969/j.issn.1673-8225.2012.09.031
颈前路减压+MC+(r)颈椎融合器植骨融合与椎体次全切除融合钛板置入内固定治疗单节段脊髓型颈椎病的比较
Anterior cervical decompression plus MC+(r) cervical fusion cage versus anterior corpectomy plus titanium plate internal fixation for treatment of single-level cervical spondylotic myelopathy
何斌 1范磊 2成伟男 1王云华 1王伯尧 1刘军 1黄野1
作者信息
- 1. 南京医科大学第二附属医院骨科,江苏省南京市,210011
- 2. 华中科技大学附属协和医院骨科,湖北省武汉市,430022
- 折叠
摘要
Abstract
BACKGROUND: Anterior cervical decompression and fusion has become the golden standard of anterior cervical surgery for the treatment of cervical spondylotic myelopathy (CSM). But for single level CSM, whether fixation is needed remains controversial. Cervical cage fusion combined with bone grafting plays a very important role in treating single-level CSM in recent years. OBJECTIVE: To compare the clinical curative effects of anterior decompression and implantation of MC+? cervical intervertebral fusion cage combined with bone grafting with anterior cervical vertebrectomy and fixation of titanium plate on the treatment of single-level CSM.METHODS: Totally 42 single-level CSM patients were randomly divided into two groups. Patients treated by anterior decompression and implantation of MC+? cervical intervertebral fusion cage combined with bone grafting were taken as experimental group. Patients in control group were treated by anterior corpectomy and titanium plate internal fixation combined with bone grafting.RESULTS AND CONCLUSION: The postoperative Japanese Orthopedic Association (JOA) scores and cervical curvature improved obviously in both groups (P < 0.05). All cases were followed up for 12-29 months. At six months after surgery and the final follow-up, the JOA scores and the cervical curvature showed no significant differences from those postoperatively (P > 0.05). The JOA scores and cervical curvature showed no statistical differences between the two groups prior to and after surgery as well as at each follow-up (P > 0.05). At the final follow-up, the fusion rate was 100%, neither of the groups had implantation loosening or protrusion. After operation, one case of hoarseness occurred in the experimental group, and in the control group there were one case of hoarseness, three cases of dysphagia, and two cases of esophageal injury. The results indicated that both of the two surgical methods have reliable clinical outcomes for single-level CSM; however, the former one is simpler and has fewer early complications.关键词
脊髓型颈椎病/前路减压/融合/单节段/硫酸钙人工骨分类
医药卫生引用本文复制引用
何斌,范磊,成伟男,王云华,王伯尧,刘军,黄野..颈前路减压+MC+(r)颈椎融合器植骨融合与椎体次全切除融合钛板置入内固定治疗单节段脊髓型颈椎病的比较[J].中国组织工程研究,2012,16(9):1651-1655,5.
