中国现代手术学杂志2012，Vol.16Issue(1)：35-37,3.
椎间盘及部分椎体切除加钛网植骨钛板内固定术治疗单节段颈椎椎间盘突出伴椎体后缘骨赘
Disckectomy, Partial Adjacent Centrum Resection, Bone Graft with Titanium Mesh and Titanium Plate Fixation for the Treatment of Single Segment Cervical Disc Degeneration with Adjacent Vertebral Posterior Osteophyte
孙继飞 1何强 1刘振利 1陈庆胜1
作者信息
- 1. 中国人民解放军第251医院骨二科,张家口075000
- 折叠
摘要
Abstract
Objective To evaluate the clinical effects of disckectomy, partial adjacent centrum resection , bone graft with titanium mesh and titanium plate fixation for the treatment of single segment cervical disc degeneration with adjacent vertebral posterior osteophyte. Methods There were 22 cases received this kind of surgical procedure. By anterior cervical incision, the herniated disc and only 1/3 to 1/2 of the adjacent vertebral body were removed for the decompression of the spinal cord. Then the titanium mesh filled with the small bones was implanted in the bone defect followed by titanium screw fixation. The fixation was limited to the adjacent vertebral bodies. Preoperative and postoperative neurological functions of the JOA score, the cervical axial symptoms, the cervical dynamic radiographs and cervical spine MRI were used to compare the clinical efficacy. Results All patients were followed up for 15 (6 to 24) months. The postoperative good rate of JOA score was 86.4%. All symptoms of axial neck released and the spinal cord function got restored. The cervical activity was good. X-ray examination showed the titanium mesh cage and plate fixation well, no instability phenomena. MRI showed the spinal cord decompressed. Conclusion It shows significant effect of disckectomy, partial adjacent centrum resection, bone graft with titanium mesh and titanium plate fixation for the treatment of single segment cervical disc degeneration with adjacent vertebral posterior osteophyte, and can retain the maximum activity of cervical segments.关键词
颈椎病/椎间盘移位/椎间盘切除术/内固定器Key words
cervical spondylosis/ intervertebral disk displacement/ diskectomy/ internal fixator分类
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孙继飞,何强,刘振利,陈庆胜..椎间盘及部分椎体切除加钛网植骨钛板内固定术治疗单节段颈椎椎间盘突出伴椎体后缘骨赘[J].中国现代手术学杂志,2012,16(1):35-37,3.
