中国组织工程研究Issue(13)：2049-2054,6.DOI:10.3969/j.issn.2095-4344.2014.13.014
增加前路cage融合对颈椎曲度、稳定性及轴性症状的影响
Effects of anterior fusion cage fixation on cervical curvature, stability and axial symptoms
李宽宽 1夏磊 1桑亮1
作者信息
- 1. 郑州大学第一附属医院骨科，河南省郑州市 450052
- 折叠
摘要
Abstract
BACKGROUND:The combination of anterior and posterior approaches for severe cervical intervertebral disk herniation, posterior longitudinal ligament calcification and ligament flava hyperplasia can completely reduce compression. Simultaneously, cage implantation and anterior plate fixation partial y recover vertebral interspace and physiological curvature of cervical vertebra. <br> OBJECTIVE:To compare the effects of cervical posterior single-door laminoplasty for cervical spondylosis and anterior cage-assisted fusion on curvature, stability and axial symptoms after treatment. <br> METHODS:Clinical data of 50 patients, who received surgical treatment for cervical spondylosis, were retrospectively analyzed. 22 cases underwent I-stage spinal decompression by the combination of anterior and posterior approaches (anterior fusion cage+steel plate fixation) (combination group). 28 cases underwent cervical posterior single-door laminoplasty (posterior windowing rivet fixation) (posterior approach group). They were fol owed up for 6 to 24 months. The recovery of neurological function, incidence of axial symptoms, cervical curvature index, and slipping degree of affected intervertebral segments were analyzed statistical y. <br> RESULTS AND CONCLUSION:The neurological functions were greatly improved according to Japanese Orthopaedic Association in both groups. Incidence of axial symptoms was relatively low in the combination group. Cervical curvature index was obviously improved in the combination group compared with the posterior approach group. The slipping degree of affected intervertebral segments was relatively greater in the posterior approach group than that in the combination group. Results suggested that fusion cage, anterior steel plate and posterior rivet for spinal decompression in I-stage combination of anterior and posterior approaches can effectively maintain cervical physiological curvature and the balance of sagittal level, reduce incidence of axial symptoms, and play a key effect on keeping posttreatment long-period cervical stability.关键词
植入物/脊柱植入物/颈椎病/内固定器/颈椎曲度指数/脊柱稳定性/轴性症状Key words
cervical spondylosis/internal fixators/cervical vertebrae分类
医药卫生引用本文复制引用
李宽宽,夏磊,桑亮..增加前路cage融合对颈椎曲度、稳定性及轴性症状的影响[J].中国组织工程研究,2014,(13):2049-2054,6.
