临床骨科杂志Issue(6)：633-635,3.DOI:10.3969/j.issn.1008-0287.2014.06.005
人工颈椎间盘置换联合颈前路融合术治疗多节段脊髓型颈椎病
Treatment on multilevel cervical spondylotic myelopathy by artificial cervical disc replace-ment combined with anterior cervical discectomy and fusion
游新茂 1叶秀益 1宋滇文 2贾连顺2
作者信息
- 1. 余姚市人民医院脊柱外科，浙江 余姚 315400
- 2. 上海长征医院骨科，上海 200003
- 折叠
摘要
Abstract
Objective To explore the clinical effects of artificial cervical disc replacement( ACDR) combined with anterior cervical discectomy fusion ( ACDF ) for the treatment of multi-segmental cervical spondylotic myelopathy ( CSM) . Methods 18 cases with multi-segmental CSM which were treated by ACDR combined with ACDF were re-viewed. The stability of artificial disc, internal fixation and bone fusion were evaluated by X-ray films before opera-tive, immediate postoperative and follow-up. The JOA scores was evaluated also at the same time. Results 18 pa-tients were followed up from 24 to 60 months ( averaged 36 ± 9. 6 months) . The range of motion of the replacement segment were 13. 8° ± 6. 5° at preoperative and 12. 5° ± 5. 3° at the final follow-up, and there was no significant difference between them(P>0. 05). The preoperative JOA scores was 9. 5 ± 1. 5, which was improved to 14. 2 ± 2. 2 in 4 months after operation; Preoperative neurological symptoms were obviously alleviated in most patients, and the improvement ratio of JOA was 62. 7% ± 11. 2%. The results were excellent in 9 patients, good in 5, fair in 2 and poor in 2. There were no patient with false of internal fixation, and the position of artificial disc was good. Conclu-sions ACDR combined with ACDF is a good procedure for multi-segmental cervical spondylotic myelopathy, it not only maintain the cervical spine alignment with saving more movement segments,but also reduce the incidence of ad-jacent segment degeneration.关键词
人工颈椎间盘/前路融合/多节段/脊髓型颈椎病Key words
artificial cervical disc/anterior cervical discectomy fusion/multi-segmental/cervical spondylotic my-elopathy分类
医药卫生引用本文复制引用
游新茂,叶秀益,宋滇文,贾连顺..人工颈椎间盘置换联合颈前路融合术治疗多节段脊髓型颈椎病[J].临床骨科杂志,2014,(6):633-635,3.
