临床骨科杂志2016，Vol.19Issue(4)：400-403,4.DOI:10.3969/j.issn.1008-0287.2016.04.005
采用自稳式双嵌片融合系统前路手术治疗神经根型颈椎病
The research on the application of double-plate self-locking cage for treatment of the cervical spondylotic radiculopathy
李国 1严力生1
作者信息
- 1. 解放军第411医院骨科，上海 200081
- 折叠
摘要
Abstract
Objective To discuss the efficacy of a new double-plate self-locking interbody fusion device( ROI-C) in the anterior cervical discectomy and fusion( ACDF) for treatment of cervical spondylotic radiculopathy. Methods The anterior cervical discectomy,radicular decompression and interbody fusion by RIO-C were performed in 35 pa-tients. The neck disability index( NDI) was recorded preoperatively and in the follow-up time to evaluate the clinical outcome, meanwhile, the preoperative and postoperative X-ray films of 3,6,12months were accumulated to measure the height of interbody space and the rate of fusion. Results Thirty-five cases were followed up for 12~32 months. NDI decreased from 36. 1% ± 12. 8% preoperatively to 9. 8% ± 4. 5% in 12 months postoperation ( P<0. 05 ) , the excellent-good rate was 91. 4%. The height of the disc space increased from 5. 1 mm ± 1. 6 mm preoperatively to 7. 8 mm ± 0. 5 mm in 12 months postoperation, the change was statistically significant(P<0. 05). Dysphagia in one pa-tient and hoarseness in another patient were found, both of them were recovered spontaneously in two weeks. All of the 35 cases(39 levels)achieved bony fusion in 6 months according to X-ray film or CT image judgment. Conclusions There are many advantages in the treatment for cervical spondylotic radiculopathy with the ROI-C, such as good bi-ological histocompatibility, minimally invasive procedure, less complications, high fusion rate, optimistic treatment outcome.关键词
神经根型颈椎病/颈椎融合器/脊柱融合术Key words
cervical spondylotic radiculopathy/cervical interbody cage/spinal fusion分类
医药卫生引用本文复制引用
李国,严力生..采用自稳式双嵌片融合系统前路手术治疗神经根型颈椎病[J].临床骨科杂志,2016,19(4):400-403,4.
