中国组织工程研究2017，Vol.21Issue(11)：1695-1700,6.DOI:10.3969/j.issn.2095-4344.2017.11.010
Zero-P颈椎前路内固定系统修复多节段脊髓型颈椎病
Zero-P anterior cervical fixation system for multilevel cervical myelopathy
何升华 1赖居易 2王业广 1孙志涛 1王建 1冯华龙 2黄飞强2
作者信息
- 1. 深圳市中医院,广东省深圳市 518000
- 2. 广州中医药大学第四临床医学院,广东省深圳市 518000
- 折叠
摘要
Abstract
BACKGROUND: Zero-P anterior cervical fixation system is an important means for treatment of cervical myelopathy in recent years. Zero-P fixation system can achieve effective decompression of spinal cord and nerve, and restore cervical curvature, with good stability.OBJECTIVE: To investigate the biocompatibility of Zero-P for multilevel cervical myelopathy.METHODS: Totally 62 patients with multilevel cervical disease who were treated by anterior cervical discectomy and fusion with Zero-P were selected, including double segments in 47 cases, three segments in 13 cases and four segments in 2 cases. Clinical efficacy was evaluated by pain visual analogue scale score, Japanese Orthopedic Association score, neck disability index score at postoperative 1, 6, 12, 24 months. Simultaneously, incidence of postoperative complications, cervical intervertebral space height and Cobb angle changes were observed.RESULTS AND CONCLUSION: (1) 54 patients were followed 2 years after treatment by clinic or telephone. Mean operative time was (102.00±32.41) minutes; average blood loss was (62.45±18.36) mL. (2) Two patients affected mild throat discomfort at one day after operation, and the symptoms went to lift six days after. The remaining patients did not experience any other complications. (3) Visual analogue scale score and neck disability index score at 1, 6, 12 and 24 months after operation were all less than preoperatively (P < 0.05); Japanese Orthopedic Association scores were higher than preoperatively (P < 0.05); the Cobb angle was improved significantly and greater than before treatment (P < 0.05).Postoperative cervical intervertebral space height was significantly higher than preoperatively (P < 0.05). Japanese Orthopedic Association results showed that among 54 patients, excellent was found in 34 cases, good in 14 cases,average in 6 cases and poor in 0 cases; the excellent and good rate was 89%. (4) Zero-P has a good clinical efficacy for multilevel cervical myelopathy, relieves symptoms significantly and restores cervical curvature and height, and has a good biocompatibility.关键词
骨科植入物/脊柱植入物/颈椎病/融合固定/内固定/前路/Zero-P/脊髓病变/开放手术/生物相容性分类
医药卫生引用本文复制引用
何升华,赖居易,王业广,孙志涛,王建,冯华龙,黄飞强..Zero-P颈椎前路内固定系统修复多节段脊髓型颈椎病[J].中国组织工程研究,2017,21(11):1695-1700,6.
