中国现代手术学杂志2017，Vol.21Issue(4)：274-278,5.DOI:10.16260/j.cnki.1009-2188.2017.04.008
ROI-C前路手术治疗无椎节不稳 、骨折或脱位TCDH临床疗效观察
Clinical Observation of ROI-C Anterior Surgical Treatment of TCDH without Vertebral Instability, Fracture or Dislocation
彭辉 1庄小强 1陆生林 1白宇 1方旭 1黄晖1
作者信息
- 1. 广西医科大学附属民族医院, 南宁 530001
- 折叠
摘要
Abstract
Objective To investigate the effect of double-plate self-locking interbody fusion device (ROI-C) on the treatment of traumatic cervical disc herniation (TCDH) without vertebral instability, fracture or dislocation,and to evaluate the effect of surgery. Methods A total of 120 patients with TCDH who were treated in our hospital from January 2008 to January 2016 were retrospectively analyzed.The pre-and post-operative Japanese Orthopedic Association score (JOA) and visual analogue score (VAS) were observed and compared.The neck disability index ( NDI), total cervical curvature changes and intervertebral heights, Vaccraro criteria for bone graft fusion assessment, and Odom criteria were used to evaluate the surgical effects . Results All patients were followed up for 13 to 34 months with an average of 19.5 months.The JOA score increased from 4.4 ±3.9 to 13.9 ±2.7 by the end of the follow-up.The VAS decreased from 6.4 ±2.1 to 1.1 ±0.8 (P <0.05); The NDI decreased from 38.3% ±11.8% to 8.8% ±3.3%(P <0.05).The inter-vertebral height increased from (5.3 ±1.6) mm to (7.9 ±0.7) mm(P <0.05); The curvature of the cervical spine increased from 5.2°±7.4 °to 10.6°±5.2 °(P <0.05).The symptoms of hoarseness disappeared 2 months later.The symptoms of dysphagia disappeared 3 months later.All the segments got bony fusion 6 months later.There was no ROI-C sinking, displacement or fracture phenomenon occurred .According to the Odom criteria, the excellent rate was 76.7%(92 /120). Conclusions The treatment of TCDH without verte-bral instability, fracture or dislocation by the ROI-C anterior approach alone does have the advantages of good therapeutic effect, high fusion rate and less complication .ROI-C anterior fusion therapy is a reliable minimally invasive surgical method, which is worthy of clinical promotion .关键词
双插片自稳式融合系统/颈椎损伤/椎间盘移位/椎间盘切除术/内固定器Key words
double-chip self-stabilizing fusion system/cervical vertebral injury/intervertebral disk displacement/discectomy/internal fixator分类
医药卫生引用本文复制引用
彭辉,庄小强,陆生林,白宇,方旭,黄晖..ROI-C前路手术治疗无椎节不稳 、骨折或脱位TCDH临床疗效观察[J].中国现代手术学杂志,2017,21(4):274-278,5.
