临床骨科杂志2018，Vol.21Issue(2)：129-131,3.DOI:10.3969/j.issn.1008-0287.2018.02.001
自锁式双固定嵌片融合器在颈椎前路融合术中的应用
The application of self-locking double fixation fusion cage in anterior cervical fusion
高鑫 1厉晓龙 1刘伟峰 1朱洲 1邵建树 1季旭彪1
作者信息
- 1. 江苏大学附属武进医院骨科,江苏 常州 213017
- 折叠
摘要
Abstract
Objective To observe the effect of self-locking double fixation fusion cage (ROI-C) in anterior cervical decompression and fusion. Methods The 26 patients with cervical spondylotic myelopathy(31 intervertebral discs) were treated by anterior cervical decompression and fusion,and ROI-C system was used for interbody fusion. The op-eration time,intraoperative blood loss were recorded. Postoperative spinal cord compression, postoperative dyspha-gia,the location of ROI-C system and cervical fusion were observed. JOA scoring was used to evaluate postoperative and follow-up of neurological function recovery. Results The operative time ranged from 55 ~80 (66.2 ± 9.4) min. The average blood loss was 20~65 (38.8 ± 14.9) ml. The 26 patients symptoms improved significantly at the postoperative 1 d. All patients were followed up for 18 ~44 months. At the last follow-up, all patients had not changed in fused vertebral deformity, moving fusion system. None of the patients complained of dysphagia or neck foreign body sensation. At postoperative 6 months and last follow-up, JOA scores were significantly higher than the preoperative level,the difference were statistically significant (P<0.01), while there was no statistical difference between the last follow-up and postoperative 6 months(P>0.05). Conclusions The satisfied clinical efficacy of anterior cervical decompression combined ROI-C with anterior cervical decompression is achieved in patients with no apparent bone compression in the front of cervical vertebral canal,without cervical instability and spinal stenosis.关键词
脊髓型颈椎病/颈椎前路减压融合/ROI-CKey words
cervical spondylotic myelopathy/anterior cervical decompression and fusion/ROI-C分类
医药卫生引用本文复制引用
高鑫,厉晓龙,刘伟峰,朱洲,邵建树,季旭彪..自锁式双固定嵌片融合器在颈椎前路融合术中的应用[J].临床骨科杂志,2018,21(2):129-131,3.
