摘要
Abstract
Objective:To explore the application effect of zero incision fusion cage in anterior cervical discectomy and fusion surgery for the treatment of multi segment cervical spondylotic myelopathy.Method:Eighty patients with multi segment cervical spondylotic myelopathy admitted to the First People's Hospital of Yancheng City from November 2021 to November 2022 were randomly selected as the study subjects.They were divided into two groups using a double-blind method,with 40 patients in each group.The control group received traditional fusion cage and titanium plate fixation treatment,while the experimental group received zero incision fusion cage treatment.Perioperative indicators and clinical efficacy were compared between the two groups,while imaging related indicators and incidence of complications were compared between the two groups.Result:Compared with the control group,the experimental group had a shorter surgical time and a significant difference(P<0.05).While there was no significant difference in intraoperative bleeding and hospital stay between the two groups(P>0.05).Compared to preoperative,the JOA scores of the two groups were higher 3 months and 1 year after surgery,while the NDI scores were lower(P<0.05).The Cobb angle of the cervical spine in both groups significantly increased 3 months and 1 year after surgery,with significant differences(P<0.05).Compared to the control group,the incidence of complications in the experimental group was significantly lower,and there was a significant difference.(P<0.05).Conclusion:The application of zero incision fusion cage in anterior cervical discectomy and fusion for the treatment of multi segment cervical spondylotic myelopathy can achieve comparable therapeutic effects to traditional fusion cage and titanium plate fixation.What's more,using zero incision fusion cage has shorter surgical time and less intraoperative bleeding,which can reduce postoperative dysphagia and the risk of adjacent segment degeneration in patients,and the safety of treatment is higher.关键词
零切迹融合器/颈前路椎间盘切除融合术/多节段脊髓型颈椎病Key words
Zero cut fusion device/Anterior cervical discectomy and fusion surgery/Multisegmental cervical spondylotic myelopathy
