钛网植骨联合颈前路钢板治疗多节段颈椎病的临床应用The clinical application of titanium mesh and bone graft combining with anterior titanium plate in treatment of the multilevel cervical spondylosis after anterior cervical corpectomy
谢江,孟祥玉,郭海龙,盛伟斌
摘要(Abstract):
目的探讨钛网植骨联合颈前路钢板在治疗多节段颈椎病中的临床应用价值。方法回顾性分析新疆医科大学第一附属医院脊柱外科2003年6月~2006年6月40例行颈椎前路减压钛网植骨颈前路钢板固定治疗多节段颈椎病患者的临床资料。病变累及单椎体两间隙16例,两椎体三间隙19例,三椎体四间隙5例。侧位颈椎X线片测定颈椎曲度"D"值,JOA评分法评定颈脊髓神经功能,并对结果进行分析。结果全部资料均获随访,次全切除颈椎体69个,切除病变椎间盘109个,颈椎曲度"D"值由术前的(4.3±2.1)mm提高到术后的(9.2±2.5)mm,JOA评分由术前的(9.6±2.1)分增加到术后的(13.1±1.9)分,平均增加4.4分,差异有统计学意义(P<0.05)。其中7例发生钛网下沉,钛网下沉发生率为17.5%(7/40)。结论钛网植骨联合颈前路钢板治疗多节段颈椎病,可使施术节段得到支撑和稳定,近期疗效满意,提高了临床改善率,但要重视钛网下沉等并发症。
关键词(KeyWords): 钛网;颈椎;锁定钛板;脊柱融合
基金项目(Foundation):
作者(Author): 谢江,孟祥玉,郭海龙,盛伟斌
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