钛网并前路钢板在颈前路手术中的应用

Application of titanium rete and anterior plate in the anterior cervical surgery

目的探讨钛质外科网及带锁钢板在颈椎病损手术治疗中的应用价值。方法对48例颈前路减压术临床资料进行回顾性研究,按JOA评分评定手术效果,颈椎正侧位及屈伸位X线检查判断融合效果。结果JOA评分从术前11.08分±1.68分提高到术后13.56分±1.65分,无一例患者症状加重;按照上海长征医院CSM标准评定,优良率达87.5%。椎体间隙高度得以恢复,植入物无移位脱落,钛钢板及螺钉无移位及松动,植骨融合良好。结论钛质外科网包容自体椎体骨颗粒行植骨融合结合前路钢板固定术可代替自体髂骨融合术,治疗效果肯定,可缩短手术时间,避免取髂骨所致并发症。

Objective To investigate the value of titanium rete and anterior plate in the anterior cervical surgery. Methods The clinical data of 48 cases of anterior cervical surgeries were reviewed. The effects of surgery were evaluated with JOA scoring. The fusion was studv with roentgenography. Results JOA scores were improved from 11.08±1.68 preoperatively to 13.56±1.65 postoperatively. No aggravation was found. According to the standard of CSM made by Shanghai Changzheng Hospital, the excellent and good rate was 87.5%. The intervertebral space was restored. No implant disengagement or looseness was found. The bone graft fused well. Conclusions The lilac bone graft can be avoided with the titanium implantation and anterior plating in the anterior cervical surgery. The effect is positive, and the operation time is shortened, with which the complication of harvesting lilac bone can be avoided.