钛网植入联合前路钢板重建颈椎稳定性

Clinical Application of Titanium Mesh Cage Combined with Cervical Locking Plate in Reconstruction of Anterior Cervical Spines

目的 探讨钛网植骨联合前路钢板在颈椎前路重建中的应用价值。方法 采用钛网植骨联合前路锁定钢板固定治疗 10例颈椎病及 4例颈椎骨折患者 ,评价其疗效及植骨融合情况。结果 本组 14例获 3～16个月随访 ,神经功能得到不同程度恢复 ,所有患者椎体间融合良好 ,无内置物松动、下沉等并发症发生。结论 钛网植骨联合前路钢板在颈椎疾患前路重建中 ,可达到良好的稳定效果 ;正确的手术方法是避免并发症发生的关键。

Objective To investigate the therapeutic effect of titanium mesh cage combined with cervical locking plate in the reconstruction of anterior cervical spines.Methods The titanium mesh cage and the cervical locking plate were used to stabilize the severe lower cervical disorders in patients, of which 10 cases were diagnosed as cervical spondylosis and 4 as severe lower cervical fracture and dislocations.Their clinical efficacy and roentgenographical analysis were evaluated.Results All 14 cases were followed-up for 3～16 months.The complete fusion of bone graft was observed in all patients .No obvious complications occurred.The function of the spinal cord was improved at different degree after operation.Conclusion Titanium mesh cage combined with cervical locking plate can achieve satisfactory clinical results.Proper operating process may reduce the incidence of complications.