Uniplate颈前路钛板系统在颈椎前路手术中的应用

Utilization of Uniplate anterior cervical vertebra titanic plate system in cervical vertebra anterior approach

目的探讨Uniplate颈前路钛板系统在颈椎前路手术中的应用价值。方法 57例颈椎疾病患者,其中脊髓型颈椎病32例,颈椎不稳7例,颈椎骨折13例,颈椎椎体肿瘤5例,均行颈前路减压、植骨融合、Uniplate钛板内固定,术后观察症状及功能明显改善情况,定期复查X线片,了解脊柱融合情况。结果所有患者随访3～12个月,平均(9.25±2.13)个月,术后X线检查显示全部病例生理弧度恢复,植骨愈合,无植骨块脱落、植骨不融合及假关节形成;无钛板和螺钉松动或断裂现象等,症状及功能明显改善,按Odom评分标准,优45例,良8例,可3例,差1例,优良率为93%。结论 Uniplate颈前路钛板系统具有操作简便、安全、并发症少、融合率高等优点,是一种理想的颈前路内固定方法。

Objective To study and evaluate the application of Uniplate anterior cervical vertebra titanic plate system in cervical vertebra anterior approach.Methods Fifty-seven patients with ceruical uertebra disease which included thirty-two cases with cervical spondylotic myelopathy,seven cases with ceruical uertebra waywardness,thirteen cases with cervical spine fracture and five cases with centrum tumor,were given cervical vertebra anterior decompression and bone grafting using Uniplate anterior cervical vertebra titanic plate system.The condition of spine fusion were observed by rechecking X-ray statedly.Results All the patients were followed up for an average of（9.25±2.13） months.None of the complications including bone graft fusion failure,loosing,dislocation,breakage of the plats and strews presented.A significant improvement of symptoms and functions was obtained.According to Odom′s classification,excellent outcome was seen in forty-five patients,good in eight patients,fair in three patients and poor in one patient.The excellent and good rate was 93%.Conclusion The Uniplate anterior cervical vertebra titanic plate system is an ideal approach for anterior cervical vertical internal fixation,which is not only simple and safe,but also enjoys fewer complication and higher fusion rate.