前路手术治疗急性单节段颈椎间盘突出30例

Anterior surgery for the treatment of acute single segment 30 cases of cervical disc

目的研究探讨前路颈椎间盘切除+椎间融合器+钛板内固定治疗急性颈椎间盘突出症的效果。方法采用前路手术对我科2008-03-2011-03收治的30例急性颈椎间盘突出症患者进行治疗,所有患者均获得平均15个月的随访,根据术后摄片及JOA评分判断疗效。结果在随访过程中,所有患者均未出现临床并发症,术后摄片显示均获得骨性融合,依据JOA评分标准:优(改善率大于75%)20例,良(改善率50～75%)8例,好转(改善率25～50%)2例。结论该方法治疗急性颈椎间盘突出症可达到充分减压、重建颈椎生理曲度、恢复椎间隙高度、椎体间高融合率、颈椎牢固固定的作用。而且该术式操作简单,手术时间短、出血少、并发症少,是治疗急性颈椎间盘突出一种可靠方法。

Objective research and discuss the effect of the treatment of acute cervical disc herniation by using anterior cervical discectomy,Intervertebral fusion and Internal fixation with titanium plate. Methods 30 cases of patients with acute cervical disc herniation in our department in March 2008-March 2011 were treated by using anterior surgery,all patients received an average of 15 months of follow-up visit,then judge the curative effect according to postoperative radiography and JOA scores. Results In the process of follow-up,all patients did not show clinical complications,postoperative radiography showed bony fusion,according to JOA scoring criteria, optimal （improvement rate more than 75%） 20 cases, fine （improvement rate 50%~75%） 8 cases,improved （improvement rate 25%-50%） 2 cases. Conclusion the treatment of acute cervical disc herniation can achieve full decompression,reconstruction of cervical physiological curvature,restore intervertebral disc height,high fusion rate between the vertebral bodies, cervical vertebra firmly fixed. And the operation is simple,short operation time,less bleeding,fewer complications,so the treatment of acute cervical disc herniation is a reliable method.