颈椎间盘置换临床探讨

Clinical study on cervical disc replacement

目的:探讨人工颈椎间盘置换术治疗颈椎病临床效果。方法:选取我院2009年1月-2012年12月48例颈椎病患者,其中有62个椎间隙,实施人工颈椎间盘置换术,观察其临床效果。结果:除2例患者术后10个月手术节段椎体前缘骨质有增生融合导致活动度丢失情况外,其余患者恢复情况良好。术后1个月、2年及末次随访检测JOA和ONDI评分和手术前对比统计学差异明显(P<0.05)。结论:人工颈椎间盘置换治疗效果显著,有较高临床推广应用价值。

Objective： To investigate the artificial cervical disc replacement therapy for cervical spondylosis. Methods： 48 cases of cervical spondylosis, which has 62 intervertebral spaces, received the implementation of artificial cervical disc replacement surgery, observing the clinical effect. Results： Except for 2 patients 10 months later with the proliferation activity, the remaining patients recover well. ONDI and JOA score have statistically significant differences （P〈0.05）. Conclusion： Artificial cervical disc replacement treatment effect is significant, a higher value of clinical application.