AO锁定钢板在颈前路减压植骨融合术中的应用

The use of the cervical spine locking plate (CSLP) in the procedure of anterior cervical spine decompression and fusion

目的:评价颈前路锁定钢板 (CSL P)在颈前路减压术中的应用效果。 方法 :对 2 3例颈脊髓病、颈椎创伤、肿瘤及结核患者在颈前路减压植骨融合术后行 CSL P固定并分析其结果。结果:2 3例患者 ,切除椎体 48个 ,完成减压 71个间隙 ,平均 3个间隙。术后植骨稳定 ,早期活动。随访 6～ 16个月 ,平均 8.7个月。颈脊髓病患者术前平均 JOA评分 8.1分 ,术后 14.8分 ,恢复率为 75 .3% ,优良率为 87.5 %。颈椎骨折脱位并脊髓损伤减压融合术后 ,ASIA分级平均提高 1.5级。 结论 :颈前路锁定钢板能保证植骨稳定 ,减少并发症 。

Objective: To evaluate the effect of the use of the cervical spine locking plate (CSLP) in the procedure of anterior cervical spine decompression and fusion. Methods: 23 patients were treated with CSLP after anterior decompression and fusion. Among these cases, 11 cases were cervical spondylotic myelopathy, 3 cases were cervical disc herniation, 7 cases were cervical vertebra fracture and dislocation, and cervical vertebra tubculosis and metastasis was one case respectively. Results: The patients were followed up from 6 to 16 months, with an average of 8.7 months, 48 vertebrae were resected by anterior subtotal corpectomy and 71 levels were decompressed and fused with an average of 3 levels. The preoperative mean JOA scale score was 8.1 point, the postoperative mean JOA scale score was 14.8 point, the recovery ratio was 75.3%, and the excellent and good results were 87.5%. Patients with cervical vertebra fracture dislocations and spinal cord injury had 1.5 ASIA levels improvement. Conclusion: CSLP may not only provide the stability of grafts, but also decrease complication and simplify surgical procedure.