钛网融合器在颈椎病椎体重建中的临床应用

Application of Titanium Mesh Fusion in Vertebral Body Rebuild for Cervical Disease

目的：评价颈椎前路椎体次全切除减压、钛网植骨重建联合钢板内固定治疗多阶段颈椎病的临床疗效。方法对32例颈椎间盘突出症患者均采取前路椎体次全切除减压、钛网重建联合钢板内固定治疗，评价其临床效果。结果32例患者均未出现严重并发症，随访6～28个月，平均18个月，均获得骨性融合，手术前后融合节段生理曲度明显改善，神经功能改善优22例，良7例，可3例，优良率91%。结论颈椎前路椎体次全切除减压钛网植骨重建内固定治疗颈椎病术后颈椎生理曲度恢复及维持良好，植骨融合满意，无自体取骨并发症。

Objective To evaluate clinical efficacy of anterior cervical corpectomy decompression, bone graft and titanium mesh fixed in vertebral body rebuild in multi-stage cervical disease in the joint plate. Methods32 patients with cervical disc herniation patients were taken anterior corpectomy decompression, titanium mesh plate fixation joint reconstruction, evaluated the clinical effects.Results 32 patients had no serious complications, follow up of 6~28 months, an average of 18 months, they had received bone fusion, fusion segments, lordosis significantly improved before and after surgery, neurological function was excellent in 22 cases, good in 7 cases, not bad in 3 cases, the good rate was 91%. Conclusion Anterior cervical corpectomy decompression and ifxation with titanium mesh and bone graft reconstruction can maintain good bone fusion satisifed, and have no autologous bone graft complications.