颈椎间盘置换联合颈前路融合手术治疗三节段颈椎病的临床效果分析

Clinical effect analysis of cervical intervertebral disc replacement combined with anterior cervical fusion in the treatment of three-segment cervical spondylosis

目的探讨颈椎间盘置换联合颈前路融合手术治疗三节段颈椎病的临床效果。方法选取2014年5月~2015年4月我院收治的58例三节段颈椎病患者,依照入院单双次序分为对照组(n=29)与观察组(n=29)。对照组行颈椎间盘置换术治疗,观察组在对照组的基础上行颈前路融合手术治疗。比较两组的临床治疗效果。结果观察组的临床治疗优良率高于对照组,差异有统计学意义(P<0.05)。两组治疗后的JOA、NDI以及Nurick评分优于治疗前,差异有统计学意义(P<0.05),观察组治疗后的JOA、NDI以及Nurick评分优于对照组,差异有统计学意义(P<0.05)。结论颈椎间盘置换联合颈前路融合手术治疗三节段颈椎病效果显著,可在临床治疗中大力推广。

Objective To explore the clinical efficacy of cervical intervertebral disc replacement combined with anterior cervical fusion on treating three-segment cervical spondylosis.Methods 58 patients with three-segment cervical spondylosis treated in our hospital from May 2014 to April 2015 were selected.According to the odd and even admission order,they were evenly divided into the control group and the observation group,29 cases in each group.In the control group,cervical intervertebral disc replacement was performed,while in the observation group,on the basis of the control group,anterior cervical fusion surgery was added.The clinical therapeutic effect in the two groups was compared.Results The excellent and good rate of clinical treatment in the observation group was higher than that in the control group,with significant difference（P〈0.05）.The scores of JOA,NDI and Nurick in the two groups after treatment was better than that before treatment,with significant difference（P〈0.05）.The scores of JOA,NDI and Nurick in the observation group after treatment was better than that in the control group,with significant difference（P〈0.05）.Conclusion Combination of cervical intervertebral disc replacement and anterior cervical fusion surgery in the treatment of three-segment cervical spondylosis can obtain an excellent clinical effect,which is worthy of extensive promotion in clinic.