颈椎前路减压零切迹椎间融合器内固定治疗单节段神经根型颈椎病患者的效果

Effect of Anterior Cervical Decompression and Zero Notch Interbody Fusion Apparatus for Internal Fixation in Patients with Single Level Radicular Cervical Spondylosis

目的:探究颈椎前路减压零切迹椎间融合器内固定治疗单节段神经根型颈椎病患者的效果。方法:选取2021年6月~2022年6月本院50例单节段CSR患者,随机分成两组各25例,实验组行颈椎前路减压零切迹椎间融合器治疗,对照组行颈前路减压植骨融合术治疗,对比两组治疗效果。结果:与对照组相比,实验组融合时间、手术耗时更短,术中失血量更少(P<0.05),与对照组相比,实验组术后3个月、6个月颈椎曲度更高,椎体水平位移及角度移位更低,术后1d、3d血清CK、MDA、ALD水平更低(P<0.05);两组吞咽困难相比无差异(P>0.05)。结论:ACDF与ACIF治疗单节段CSR患者均能有效改善颈椎功能,但后者能进一步优化手术指标,降低吞咽困难发生风险,改善颈椎生理曲度,且对机体应激反应及颈椎活动度影响更小。

Objective:To investigate the effect of anterior cervical decompression and zero notch interbody fusion apparatus internal fixation in the treatment of single level radiculopathy of cervical spondylosis.Methods:50 patients with single-level CSR(from June 2021 to June 2022)in our hospital were selected and randomly divided into two groups,25 cases in each group.The experimental group received anterior cervical decompression and zero notch interbody fusion device treatment,and the control group received anterior cervical decompression and bone graft fusion treatment,and the therapeutic effects of the two groups were compared.Results:Compared with the control group,the fusion time and operation time of the experimental group were shorter,and the intraoperative blood loss was less(P<0.05).Compared with the control group,the cervical curvature of the experimental group was higher at 3 months and 6 months after surgery,and the horizontal displacement and Angle displacement of the vertebral body were lower.Serum CK,MDA and ALD levels were lower at 1 and 3 days after surgery(P<0.05).There was no difference in dysphagia between the two groups(P>0.05).Conclusion:Both ACDF and ACIF can effectively improve cervical spine function in patients with single level CSR,but the latter can further optimize surgical indicators,reduce the risk of dysphagia,improve the physiological curvature of the cervical spine,and have less impact on the body’s stress response and cervical motion.