颈椎管狭窄并脊髓型颈椎病采用Centerpiece钛板内固定治疗疗效

Observation of cervical stenosis and cervical myelopathy titanium plate fixation using Centerpiece therapy

目的 :研究与分析颈椎管狭窄并脊髓型颈椎病采用Centerpiece钛板内固定治疗疗效。方法 :选取本院74例颈椎管狭窄并脊髓型颈椎病患者按照随机数字表法分为对照组与观察组,各37例。2组患者均采用后路椎管成形术治疗;对照组术后采用传统固定术治疗;观察组术后采用Centerpiece钛板内固定治疗。观察与统计2组患者术前、术后JOA评分情况和疼痛及轴性症状发生情况;并统计2组患者发生椎板塌陷及关门现象。结果 :术后观察组JOA评分为(15.02±1.21)分与对照组(12.07±1.14)分比较(P<0.05);2组较术前比较JOA评分均明显提高。观察组疼痛和轴性症状发生率分别为5.41%(2/37)、2.70%(1/37)低于对照组18.92%%(7/37)、29.73%(11/37)。观察组椎板塌陷及关门现象发生率明显低于对照组。结论 :临床采用后路椎管成形术治疗颈椎管狭窄并脊髓型颈椎病患者,术后采用Centerpiece钛板内固定治疗效果明显优于传统内定,其可减轻患者疼痛和减少并发症发生,值得推广应用。

Objective Research and Analysis of cervical stenosis and cervical myelopathy using Centerpiece titanium plate fixation therapy. Methods Select the hospital 74 cases of cervical stenosis and cervical myelopathy were randomly divided in accordance with the control group and the observation group, 37 cases each. Group 2 patients were treated with posterior spinal angioplasty; the control group after treatment with traditional fixation; observation group were using the Centerpiece titanium plate fixation. Observed before and Statistical two groups of patients, postoperative JOA score situation and the pain and the incidence of axial symptoms; and statistics group 2 patients lamina collapse and closed phenomenon. Results After surgery, the observation group JOA score was(15.02±1.21) points to the control group(12.07±1.14) min comparison(P<0.05); 2group than in the comparison of preoperative JOA score was significantly improved(P<0.05). Observed axial symptoms of pain and the incidence of 5.41%, respectively(2/37), 2.70%(1/37) and the control group 18.92%%(7/37), 29.73%(11/37) compare(P<0.05). Lamina collapse and close observation of the phenomenon of group were significantly lower than control group. Conclusion Clinical use of posterior cervical spinal stenosis angioplasty and patients with cervical myelopathy, after using the Centerpiece titanium plate fixation is better than the traditional default, which reduce patient pain and reduce complications, should be widely applied.