前路减压合并自行设计的蝶形钢板内固定系统治疗颈椎间盘突出症

Anterior decompression and instrumentation with cervical butterfly-like locking plate system for herniated cervical intervertebral discs

目的探讨前路减压合并自行设计的国产蝶形钢板内固定治疗颈椎间盘突出症的疗效.方法采用经前路减压、自体髂骨植骨并颈椎前路蝶形钢板内固定治疗颈椎间盘突出症16例,年龄26～46岁(平均36.2岁),其中单节段12例、双节段4例.术后随访12～24个月,平均18个月.结果所有患者术后症状均有明显改善,无手术相关并发症,术后3月出现骨性融合,未见内固定松动及断裂等现象.结论采用前路减压、植骨及国产蝶形钢板内固定治疗颈椎间盘突出症疗效确实.

Objective To evaluate the clinical efficacy of anterior decompression and internal fixation with cervical butter-fly-like locking plate system (CBLP, made in China) in the treatment of cervical intervertebral disc herniation. Methods This study included 16 patients with cervical intervertebral disc herniation, aged from 26 to 46 years (36.2 years on average), with the disc hernia occurring in single segment in 12 and 2 segments in 4 cases. The patients received anterior decompression, au-togenous iliac bone grafting and internal fixation with CBLP, and follow-up studies lasting for 12 to 24 months (mean 18 months) were conducted in all the cases. Results All the patients had significant improvements in terms of symptom allevia-tion without any complications during the follow-up period. Solid bone fusion was achieved within an average period of 3 months, and no screw loosening or plate failure occurred. Conclusion Anterior decompression and internal fixation with CBLP proves to be effective for managing cervical intervertebral disc herniation .