前路椎间盘摘除合并cage融合固定术治疗颈椎病的临床研究

Anterior cervical discectomy and fusion with titanium cage: preliminary clinical study of cervical spondylosis.

目的 总结颈前入路显微椎间盘摘除术合并人工椎间融合器 (cage)融合固定术治疗颈椎病的临床经验。方法 借助显微镜和高速磨钻对 38例颈椎病患者进行颈前入路显微椎间盘摘除术 ,采用cage融合后并使用钛板系统固定 ;术中同时采用体感诱发电位 (SEP)进行监护。结果 38例病人术后均无发生严重的并发症 ;随访 8～2 4个月 ,影像学资料证实 :脊髓和神经根减压明显 ,cage融骨良好 ,内固定钛板位置准确 ;术后JOA评分均恢复至 15分以上 ,无症状恶化或复发者。结论 前路椎间盘摘除合并cage融合固定术治疗颈椎病 ,手术创伤小 ,无供区并发症 ,术后恢复快 ,手术成功率高。

Objective To study efficacy of anterior cervical discectomy and fusion with Titanium cage in 38 cases of cervical spondylosis. Methods After anterior cervical discectomy, Titanium cage for interbody fusion, and the application of Titanium plating were recommended. During the operation, somatosensory evoked potentials (SEP) was used as intraoperative monitoring. Results There were no any serious complications. Postoperatively follow up for 8～24 months, radiological studies indicated: Spinal cord and never root were decompressed completely. Titanium cages were well posed with a good location of Titanium plating. The scores of JOA of all patients were higher than 15. No one complained about the symptom of deterioration and recurrence. Conclusions It is believed that discectomy and interbody fusion with Titanium cage was helpful for treatment of cervical spondylosis, creating less invasive surgical techniques, shortening recovery time and reducing donor site related complications.