本文關鍵詞： 多節(jié)段脊髓型頸椎病 頸椎后路 Centerpiece鈦板 非融合固定　出處：《中國骨與關節(jié)損傷雜志》2016年11期 　論文類型：期刊論文

【摘要】：目的探討Centerpiece鈦板在多節(jié)段脊髓型頸椎病后路非融合固定技術中的應用。方法回顧性分析自2008-01—2013-10診治的多節(jié)段(3節(jié)或3節(jié)以上)脊髓型頸椎病82例,22例行單開門絲線懸吊椎管擴大成形術(絲線組),27例行單開門絲線懸吊椎管擴大成形加側塊螺釘固定(釘棒組),33例行單開門Centerpiece鈦板固定椎管擴大成形術(鈦板組)。結果與釘棒組比,絲線組與鈦板組手術時間更短、術中出血量更少、住院時間更短,術后1年頸椎活動度、頸椎曲率指數更優(yōu),差異有統(tǒng)計學意義(P0.001);但絲線組與鈦板組手術時間、術中出血量、住院時間、頸椎活動度、頸椎曲率指數比較差異無統(tǒng)計學意義(P0.05)。術后1年鈦板組最窄椎管面積、JOA評分優(yōu)于絲線組與釘棒組,差異有統(tǒng)計學意義(P0.001);但絲線組與釘棒組最窄椎管面積、JOA評分比較差異無統(tǒng)計學意義(P0.05)。結論頸椎后路非融合技術治療多節(jié)段脊髓型頸椎病的方法有很多,但采用Centerpiece鈦板行后路單開門固定手術效果較好,并發(fā)癥較少。
[Abstract]:Objective to investigate the application of Centerpiece titanium plate in posterior non-fusion fixation of cervical Spondylotic myelopathy. Methods A retrospective analysis of 82 cases of cervical Spondylotic myelopathy with single open door filaments was performed in 82 patients with cervical Spondylotic myelopathy treated from 2008-01-2013-10. Extended laminoplasty for suspended spinal canal (27 cases in the silk thread group were treated with single open wire suspension spinal canal forming plus lateral mass screw fixation (33 cases in the nail rod group) and 33 cases in the single open door Centerpiece titanium plate fixation group (titanium plate group). The results were compared with those in the nail rod group. The operation time of silk thread group and titanium plate group was shorter, the amount of intraoperative bleeding was less, the hospitalization time was shorter, the cervical movement and curvature index of cervical vertebra were better in one year after operation, the difference was statistically significant (P 0.001), but the operation time of silk thread group and titanium plate group, the amount of intraoperative bleeding, There was no significant difference in hospitalization time, cervical movement and cervical curvature index (P 0.05). The JOA score of the narrowest spinal canal area in the titanium plate group was better than that in the wire group and the screw rod group. The difference was statistically significant (P 0.001), but there was no significant difference in JOA score between the silk thread group and the nail rod group. Conclusion there are many methods for the treatment of multilevel cervical Spondylotic myelopathy by the posterior cervical spine non-fusion technique. But Centerpiece titanium plate was used for single door fixation, and the complications were less.
【作者單位】： 壽光市人民醫(yī)院脊柱外科;
【基金】：濰坊市衛(wèi)生局科研項目(2014年第140號)
【分類號】：R687.32

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