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颈椎桥型锁定融合器在颈椎前路减压融合术中的应用

陈丹华, 葛许锋, 成红兵, 卢荣, 马烽烽

陈丹华, 葛许锋, 成红兵, 卢荣, 马烽烽. 颈椎桥型锁定融合器在颈椎前路减压融合术中的应用[J]. 实用临床医药杂志, 2020, 24(1): 32-35. DOI: 10.7619/jcmp.202001008
引用本文: 陈丹华, 葛许锋, 成红兵, 卢荣, 马烽烽. 颈椎桥型锁定融合器在颈椎前路减压融合术中的应用[J]. 实用临床医药杂志, 2020, 24(1): 32-35. DOI: 10.7619/jcmp.202001008
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CHEN Danhua, GE Xufeng, CHENG Hongbing, LU Rong, MA Fengfeng. Clinical application of zero-profile anchored spacer in anterior cervical discectomy and fusion[J]. Journal of Clinical Medicine in Practice, 2020, 24(1): 32-35. DOI: 10.7619/jcmp.202001008
Citation: CHEN Danhua, GE Xufeng, CHENG Hongbing, LU Rong, MA Fengfeng. Clinical application of zero-profile anchored spacer in anterior cervical discectomy and fusion[J]. Journal of Clinical Medicine in Practice, 2020, 24(1): 32-35. DOI: 10.7619/jcmp.202001008
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颈椎桥型锁定融合器在颈椎前路减压融合术中的应用

  • 江苏省南通瑞慈医院 扬州大学第四临床医学院 骨科, 江苏 南通, 226010

详细信息

  • 中图分类号: R681.5

Clinical application of zero-profile anchored spacer in anterior cervical discectomy and fusion

  • Department of Orthopaedics, The Fourth Clinical Medical College of Yangzhou University, Nantong Rich Hospital of Jiangsu Province, Nantong, Jiangsu, 226010

摘要

    摘要
  • 摘要: 目的 探讨颈椎桥型锁定融合器(ROI-C)在颈椎前路减压融合术中的应用效果。 方法 采用ROI-C对脊髓型或神经根型颈椎病患者25例(共32间隙)进行颈椎前路减压融合手术,记录出血量和手术时间,并比较术前和术后1、3、6个月时的视觉模拟评分法(VAS)评分、日本骨科学会(JOA)评分及椎间隙高度。 结果 本组患者随访时间均超过6个月,手术时间(78.40±52.34)min, 手术出血量(86.00±22.73)mL。术后各时点,患者的JOA评分均高于术前,VAS评分均低于术前,椎间隙高度均高于术前,差异有统计学意义(P<0.05); 患者术后各时点之间的JOA评分、VAS评分及椎间隙高度比较,差异无统计学意义(P>0.05)。 结论 ROI-C是一种比较理想的颈椎椎间融合器,有操作简单、创伤小、术后并发症少等优点,同时能有效恢复椎间隙高度,重建颈椎生理曲度及稳定性。
    Abstract: Objective To investigate the clinical outcomes of zero-profile anchored spacer(ROI-C)for anterior cervical decompression and fusion. Methods Anterior cervical decompression and fusion were performed by ROI-C system in 25 patients with cervical spondylotic myelopathy and cervical spondylotic radiculopathy(32 intervertebral discs). The operation time, intraoperative blood loss were recorded. Visual Analogue Scale(VAS)score, Japanese Orthopaedic Society(JOA)score and intervertebral height at time points of before surgery, at 1-, 3- and 6-month of surgery, respectively were recorded. Results All the 25 patients were followed up for more than months. The operation time was(78.40±52.34)min, intraoperative blood loss was(86.00±22.73)mL. The JOA score and intervertebral height at each time point after the operation were higher than operation before, VAS scores at each time point after surgery was lower than those before surgery, the differences were statistically significant(P<0.05). There were no significant between-group differences in JOA score, VAS score and intervertebral space height at the postoperative time points(P>0.05). Conclusion ROI-C is an ideal cervical intervertebral fusion cage, with the advantages of simple operation, less trauma and fewer complications after operation. At the same time, the height of intervertebral space can be effectively restored, and the physiological curvature and stability of cervical spine can be reconstructed.
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    • 参考文献(13)

  • Ono I, Hanakita J, Takahashi T, et al. Long-term outcome of anterior cervical decompression and fusion with the cloward procedure[J]. Jpn J Neurosurg, 2016, 25(11): 931-937.

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    Chen Y Q, Lü G, Wang B, et al. A comparison of anterior cervical discectomy and fusion(ACDF)using self-locking stand-alone polyetheretherketone(PEEK)cage with ACDF using cage and plate in the treatment of three-level cervical degenerative spondylopathy: a retrospective study with 2-year follow-up[J]. Eur Spine J, 2016, 25(7): 2255-2262.

    Rong Y L, Luo Y J, Liu W, et al. Clinical effects of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis[J]. Clin Interv Aging, 2018, 13: 2543-2551.

    Lu Y J, Bao W G, Wang Z Y, et al. Comparison of the clinical effects of zero-profile anchored spacer(ROI-C)and conventional cage-plate construct for the treatment of noncontiguous bilevel of cervical degenerative disc disease(CDDD): A minimum 2-year follow-up[J]. Medicine(Baltimore), 2018, 97(5): e9808.

    Park J Y, Choi K Y, Moon B J, et al. Subsidence after single-level anterior cervical fusion with a stand-alone cage[J]. J Clin Neurosci, 2016, 33: 83-88.
    李国, 吴建峰, 黄稳定. 单节段颈前路椎间融合术后ROI-C融合器沉降的相关因素分析[J]. 中国脊柱脊髓杂志, 2016, 26(12): 1063-1069.
    戎玉罗, 罗勇骏, 刘蔚, 等. 零切迹自稳型颈椎融合器在前路颈椎椎间盘切除融合术中的应用及其对吞咽困难和邻近节段骨化的影响[J]. 脊柱外科杂志, 2019, 17(2): 73-78.

    Zhang J X, Liu H, Bou E H, et al. Comparative study between anterior cervical discectomy and fusion with ROI-C cage and laminoplasty for multilevel cervical spondylotic myelopathy without spinal stenosis[J]. World Neurosurg, 2019, 121: e917-e924.
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出版历程
  • 收稿日期:  2019-10-29
  • 网络出版日期:  2020-12-22
  • 发布日期:  2020-08-06

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