| 颈椎前路减压融合术后钛笼下沉临床分析 |
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| 引用本文： | 马永刚,刘世清,李亚明,周小锐. 颈椎前路减压融合术后钛笼下沉临床分析[J]. 中国脊柱脊髓杂志, 2011, 21(1): 21-23. DOI: 10.3969/j.issn.1004-406X.2011.01.06 |
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| 作者姓名： | 马永刚 刘世清 李亚明 周小锐 |
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| 作者单位： | 武汉大学人民医院骨科,430060湖北武汉市 |
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| 摘 要： | 目的:探讨颈椎前路减压融合术治疗脊髓型颈椎病术后影响钛笼下沉的相关因素。方法:回顾性分析2005年6月～2009年6月我院收治的104例行颈椎融合钛笼植骨患者的颈椎平片和手术资料,分析撑开程度、钛笼直径和安放部位与钛笼下沉的相关性。结果:104例手术患者中,术后6个月复查时发现16例(15.4%)钛笼发生下沉。46例钛笼直径10mm者中9例发生下沉(19.6%),而58例直径12mm者中7例发生下沉(12.1%),差异有显著性(P<0.05)。钛笼前缘与椎体前缘距离在1mm以内者89例,距离大于1mm者15例,发生下沉例数分别为13例和3例,差异有显著性(P<0.05)。开槽节段相邻椎体终板延长线成角,其中角度在20°～30°者82例,成角大于30°者22例,两组发生下沉例数分别为11例和5例,发生率有显著性差异(P<0.05)。结论:椎间撑开程度、钛笼直径和安放部位可能是影响钛笼下沉的重要因素。
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| 关 键 词： | 颈椎前路减压融合术 脊髓型颈椎病 钛笼 并发症 |
| 收稿时间： | 2010-10-26 |
| 修稿时间： | 2010-11-24 |
Titanium cages subsidence following anterior cervical decompression and fusion |
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| MA Yonggang,LIU Shiqing,LI Yaming. Titanium cages subsidence following anterior cervical decompression and fusion[J]. Chinese Journal of Spine and Spinal Cord, 2011, 21(1): 21-23. DOI: 10.3969/j.issn.1004-406X.2011.01.06 |
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| Authors: | MA Yonggang LIU Shiqing LI Yaming |
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| Affiliation: | MA Yonggang,LIU Shiqing,LI Yaming,et al Orthopaedic Department of Renmin Hospital,Wuhan University,Wuhan,430060,China |
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| Abstract: | Objective:To investigate the factors of titanium cage subsidence following anterior cervical decompression and fusion(ACDF) in patients with cervical spondylotic myelopathy(CSM).Method:104 patients with CSM underwent ACDF from June 2005 to June 2009.All patients were followed up for 6 months.The subsidence associated factors,including space dsitraction,position and the diameter of cage,were reviewed retrospectively.Result:Titanium cage subsidence was noted in 16(15.4%) patients 6 months after surgery.Of 46 ... |
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| Keywords: | Anterior cervical decompression and fusion Cervical spondylotic myelopathy Titanium cage Complication |
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