Orion与Zephir锁定型颈椎前路钢板在颈椎外科中的应用

目的：观察和评价Orion及Zephir两种锁定型钢板在颈椎外科的应用价值和作用。方法：对13例颈椎疾病与损伤患行颈前路减压、植骨融合，采用Orion或Zephir内固定。结果：13例中1例颈椎骨折脱位术后第10d死于呼吸衰竭，余12例获半年以上平均8.6个月随访。除3例Frankel A组脊髓损伤患截瘫无恢复外，余病人术后神经功能有不同程度恢复，植骨块在3个月时获骨性愈合，无一例发生钢板断裂，螺钉松动等并发症。结论：Orion及Zephir钢板操作简便，能提供固定节段的有效稳定，利于植骨块合。对颈椎外伤，退行性变及椎体肿瘤的治疗具有重要的临床价值。

The value of Orion and Zephir anterior locking plates in cervical surgery

Obiective:TO evaluate the value of Orion and Zephir locking plates in cervical surgery.Methods:13 cases of cervical affection and injury were treated by anterior decompression,bone graft fusion,fixation using Orion or Zephir plates.Resulte:1 case of cervical dislocation die of respiratory failure 10 days after the operation.12 cases were followed-up over 6 months,average period was 8.6 months.Among them were 3 cases of myelon injury with Frankel score A level paraplegia were not relief.Others recovered in vary degrees.Solid fusion were obtained in 3 months and there were no complications related to plate breaking and screw loosening.Conclusion:Orion and Zephir plates are convenient to manipulate and can keep vertebra stable and favourable to osteanagenesis.They have important clinical value in treatment of cervical injury,opisthoporeia and vertebra tumor.