| 两种颈椎植骨重建钛网的临床及影像学比较 |
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| 引用本文： | 马跃,陈宇,陈德玉,王新伟,缪锦浩,张伟.两种颈椎植骨重建钛网的临床及影像学比较[J].中国矫形外科杂志,2011,19(13):1096-1099. |
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| 作者姓名： | 马跃 陈宇 陈德玉 王新伟 缪锦浩 张伟 |
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| 作者单位： | 第二军医大学附属长征医院骨科,上海,200003 |
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| 基金项目： | 上海市科委科研计划项目(编号:074119629) |
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| 摘 要： | 目的]颈前路椎体次全切除术中使用两种植骨重建钛网,评价两者临床及影像学效果.方法]选取2009年6月～2009年12月行颈前路单椎体次全切手术113例.其中现有钛网63例:男33例,女30例;平均年龄52岁;新型钛网50例:男34例,女16例;平均年龄54岁.术后3、6、12个月随访颈椎X线片,测量融合节段的椎间高度和颈椎曲度,采用日本骨科学会JOA评分系统进行神经功能评价,比较两种钛网手术前后上述方面的差异.结果]随访观察至术后12个月,现有钛网组椎间高度平均丢失(1.7±0.4)mm,颈椎曲度平均丢失4.9°±0.6°,新型钛网组椎问高度平均丢失(0.4±0.5)mm,颈椎曲度平均丢失0.9°±0.7°,两组之间差异有统计学意义(P＜0.01);现有钛网组患者术后JOA评分神经功能恢复率平均64.9%±3.7%,新型钛网组为67.1%±3.4%,两组间差异无统计学意义(P＞0.05).并发症:现有钛网组长期颈肩部疼痛8例、神经症状复发2例、螺钉断裂2例;新型钛网组仅有2例长期颈肩部疼痛.结论]新型钛网在维持术后椎问高度和颈椎曲度方面优于现有钛网,而在JOA评分改善率方面优势不明显.
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| 关 键 词： | 颈椎 椎体次全切 钛网 沉陷 |
Comparison of clinical and radiological outcomes of two different cervical titanium mesh cages |
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| MA Yue,CHEN Yu,CHEN De-yu,et al..Comparison of clinical and radiological outcomes of two different cervical titanium mesh cages[J].The Orthopedic Journal of China,2011,19(13):1096-1099. |
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| Authors: | MA Yue CHEN Yu CHEN De-yu |
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| Institution: | MA Yue,CHEN Yu,CHEN De-yu,et al.Orthopaedic Department,Affiliated Changzheng Hospital,Second Military Medical University,Shanghai 200003,China |
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| Abstract: | Objective]To compare the clinical and radiological outcomes of two different titanium mash cages(TMC) used in anterior cervical corpectomy and fusion(ACCF). Methods]One hundred and thirteen patients undergoing ACCF surgery between June 2009 and December 2009 were evaluated retrospectively.Sixty-three patients were treated with the traditional TMC(33 males,30 females,average age 52 years),while 50 were treated with a new type(34 males,16 females,average age 54 years).Posterior X rays were taken at 3,6 and ... |
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| Keywords: | cervical spine corpectomy titanium mesh cage subsidence |
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