颈椎前路手术治疗颈椎间盘突出症体会

目的:观察颈椎前路手术治疗颈椎间盘突出症的疗效。方法:对52例颈椎间盘突出症,行颈椎前路减压、植骨并应用锁定型颈椎前路钢板内固定。结果:46例经过2～18个月、平均8.2月的随访,所有病例植骨均达到骨性融合,融合时间12～16周,平均12.6周,融合率100%;MRI检查无脊髓变形、受压表现,脊髓功能检查,除3例不理想外。所有病例植骨疗效满意。结论:适应症选择正确,颈椎前路手术减压植骨、钢板系统操作简单,可提供有效的固定节段稳定性,利于神经功能恢复,适用于颈椎间盘突出症、颈椎外伤的治疗。颈椎前路手术适用于2个颈椎间盘,3个椎体。动力性和限制性颈椎前路内固定材料在临床治疗疗效上无明显差别。

Anterior Cervical Surgery Cervical Disc Experience

Objective:Observation of the anterior cervical surgical treatment of cervical disc herniation.Methods:52cases of cervical disc herniation,anterior cervical decompression,bone graft and application of cervical locking anterior plate internal fixation.Results:46 cases after 2～18months,anaverage of 8.2 months of follow-up of all cases of graft to achieve bone fusion,the integration time of 12～16 weeks,with an average of 12.6 weeks,100% of the fusion rate;MRI examination of spinal cord deformation.The compression performance of spinal cord function tests,with the exception of three cases of unsatisfactory outside.The results were satisfactory in all cases bone graft.Conclusion:Indications to choose the right anterior cervical decompression surgery bone graft and plate system is simple and can provide a fixed segmental stability,conducive to the recovery of neurological function,applicable to the treatment of cervical disc herniation,cervical trauma.Anterior cervical surgery for two cervical disc,three vertebrae.Power and restricted anterior cervical fixation materials was no significant differencein clinical therapy.