ZEPHIR颈椎前路钢板系统在脊髓型颈椎病手术中的应用

目的 :评价ZEPHIR颈椎前路钢板系统在脊髓型颈椎病治疗中的作用和临床疗效。方法 :回顾性分析 18例行颈椎前路减压、自体髂骨植入、ZEPHIR钢板内固定术的脊髓型颈椎病患者 ;术后随访 3～ 12 (平均 9)个月 ,观察植骨融合率、功能恢复及有无内置物并发症 ;分别于术前、术后进行JOA评分。结果 :术后患者的症状明显缓解、脊髓功能改善者占 88.9%,JOA评分较术前有显著性增高 (P <0 .0 0 1) ;植骨融合率为 10 0 %;椎间高度维持良好 ;未发生内置物并发症。结论 :ZEPHIR颈椎前路钢板治疗脊髓型颈椎病能显著提高植骨融合率 ,减少并发症 ,是颈椎前路固定的良好器械。

ZEPHIR plate fixation in anterior surgery of the cervical spondylotic myelopathy

Objective To evaluate the clinical outcome of ZEPHIR plate in treating cervical spondylotic myelopathy(CSM). Methods We retrospectively analyzed 18 patients undergoing anterior decompression fusion and internal fixation with ZEPHIR plate. Follow-up period ranged from 3 to 12 months(an average of 9 months). The bone graft fusion rate, rehabilitation of neurological deficits, and the complications of the hardware were observed. We assessed the clinical effect with JOA score. Results Rehabilitation of neurological deficits were observed in 16 patients, The JOA score after the operation significantly increased than before the operation. The fusion rate was 100%, the intervertebral height were maintained, and no complications related to the plate were found. Conclusion ZEPHIR plate in the treatment of cervical spondylotic myelopathy may increase the fusion rate of the bone graft significantly with low incidence of complication.