椎间融合器配合颈椎压力固定器在颈椎前路重建中的应用

目的探讨颈椎间前路减压椎间融合器配合颈椎压力固定器治疗单间隙颈椎病及单间隙颈椎间盘突出症的短期临床疗效。方法 2008年1月至2009年4月对12例单间隙颈椎病及单间隙颈椎间盘突出症患者行颈前路减压同时采用椎间融合器配合颈椎压力固定器内固定。结果所有患者获得随访,术后平均随访12个月(6~15个月),植骨均在6个月达到临床融合,无颈椎压力固定器松动等不良现象。术后疗效按JOA评分,术前5~12分,术后提高4~6分,脊髓功能平均改善率为85.2%。结论颈椎前路减压术同时采用椎间融合器配合颈椎压力固定器可使颈椎得到即刻稳定,具有便捷省时、加压固定、弹性固定有利于骨性融合等优点。

Anterior cervical reconstruction using interbody fusion cage with cervical compressive mini frame

Objective To retrospect and explore the nearly clinical effect of using interbody fusion cage with cervical compressive mini frame in cervical reconstruction.Methods From January 2008 to April 2009,12 patients with single gap cervical spondylosis or cervical disc herniation were treated through anterior cervical decompression by interbody fusion cage with cervical compressive mini frame.Results All cases were follow-up from 6 to 15 months(average 12 months).After operation,there was radiographic evidence of fusion in all cases,there was no loosen or shift cervical compressive mini frame.The cases with incomplete paraplegia improved 4 ~6 scores according to JOA neurological criterial postperation.Conclusion Using interbody fusion cage with cervical compressive mini frame has many advantages,such as convenience,time efficient,compressive fixation and elastic fixation.