无切迹cage与颈前路钛笼钛板在椎间融合术中近期疗效比较.docxVIP

无切迹cage与颈前路钛笼钛板在椎间融合术中近期疗效比较摘 要目的：分析对比无切迹cage与钛笼钛板系统在下颈椎前路手术中的近期疗效。方法：2013年1月到9月，20例接受下颈前路经椎间隙减压无切迹cage植入术的患者（A组）和27例颈椎前路椎管扩大减压钛笼钛板内固定术（B组）。比较两组手术的手术时间、出血量,并采用日本矫形外科协会评分（JOA评分）对两者疗效进行评估和比较。收集并观察患者术前、术后、随访后的影像学资料，评价两种不同植入物的融合情况并比较。对每组手术前后各参数值分别作统计学分析。结果：所有患者均获得随访，随访期限7~12个月： A组术后随访8~12个月，平均随访9.90个月，B组术后随访7~12 个月，平均随访8.78个月。两组的手术时间分别为cage组72.85±18.41min,钛笼组93.04±27.74min。出血量 cage组 中位数为80ml，钛笼组中位数为 200ml。两者比较有统计学差异，cage组优于钛笼组。比较两组影像学指标无明显统计学差异。 结论：下颈椎前路手术中，无切迹椎间融合器与前路钛笼钛板内固定术相比均能获得较好的疗效，重建颈椎的稳定性能效果相似，但椎间融合器能更好地保留颈椎的活动度，并可减少手术出血量和缩短手术时间。关键词 颈椎病，无切迹cage，钛笼钛板，疗效SHORT-TERM EFFECTS COMPARISON BETWEEN NO-PROFILE CAGE AND ANTERIOR TITANIUM CAGE OF ANTERIOR CERVICAL FUSION ABSTRACT Objective: To compare and analysis the outcome of clinical efficacy by using titanium cages and non-profile cage.Method: From March.2013 to September 2013, 20 patients treated by anterior decompression and implantation of no-profile cervical intervertebral fusion cage combined with autologous iliac crest graft were taken as experimental group(groupA). 27 cases of anterior corpectomy cervical spinal canal expanded decompression titanium cage titanium plate fixation (group B). Compare two groups of operation time, blood loss in the operation, and use the Japanese orthopedic association score (JOA score) to evaluate the curative effect and compared. By observing the patient before and after surgery, follow-up imaging data after the evaluation of two different fusion implant cases and compared.Results: All the patients were follow up for 7 to 12months:Group A of postoperative follow-up of 8 to 12 months, with an average follow-up of 9.90 months , Group B were followed up for 7 to 12 months, with an average follow-up of 8.78 months. Group A of average operation time was 72.85±18.41min, average blood loss was 80 ml; Group B average operation time was 93.04±27.74min, average blood loss was 200 ml, compared two groups have statistical difference (P 0.05). Two groups of postoperative follow-up period n