Adjacent segment degeneration after anterior cervical spine surgery on long-term efficacy of.docVIP

 PAGE \* MERGEFORMAT 23 Adjacent segment degeneration after anterior cervical spine surgery on long-term efficacy of Author: Xu business people, CUI Qing, Han Jian-Rong, Li Haiqing, Yang China Abstract [Objective] To investigate the adjacent segment degeneration of the anterior cervical fusion surgery of segmental long-term effect. [Methods] 128 patients with anterior cervical spine surgery in patients with long-term effective follow-up, through the review of cervical spine MRI observation of anterior cervical fusion surgery of its adjacent segment degeneration of the situation and the degeneration of spinal cord compression, physiological curvature changes and the stability of the cervical spine, etc., and accordance with degeneration to be sub-type degeneration in patients on conservative treatment fails and the progressive degeneration of a heavier and heavier, and neurological impairment in patients with symptoms of 35 cases with posterior cervical vertebra forming a single open-door surgery. [Results] The follow-up of 1.5 years to 11 years and 6 months, an average of 5.6 years. Anterior cervical decompression and interbody fusion surgery of its adjacent segment degeneration rate was 91.4%, anterior cervical spine 1.5 years after surgery were found adjacent segments of the abnormal changes of disc signal, showing signs of early degeneration. Follow-up of cases due to adjacent segment degeneration and the proportion of re-posterior surgery is about 27.3%, this degeneration and surgical patient’s age, surgery adjacent segment disc degeneration between the fusion segments of the length of the , changes in cervical lordosis, postoperative self-care, work is directly related to nature. [Conclusion] The adjacent segment degeneration of anterior cervical surgery is a major long-term complications, the correct surgical approach and postoperative rehabilitation of the guidance can be effective to prevent or slow adjacent-segment degeneration from happe