钛网联合颈椎锁定钢板技术在颈椎前路融合中的应用-中南大学学报.pdfVIP

B LL H NAN MED NIV 2003, 28( 5) 509 王 冰, 吕国华 , 李启贤 ( 中南大学湘雅二医院脊柱外科, 长沙410011) [] 目的: 评价钛网联合颈椎前路锁定钢板系统替代技术进 颈椎前路融合, 维持颈椎生理前凸的临床 效果方法: 对28 例颈椎疾患病人进 前路颈椎次全切( 或颈椎间盘切除) 椎管减压钛网内添自体松质骨椎间 融合颈椎前路钢板锁定系统内固定手术, 并评定疗效和进 影像学分析结果: 患者平均住院天数 5( 4~ 6)d, 所 有病人的神经症状术后得到不同程度的恢复;术后影像学资料提示钢板位置良好,无钛网脱出; 术后随访时间 11.8 ( 6~ 18) 月,所有病人获得了颈椎间融合, 固定节段区的整体生理前凸平均改变 1.3 , 后凸平均改变0.2 结论: 钛 网植骨可以避免取髂骨所带来的并发症,联合颈椎前路锁定钢板系统替代技术可以有效地进 颈椎前路融合和维 持颈椎生理曲度 * * [] 脊柱融合; 颈椎; 锁定钢板 ; 钛网 [] R687. 3 [ ] A [ ] 2003) Cylindri cal titanium mesh and cervical locki ng plates in anterior cervical fusion !! WANG Bing, L Guohua, LI Qixian ( D ep art ment of Sp i ne S urgery , Second X iangy a H osp it al , Cent ral So uth Univ ersi ty , Changsha 410011, Chi na) Abstract: Objective To evaluate the clinical effect of a cylindrical titanium mesh and locking plate system as an alternative technique in achieving good anterior cervical fusion and maintaining lordosis. Methods Twentyeight patients who underwent anterior cervical corpectomies(or discec tomies) , decompression, titanium mesh cagefilled with localautologous bonegraft, and cervical lock ing plate fixation were evaluated. Results T he average inpatient days were 5 (4~ 6) d . No donor bone site complications occurred. All patients returned their neurological symptoms to some degree. T he titanium mesh and locking platewere not loosened. All thepatients werefollowed up for 11.8 (6 ~ 18 ) months. The complete fusion of bone graft was observed in all the patients. T he mean change in overall lordosis relate