ZerP颈椎前路融合固定系统在三节段颈椎融合术中的应用及有效性评价.docVIP

Zero-P颈椎前路融合固定系统在三节段 颈椎融合术中的应用及有效性评价 BW WJO 李亨 广州中医药大学第四临床医学院 目的探讨Zcro-P零切迹椎间融合固定系统在三节段颈椎融合术屮的临床应用、 疗效及其对颈椎曲度的影响。方法选取2013年6月至2015年6月，我院采取 Zero-P颈椎前路融合固定系统手术治疗的26例三节段颈椎病的患者。其中男11 例，女15例;年龄3275岁，平均(56. 21 ±8. 13)岁。于术前、术后1周、3个 月、12个月分别采用日本骨科学会(Japanese orthopaedic association, JOA) 评分、颈椎功能残障指数(neck disability index, NDI)评分系统评估临床疗 效，Bazaz评分评估术后吞咽困难的发生率，采用手术节段Cobb’ s角和C27 Cobb’ 3角评估术后颈椎曲度的变化，并对手术出血量、手术时间进行分析统 计。结果木组26例均获得术后1年的随访，术后吞咽困难的发生率为7. 69%，术 中平均出血量为(53.23±32.41) ml,手术吋间为(161. 26±51. 33) min。术后 1周、3个月、12个月NDI评分分别为(16. 14±1.77)分、(11. 53±2. 14)分、 (11.29±1.82)分，均明显低于术前(23.42±4. 72)分，差异有统计学意义 (P〈0.05)，术后1周、3个月、12个月JOA评分分别为(11.52±0.93)分、 (12.83±1. 18)分、(14.25±1.47)分,均显著高于术前(8. 64± 1. 37)分， 差异有统计学意义(P〈0.05),术后1周手术节段Cobb’ s角(12.74±1.91) ° 及 C/Cobb’ s 角(19. 33±4.47) ° 均较术前(4. 52±2. 73) °、 (7. 92±4. 20) °明显增大，差异有统计学意义(P〈0.05)，术后1周与术后12 个月比较手术节段Cobb’ s角和C_ (27) Cobb’ s角均无明显丢失(P0.05)， 随访过程中未发现螺钉断裂及融合器移位。结论Zero-P颈椎前路融合固定系统 治疗三节段颈椎病有较好的临床疗效，并能有效恢复并维持颈椎曲度。 关键词： 颈椎;内冏定器;颈椎病;脊柱融合术; 曹亚飞,Email :caoyafei64@163. com 2017-04-19 Application of Zero-P cervical anterior fusion fixation system in three-segment cervical fusion and its effectiveness evaluation ZHANG Rui—hua CAO Ya-fei LIU Wei-dong LI Heng The fourth Clinical Medical College of Guangzhou University of Traditional Chinese Medicine; Abstract： Objective To investigate the clinical effects of Zero-profile anchored spacer ( Zero-p) in the treatment of cervical spondylosis of three segments and its effects on cervical lordosis. Methods From June 2013 to June 2015， 26 patients with three-segment cervical spondylosis were treated by anterior cervical discetomy with implant of Zero-p interbody fusion cages. There were 11 males and 15 females with the mean age of (56. 21 土 8. 13) years. Japanese Orthopaedic Association ( JOA) was applied to evaluate functions of the cervical vertebra, and the incidence of postoperative dysphagia was assessed by Bazaz dysphagia score. Neck Disability Index ( NDI) was used to evaluate neurological fu