同种异体骨笼在颈椎前路融合的应用观察

Application and abservation of allograft threaded fusion cage(ATFC) in anterior cervical interbody fusion

中文关键词:  颈椎 椎体间融合 同种异体骨笼 手术治疗 ATFC 异体螺纹融合器

英文关键词:Cerivical vertebrae,Spine fusion,Allograft threaded fusion cage[Author' s address]Department of Orthopaedic Surgery,the First People' s Hospital of Foshan,Guangdong,528000,China,

中文摘要:

  目的：探讨应用同种异体骨笼行颈椎前路融合的效果。方法：对287例颈椎疾患采用颈椎前路减压、同种异体骨笼植入椎体间融合术，随访观察神经功能恢复、植骨融合情况、椎间隙高度和颈椎生理曲度变化及内置物并发症等。结果：全组手术历时平均50min，术中出血量平均110ml。228例获平均14个月随访。骨融合时间为3-5个月，平均4个月；单节段骨融合率为98．3％，双节段为94．4%，三节段为86．9％，平均93．3％。椎体间高度术后即时略有增高，术后3—5个月内有丢失，之后稳定。颈椎生理曲度恢复并维持，仅1例向后成角畸形；3例出现骨笼崩裂。无植骨排斥反应。结论：用同种异体骨笼行颈椎体间融合的融合率达90％以上；可缩短手术时间．减少并发症．能替代自体髂骨移植。

英文摘要:

  Objective:To investigate the clinical application effects of ATFC in anterior cervical interbody fusion.Method:287cases of cervical diseases were treated by anterior decompression and ATFC implantation.The neurogical recovery?the interbody fusion times an