颈椎前路减压植骨融合不同术式长期随访结果比较

Comparison study of long term follow up results of the several cervical spine anterior decompression and fusion procedures

中文关键词:  颈椎 前路减压 融合

英文关键词:Cervical spine,Anterior decompression,Fusion,

中文摘要:

  目的:了解颈椎前路减压植骨融合不同术式的远期疗效,探讨影响颈椎前路手术疗效的技术因素。方法:1985年8月～1992年12月,共收治各类颈椎疾病患者856例,其中行颈椎前路减压植骨融合632例。单节段椎间隙减压植骨融合176例,多节段61例;单椎体切除两间隙减压植骨加钢板内固定128例,两个以上椎体切除减压植骨加钢板内固定37例;单节段椎间隙减压加椎间植骨融合器181例,多节段49例。随访2￣18年,平均5.2。年采用SPSS10.0统计软件对各术式疗效及融合率进行字2检验。结果各术式疗效及融合率无显著:性差异(字2检验P>0.05)。结论:颈椎病前路手术提高疗效的关键操作是彻底减压,因此不应走入依靠几种内固定及新材料就可提高疗效的误区。

英文摘要:

  Objective:To understand the long term follow up results and to discuss the key-point of several anterior cervical decompression and fusion procedures.Method:From August 1985 to December 2002,856 cases with cervical degenerative spondylosis were treated in