CAJ | 학술논문

目的:总结分析钛网结合Orion钢板内固定治疗不稳定型颈椎疾病的临床效果.方法:由作者检索1990/2008 PubMed数据及万方数据库有关Orion钢板结合钛网植骨治疗不稳定型颈椎疾病方面的文献,英文检索词为"cervical vertebrae,Orion anterior plate,titanium mesh,spinal fusion",中文检索词为"颈椎,Orion前路钢板,钛网,脊柱融合".排除重复性研究.计算机初检得到54篇文献,根据纳入标准保留13篇进一步归纳总结.结果:Orion颈椎前路钢板联合钛网植骨在治疗不稳定型颈椎疾病时可以重建颈椎前柱,有效保持颈椎的生理弯曲和椎间隙的高度,防止远期颈椎的不稳定和后凸畸形,提升椎间孔的高度和容量促进神经根症状的恢复,同时避免了自体骨移植时的供骨区的并发症,较传统的自体骨有着突出的优点,而带锁钢板又可有效避免滑脱所造成的后果,弥补了单独应用钛网在颈椎后伸运动时的不稳定现象,使各个方面的稳定性得到了加强,是一种较为理想的颈椎前路内固定方法.结论:应用Orion颈椎前路钢板内固定结合钛网植骨治疗不稳定型颈椎疾病是一种较为理想的颈椎前路内固定方法.
목적:총결분석태망결합Orion강판내고정치료불은정형경추질병적림상효과.방법:유작자검색1990/2008 PubMed수거급만방수거고유관Orion강판결합태망식골치료불은정형경추질병방면적문헌,영문검색사위"cervical vertebrae,Orion anterior plate,titanium mesh,spinal fusion",중문검색사위"경추,Orion전로강판,태망,척주융합".배제중복성연구.계산궤초검득도54편문헌,근거납입표준보류13편진일보귀납총결.결과:Orion경추전로강판연합태망식골재치료불은정형경추질병시가이중건경추전주,유효보지경추적생리만곡화추간극적고도,방지원기경추적불은정화후철기형,제승추간공적고도화용량촉진신경근증상적회복,동시피면료자체골이식시적공골구적병발증,교전통적자체골유착돌출적우점,이대쇄강판우가유효피면활탈소조성적후과,미보료단독응용태망재경추후신운동시적불은정현상,사각개방면적은정성득도료가강,시일충교위이상적경추전로내고정방법.결론:응용Orion경추전로강판내고정결합태망식골치료불은정형경추질병시일충교위이상적경추전로내고정방법.
OBJECTIVE:To analyze the clinical effects of Orion anterior plate combined with titanium mesh and bone graft in the treatment of unstable cervical spondylosis METHODS:The databases of PubMed and Wanfang were retrieved using search terms of"cervical vertebrae,Orion anterior plate,titanium mesh,and spinal fusion"both in English and Chinese for documents concerning Orion anterior plate combined with tltanium mesh and bone graft in the treatment of unstable cervical spondylosis.The literatures published between 1990 and 2008were selected.The repetitive studies were excluded.A total of 54 documents were searched by computer,and 13 papers were included in the final analysis according to inclusive criteria RESULTS:By the application of Orion anterior plate combined with titanium mesh and bone graft in the treatment of unstable cervical spondylosis,the cervical curvature and stability could be restored,the intervertebral height would be maintained and the implanted bone could get fusion easily.The injury and complications caused by auto-ilium graft could be avoided.In addition,the locking cervical plate could effectively prevent damage caused by spondylolisthesis,and strengthened the cervical stability.It is a good method for anterior internal fixation of cervical vertebrae CONCLUSION:It is an ideal method to treat unstable cervical spondylosis by using Orion anterior plate combined with titanium mesh and bone graft .