CAJ | 학술논문

目的：探讨Mobi-C颈椎人工间盘置换治疗单节段颈椎间盘突出症的近期效果。方法：对应用Mobi-C颈椎人工间盘置换治疗的12例单节段颈椎间盘突出症患者于术前、术后（1～2 d ）及末次随访时进行全面的影像学和临床评价，并进行问卷调查。结果：本组病例随访6～24月，平均13个月。 Odom临床疗效评价优10例，良2例。患者的颈部及上肢疼痛明显缓解，VAS评分术后下降了5．8分（P＜0．05），末次随访时下降了5．5分（P＜0．05）。颈椎功能障碍指数（NDI）和SF-36生活质量量表评分明显改善，患者的生活质量明显提高。除3例患者发生异位骨化外，未发现相邻节段退变加速。结论：保留颈椎活动度的Mobi-C颈椎人工间盘置换对颈椎间盘突出症的患者近期疗效确切，可明显提高患者的生活质量。
목적：탐토Mobi-C경추인공간반치환치료단절단경추간반돌출증적근기효과。방법：대응용Mobi-C경추인공간반치환치료적12례단절단경추간반돌출증환자우술전、술후（1～2 d ）급말차수방시진행전면적영상학화림상평개，병진행문권조사。결과：본조병례수방6～24월，평균13개월。 Odom림상료효평개우10례，량2례。환자적경부급상지동통명현완해，VAS평분술후하강료5．8분（P＜0．05），말차수방시하강료5．5분（P＜0．05）。경추공능장애지수（NDI）화SF-36생활질량량표평분명현개선，환자적생활질량명현제고。제3례환자발생이위골화외，미발현상린절단퇴변가속。결론：보류경추활동도적Mobi-C경추인공간반치환대경추간반돌출증적환자근기료효학절，가명현제고환자적생활질량。
Objective:To research the short-term effect of Mobi-C cervical artificial disc replacement (CADR) therapy in patients with single proplase of cervical intervertebral disc .Methods:Mobi-C artificial cervical disc was applied to treat 12 cases of single proplase of cervical intervertebral disc .The data about clinical observation , imaging evaluation and questionnaire were collected at preoperative , postoperative ( 1-2 days ) and the end follow-up.Results:The patients were followed up for 6 to 24 months,average 13 months.All the patients were satisfactory to the outcome , excellent in 10 cases and good in 2 cases according to Odom criterion .The pain in upper limb and neck were significantly relieved, the VAS score immediately decreased 5.8 points after operation(P<0.05), and 5.5 points at the last follow-up(P<0.05).NDI and SF-36 improved obviously,which meant the patient′s quality of life improved obviously .Degeneration at the adjacent segments was not found in addition to 3 patient with heterotopic ossification .Conclusions:Mobi-C CADR therapy reserving mobility of cervical spine has a good effect in the early stage , and can improve the quality of life of the patients .