CAJ | 학술논문

目的观察单纯采用椎体骨赘填充椎体护架(Cage)行颈前路椎体间融合的融合率.方法 2010年1月至2012年7月,对81例行颈前路椎间盘切除减压、融合、钛板内固定手术的患者单纯采集手术间隙椎体前后缘的骨赘填充Cage.男52例,女29例;年龄55～78岁,平均64.1岁,单节段手术46例,双节段35例.术后3个月、6个月和1年复查颈椎X线片和CT观察重建融合效果.结果术后3个月总融合率为76.5％(62/81),单节段融合率为78.3％(36/46),双节段融合率为74.3％％(26/35).术后6个月总融合率为93.8％(76/81),单节段融合率为95.7％(44/46),双节段融合率为91.4％(32/35).术后1年总融合率为100％(81/81).不同节段手术的融合率差异无统计学意义. 结论对颈前路单节段或双节段手术,以骨赘填充Cage进行椎体间融合可获得满意的融合率.
목적 관찰단순채용추체골췌전충추체호가(Cage)행경전로추체간융합적융합솔.방법 2010년1월지2012년7월,대81례행경전로추간반절제감압、융합、태판내고정수술적환자단순채집수술간극추체전후연적골췌전충Cage.남52례,녀29례;년령55～78세,평균64.1세,단절단수술46례,쌍절단35례.술후3개월、6개월화1년복사경추X선편화CT관찰중건융합효과.결과 술후3개월총융합솔위76.5％(62/81),단절단융합솔위78.3％(36/46),쌍절단융합솔위74.3％％(26/35).술후6개월총융합솔위93.8％(76/81),단절단융합솔위95.7％(44/46),쌍절단융합솔위91.4％(32/35).술후1년총융합솔위100％(81/81).불동절단수술적융합솔차이무통계학의의. 결론 대경전로단절단혹쌍절단수술,이골췌전충Cage진행추체간융합가획득만의적융합솔.
Objective To observe the fusion rate by using cage filled with osteophyte in anterior cervical disectomy and fusion.Methods From January 2010 to July 2012,81 patients receiving anterior cervical disectomy and spine fusion underwent treatment with cages containing exclusively autologous osteophyte collected from both anterior and posterior vertebral edges adjacent to the intervertebral space.There were 52 males and 29 females,aged from 55 to 78 years,average 64.1 years in this study.46 patients received one-level fusion,and 35 patients received two-level fusion respectively.Patients were followed up at 3 months,6 months and 1 year after operation.The fusion was evaluated by X-ray film and reconstructive CT.Results The total fusion rate after 3 months of operation was 76.5％ (62/81),the one-level and two-level fusion rate were 78.3％ (36/46) and 74.3％ (26/35),respectively.The total fusion rate after 6 months of operation was 93.8％ (76/81),the one-level and two-level fusion rate were 95.7％ (44/46) and 91.4％ (32/35),respectively.The total fusion rate was 100％ (81/81) after 1 year of operation.No statistically significant difference in fusion rate was found between the two groups.Conclusions The method of using cage filled with osteophyte can acquire ideal fusion rate in one-and two-level anterior cervical disectomy,fusion and plate fixation.