CAJ | 학술논문

目的探讨颈椎人工间盘治疗脊髓型和神经根型颈椎病术后的临床效果.方法 2008年6月至2010年6月,武警北京市总队第二医院骨科18例保守治疗无效的颈椎病患者行DiscoverTM人工颈椎间盘置换术,术后按计划随访术后1、3、6、12、18个月,记录术前和术后每个时间点JOA评分,Odom分级及VAS评分.术前、术后3、6、12、18个月登记颈椎正侧及动力位X线片,分析评价椎间盘的位置.结果 18例患者均获得随访,平均随访15个月,术后未出现血管神经损伤,无严重并发症发生.术后患者未发现假体松动和移位.JOA评分从术前(7.2±1.8)分到术后(16.7±4.5)分,VAS评分从术前(8.4±1.4)分到术后(2.0±1.1)分,术后手术效果按照Odom分级都是优良结果,优16例,良2例.结论 DiscoverTM人工颈椎间盘置换术安全可靠且恢复快,既可保持手术节段颈椎稳定,又可维持颈椎的生理活动度.
목적 탐토경추인공간반치료척수형화신경근형경추병술후적림상효과.방법 2008년6월지2010년6월,무경북경시총대제이의원골과18례보수치료무효적경추병환자행DiscoverTM인공경추간반치환술,술후안계화수방술후1、3、6、12、18개월,기록술전화술후매개시간점JOA평분,Odom분급급VAS평분.술전、술후3、6、12、18개월등기경추정측급동력위X선편,분석평개추간반적위치.결과 18례환자균획득수방,평균수방15개월,술후미출현혈관신경손상,무엄중병발증발생.술후환자미발현가체송동화이위.JOA평분종술전(7.2±1.8)분도술후(16.7±4.5)분,VAS평분종술전(8.4±1.4)분도술후(2.0±1.1)분,술후수술효과안조Odom분급도시우량결과,우16례,량2례.결론 DiscoverTM인공경추간반치환술안전가고차회복쾌,기가보지수술절단경추은정,우가유지경추적생리활동도.
Objective To explore the clinical and radiological outcomes of Discover artificial cervical disc arthroplasty and the range of motion status on adjacent segments for cervical spondylosis causing radiculopathy or myelopathy.Methods A total of 18 consecutive patients underwent cervical arthroplasty with the Discover artificial cervical disc at our hospital.Clinical and radiological follow-ups were conducted.Their radiographic parameters of treatment and adjacent segments were evaluated at Month 1,3,6,12,18 post-operation.And the Japanese Orthopedic Association (JOA) score,visual analog scale (VAS) pain score and Odom's scale were recorded and analyzed.Results During follow-ups over an average of 15 months,there was no occurrence of vascular injury,severe complications or prosthesis displacement and loosening.The score of JOA was 7.2 ± 1.8 at preoperation and 16.7 ± 4.5 at postoperation.And the score of VAS was 8.15 ± 1.65 at preoperation and 2.03 ± 1.12 at postoperation.Conclusion Discover artificial cervical disc arthroplasty is efficacious and the patients recover quickly.Targeted cervical segments may be stabilized and their physiological ranges of motion preserved.