CAJ | 학술논문

骨关节植入物%脊柱植入物%颈椎骨折%前路手术%带翼可调节置换器%脊髓损伤%内固定术%植骨融合%前路减压%假关节%生物相容性骨關節植入物%脊柱植入物%頸椎骨摺%前路手術%帶翼可調節置換器%脊髓損傷%內固定術%植骨融閤%前路減壓%假關節%生物相容性
골관절식입물%척주식입물%경추골절%전로수술%대익가조절치환기%척수손상%내고정술%식골융합%전로감압%가관절%생물상용성
bone and joint implants%spinal implants%cervical spine fracture%anterior surgery%winged adjustable replacement device%spinal cord injury%internal fixation surgery%interbody fusion%anterior decompression%seudarthrosis%biocompatibility

#背景:ADD plus-带翼可调节置换系统具有人工椎体和前路固定板一体化、人工椎体高度可调的特点,以及操作简单、手术时间短、组织相容性好等优势越来越受到外科医生的信赖.目的:观察带翼可调节置换系统在颈椎前路减压、植骨融合及置入固定治疗下颈椎骨折脱位合并脊髓损伤中的疗效.方法:采用ADD plus-带翼可调节置换器对12例下颈椎骨折脱位合并脊髓损伤患者进行前路切开复位、减压、植骨融合内固定治疗.治疗3,6,12个月分别进行临床评估和影像学检查,此后,每年检查1次.
#배경:ADD plus-대익가조절치환계통구유인공추체화전로고정판일체화、인공추체고도가조적특점,이급조작간단、수술시간단、조직상용성호등우세월래월수도외과의생적신뢰.목적:관찰대익가조절치환계통재경추전로감압、식골융합급치입고정치료하경추골절탈위합병척수손상중적료효.방법:채용ADD plus-대익가조절치환기대12례하경추골절탈위합병척수손상환자진행전로절개복위、감압、식골융합내고정치료.치료3,6,12개월분별진행림상평고화영상학검사,차후,매년검사1차.
@@@@BACKGROUND: ADD plus-winged adjustable replacement system has the advantages of artificial vertebral body and anterior fixation plate integration and artificial vertebral body height-adjustable, as wel as simple to operation, shorter operative time, and good histocompatibility, which make it attract more trust of the surgeons. OBJECTIVE: To explore the effect of ADD plus-winged adjustable replacement system in cervical anterior decompression, fusion and graft and internal fixation for the treatment of lower cervical spine fracture dislocation combined with spinal cord injury. METHODS: The ADD plus-winged adjustable replacement device was used in anterior reduction, decompression, fusion and graft and internal fixation for the treatment of lower cervical spine fracture dislocation combined with spinal cord injury in 12 cases. Clinical evaluation and imaging examination were performed at 3, 6 and 12 months after treatment, and then annual y thereafter. RESULTS AND CONCLUSION: Al patients were fol owed-up for 18 months. During the fol ow-up period, the patients got solid osseous fusion, the regulator was in good position without loosening or fracture; the cervical intervertebral height and physiological curvature were corrected, and the recovery degree of postoperative patient feel and motor function was increased significantly. One case appeared hyponatremia, and no postoperative complications were observed in other patients. The ADD plus-winged adjustable replacement system used in anterior cervical open reduction, internal fixation, decompression and fusion for the treatment of lower cervical spine fracture dislocation combined with spinal cord injury has the advantages of simple and safe operation, good histocompatibility and significant internal fixation effect.