CAJ | 학술논문

目的：本研究旨在探讨颈椎前路植入 PEEK PREVAIL 系统手术方式与传统前路减压植骨融合术治疗单节段颈椎病的疗效差异。方法对本院2011年3月至2015年3月收治的67例单节段颈椎病患者的临床资料进行回顾性分析，根据手术方式分为 PEEK PREVAIL 系统组35例（前路植入 PEEK PREVAIL 系统治疗）、传统组32例（前路减压植骨融合术治疗），对两组患者的手术情况及术后随访资料进行统计分析。结果 PEEK PREVAIL 系统组的手术时间、术中出血量、住院时间均显著低于传统组患者（P ＜0.05）。PEEK PREVAIL 系统组与传统组患者的手术前后日本骨科协会（Japanese orthopaedic association，JOA）、颈椎残障功能指数（neck disability index，NDI）、视觉模拟评分（vis-ual analogue scale，VAS）评分组间比较差异均无统计学意义（P ＞0.05），术后6个月两组患者的 JOA、NDI、VAS 评分较术前均显著降低（P ＜0.05）。PEEK PREVAIL 系统组患者的 Odom 优良率为91.43％，低于传统组患者的93.75％，但差异无统计学意义（P ＞0.05）。PEEK PREVAIL 系统组术后6个月融合率达到100％，而传统组融合率为96.9％，差异无统计学意义（P ＞0.05）。PEEK PREVAIL 系统组患者的并发症发生率为11.43％，低于传统组患者的46.88％且差异具有统计学意义（P ＜0.05）。结论颈椎前路植入 PEEK PREVAIL 系统手术较传统前路减压植骨融合术治疗单节段颈椎病具有手术时间短、出血量少、住院时间短、术后并发症低的优点，且手术效果基本相当。
목적：본연구지재탐토경추전로식입 PEEK PREVAIL 계통수술방식여전통전로감압식골융합술치료단절단경추병적료효차이。방법대본원2011년3월지2015년3월수치적67례단절단경추병환자적림상자료진행회고성분석，근거수술방식분위 PEEK PREVAIL 계통조35례（전로식입 PEEK PREVAIL 계통치료）、전통조32례（전로감압식골융합술치료），대량조환자적수술정황급술후수방자료진행통계분석。결과 PEEK PREVAIL 계통조적수술시간、술중출혈량、주원시간균현저저우전통조환자（P ＜0.05）。PEEK PREVAIL 계통조여전통조환자적수술전후일본골과협회（Japanese orthopaedic association，JOA）、경추잔장공능지수（neck disability index，NDI）、시각모의평분（vis-ual analogue scale，VAS）평분조간비교차이균무통계학의의（P ＞0.05），술후6개월량조환자적 JOA、NDI、VAS 평분교술전균현저강저（P ＜0.05）。PEEK PREVAIL 계통조환자적 Odom 우량솔위91.43％，저우전통조환자적93.75％，단차이무통계학의의（P ＞0.05）。PEEK PREVAIL 계통조술후6개월융합솔체도100％，이전통조융합솔위96.9％，차이무통계학의의（P ＞0.05）。PEEK PREVAIL 계통조환자적병발증발생솔위11.43％，저우전통조환자적46.88％차차이구유통계학의의（P ＜0.05）。결론경추전로식입 PEEK PREVAIL 계통수술교전통전로감압식골융합술치료단절단경추병구유수술시간단、출혈량소、주원시간단、술후병발증저적우점，차수술효과기본상당。
Objective To explore the effect of anterior cervical implant PEEK PREVAIL system and traditional anterior cervical decompression and bone graft fusion in the treatment of single segment cervical spondylosis. Methods The clinical data of 67 patients with single segment cervical spondylosis patients admitted to our hospital were divided into PEEK PREVAIL group(35 cases)and the traditional group(32 cases),and were retrospectively analyzed. Results The operation time,amount of bleeding,hospitalization time in the PEEK PREVAIL group,were significantly lower than the traditional group(P < 0. 05). The PEEK PREVAIL group and the traditional group had no difference in JOA,NDI,VAS score(P > 0. 05). 6 months after op-eration,JOA,NDI,VAS score was lower than that before operation in both group(P < 0. 05)significantly. PEEK PREVAIL group of patients'excellent and good rate was 91. 43% ,which was lower than that of the traditional group 93. 75% ,but the difference was not statistically significant(P > 0. 05). 6 months after operation,PEEK PREVAIL system group of the fusion rate was 100% ,and the traditional group of the fusion rate was 96. 9% . There was no statistically significant difference(P > 0. 05). PEEKPREVAIL group of patients with complications was 1 1 . 4 3 % ,which was lower than that of the traditional group were 46. 88% and the difference was statistically significant(P < 0. 05). Conclusion Compared with the traditional PEEK PRE-VAIL system,anterior cervical operation with anterior decompression and fusion for single segment cervical spondylosis has the advantage of shorter operation time,less bleeding,shorter hospital stay,lesspostoperative complications were low.