| 全部与周边终板保留颈椎前路融合术对比 |
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Received:June 02, 2003
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| 期刊信息：《中国骨伤》2004年17卷，第2期，第65-67页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:观察两种不同处理终板的方法对颈椎前路术后维持椎间高度、生理曲度的恢复和维持以及骨融合率的作用。
方法:29例颈椎病、颈椎间盘突出症和颈椎骨折脱位患者,在颈前路融合术中采用去除中央终板、保留周边终板(A组)和保留全部终板、未行中央终板去除(B组)两种不同的方法。评价两组椎间隙高度的变化、生理曲度的维持及椎间融合率及骨融合速度等。
结果:两组患者在椎间高度和生理曲度的维持,融合率方面并无明显差别,但是A组的椎间融合速度明显快于B组。两组全部获骨性融合,平均骨愈合时间A组为10(8～14)周,B组为12(10～22)周。
结论:植骨块沉陷是导致术后椎间融合高度丢失的主要原因之一。 |
| [关键词]:颈椎终板 颈椎前路融合 外科手术 |
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| Comparison on total and partial preservations of the endplate in the cervical anterior arthrodesis |
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Abstract:
Objective:To observe the effects of two kinds of surgical treatment for cervical endplate,for maintenance the postoperative intervertebral disc height,restore cervical lordosis and facilitation the rate of synostosis.
Methods:29 patients of cervical spondylotic myelopathy,cervical disc protrusion and cervical dislocation and fracture were treated with either central endplate removal and peripheral endplate preservation(Group A) or total endplate preservation (Group B).The postoperative intervertebral hight,the ability of the maintenance of the cervical lordosis,and the rate of synostosis and fusion velocity were evaluated.
Results:There were no difference in the maintenance of intervertebral height,cervical lordosis and fusion rate.But the fusion velocity of the Group A was quicker than that of Group B.The mean fusion time for Group A and Group B were 10 and 12 weeks,respectively.
Conclusion:Graft subsidence is one of the main reasons for the postoperative height loss and secondary kyphosis.Appropriate removal of the cervical central endplate will not undermine the axial stress of the cages or bone graft but could facilitate the synostosis. |
| KEYWORDS:Cervical endplate Cervical anterior fusion Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 叶澄宇,章允刚,滕红林,杨胜武,谭军,贾连顺.全部与周边终板保留颈椎前路融合术对比[J].中国骨伤,2004,17(2):65~67 |
| 英文格式: | YE Cheng-yu,ZHANG Yun-gang,TENG Hong-lin,YANG Sheng-wu,TAN Jun,JIA Lian-shun.Comparison on total and partial preservations of the endplate in the cervical anterior arthrodesis[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(2):65~67 |
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