人工颈椎间盘假体置换术治疗脊髓型颈椎病的临床效果

山东大学学报(医学版) ›› 2008, Vol. 46 ›› Issue (12): 1188-1191.

人工颈椎间盘假体置换术治疗脊髓型颈椎病的临床效果

梁延琛，聂林，侯勇，程雷，杨彦才，曲高伟，耿伟

山东大学齐鲁医院骨创科，济南 250012

收稿日期:2008-06-22 发布日期:2009-12-16
通讯作者: 聂林（1955- ），男，硕士生导师，教授，主要从事脊柱外科的研究。

Artificial cervical disc replacement in the treatment of cervical spondylotic myelopathy

LIANG Yanchen, NIE Lin, HOU Yong, CHENG Lei, YANG Yancai, QU Gaowei, GENG Wei

Department of Orthopaedics, Qilu Hospital of Shandong University, Jinan 250012, China

Received:2008-06-22 Published:2009-12-16
About author:梁延琛（1982- ），男，硕士，医师，主要从事脊柱外科的研究。E-mail:lyc-0714@yahoo.com.cn

摘要/Abstract

摘要：

目的评价人工颈椎间盘假体置换术治疗脊髓型颈椎病患者的临床效果。方法应用Bryan颈椎间盘假体置换术治疗脊髓型颈椎病患者20例（22个节段），术前和术后1个月、3个月、12个月、24个月进行JOA、ODI评分评价临床疗效，并行颈椎正侧位、动力位X线片及CT、MRI检查，观察植入假体的稳定性及颈椎置换节段的活动度。结果术后经过24个月的随访，JOA评分增高、ODI评分降低，临床症状较术前明显改善，虽然置换节段早期的活动度较术前有所减小，但长期随访示恢复了术前的活动范围，保持了正常的颈椎运动功能。置换节段假体位置稳定无移位，未发现植入物下沉和异位骨化现象。结论人工颈椎间盘置换术不但可以保持颈前路减压的良好效果，还可重建颈椎的运动功能。

关键词: 脊髓压迫症；人工颈椎间盘；假体置入

Abstract:

Objective To evaluate the clinical effects of artificial cervical disc replacement in the treatment of cervical spondylotic myelopathy. Methods 20 patients with cervical spondylotic myelopathy underwent Bryan cervical disc arthroplasty from March 2005 to July 2006. The clinical JOA and ODI scores and radiographic results were pre-operatively and post-operatively performed． The range of movement (ROM) of the post-operative replaced level was retrospectively reviewed． Result Neurological deficit was alleviated in all patients． Followed up at least 24 months， JOA and ODI scores were improved, and the replaced segment restored the normal ROM. Also no obvious degeneration or heterotopic ossification of the adjacent disc happened during the follow-up. Conclusion Artificial cervical disc replacement can obviously improve the symptoms of cervical spondylotic myelopathy and achieve good clinical results. Also, the replaced level retains a definite ROM．

Key words: Spinal cord compression； Artificial cervical disc replacement; Prosthesis implantation

中图分类号:

R681.5

梁延琛，聂林，侯勇，程雷，杨彦才，曲高伟，耿伟. 人工颈椎间盘假体置换术治疗脊髓型颈椎病的临床效果[J]. 山东大学学报(医学版), 2008, 46(12): 1188-1191.

LIANG Yanchen, NIE Lin, HOU Yong, CHENG Lei, YANG Yancai, QU Gaowei, GENG Wei. Artificial cervical disc replacement in the treatment of cervical spondylotic myelopathy[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(12): 1188-1191.

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