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前路颈椎间盘切除钛椎间融合器融合术后椎间盘高度丢失

Disc height loss after anterior cervical microdiscectomy with titanium intervertebral cage fusion.

作者信息

Türeyen K

机构信息

Süleyman Demirel University, Department of Neurosurgery, School of Medicine, Isparta, Turkey.

出版信息

Acta Neurochir (Wien). 2003 Jul;145(7):565-9; discussion 569-70. doi: 10.1007/s00701-003-0050-1.

DOI:10.1007/s00701-003-0050-1
PMID:12910399
Abstract

BACKGROUND

The use of a graft in cervical inter-vertebral disc repair is still a controversial procedure. The aim of the treatment is to restore the physiological disc height and to achieve fusion. This study was performed to determine the rate of narrowing of the cervical intervertebral disc after using a titanium cervical intervertebral cage (BAK-C; Sulzer Spine Tech, Minneapolis, MN).

METHODS

43 patients were included in the study. Each had a cervical disc protrusion, resulting in radiculopathy. All underwent surgery involving an anterior one level cervical microdiscectomy and fusion with a cylindrical titanium cage. The mean follow-up time was 18+/-5 months.

FINDINGS

The extent of the mean narrowing rate of disc space was 35.6+/-9%. The fusion rate was 98% and the mean time to fusion was 6 months.

INTERPRETATION

The use of a cervical intervertebral cage in anterior cervical microdiscectomy does not prevent the loss of the height of the cervical disc space after the operation.

摘要

背景

在颈椎间盘修复中使用移植物仍是一个有争议的手术。治疗目的是恢复生理椎间盘高度并实现融合。本研究旨在确定使用钛制颈椎椎间融合器(BAK-C;苏尔寿脊柱科技公司,明尼阿波利斯,明尼苏达州)后颈椎间盘的狭窄率。

方法

43例患者纳入本研究。每位患者均有颈椎间盘突出症并导致神经根病。所有患者均接受了前路单节段颈椎显微椎间盘切除术,并使用圆柱形钛制融合器进行融合。平均随访时间为18±5个月。

结果

椎间盘间隙平均狭窄率为35.6±9%。融合率为98%,平均融合时间为6个月。

解读

在前路颈椎显微椎间盘切除术中使用颈椎椎间融合器并不能防止术后颈椎间盘间隙高度的丢失。

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