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颈椎间盘移位的外科治疗

[Surgical treatment of cervical intervertebral disk displacement].

作者信息

Grote W, Kalff R, Roosen K

机构信息

Neurochirurgische Universitätsklinik Essen.

出版信息

Zentralbl Neurochir. 1991;52(3):101-8.

PMID:1796668
Abstract

The aim of operative treatment in degenerative cervical disc disease is the decompression of nerval structures. Generally this can be achieved either by an anterior or posterior approach. In our opinion the anterior way seems to be more favourable because the protruded vertebral disc can be totally removed in a direct approach. Besides this you can get a better survey of the spinal cord and the nerve roots. Fusion or not fusion after discectomy is discussed controversially. We prefer fusion to avoid pain caused by temporary instability. Since 1968 we treated 1,112 patients by this way and we used PMMA for fusion instead of a bone graft. No disadvantage of this method could be noticed. The results and complications are compared to those reported in the literature.

摘要

退行性颈椎间盘疾病手术治疗的目的是解除神经结构压迫。一般来说,这可以通过前路或后路手术来实现。我们认为前路手术似乎更具优势,因为可以直接将突出的椎间盘完全切除。除此之外,还能更好地观察脊髓和神经根。椎间盘切除术后是否进行融合存在争议。我们倾向于融合以避免因暂时不稳定而引起的疼痛。自1968年以来,我们用这种方法治疗了1112例患者,并且使用聚甲基丙烯酸甲酯进行融合而非植骨。未发现该方法有任何缺点。将结果和并发症与文献报道的进行了比较。

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