Paściak Marek, Wadek Tomasz, Widuchowski Jerzy, Grzywocz Jerzy, Werner Krystian, Swiderski Michał
Oddzialł IV, Schorzeń i Urazów Kregosłupa, Wojewódzki Szpital Chirurgii Urazowej w Piekarach Slaskich.
Chir Narzadow Ruchu Ortop Pol. 2007 Sep-Oct;72(5):341-5.
The aim of this study was to assess early results of anterior cervical decompression and arthroplasty for cervical disc disease. The results of operations of 32 patients (43 instrumented levels) were examined to assess clinical outcome, the restoration of disc height, postoperative lordosis, mobility of instrumented segment and complication rate. Clinical outcome evaluated with VAS score improved from 7.5 preoperatively to 2.7 post operation. There was improvement in disc height measured by Tureyen method of 48%, 5 degree restoration of lordosis per segment and average 5 degree mobility of operated segment. In two cases spontaneous fusion occurred. There were no loosening of prosthesis observed. Overall the study shows that early results of arthroplasty are clinically efficient and safe as fusion. Assessment of biomechanical advantages of arthroplasty demands further observation to compare if long-term results are superior to fusion.
本研究的目的是评估颈椎前路减压及人工关节置换术治疗颈椎间盘疾病的早期疗效。对32例患者（43个植入节段）的手术结果进行检查，以评估临床疗效、椎间盘高度的恢复情况、术后颈椎前凸、植入节段的活动度及并发症发生率。采用视觉模拟评分法（VAS）评估的临床疗效从术前的7.5分改善至术后的2.7分。采用Tureyen法测量的椎间盘高度改善了48%，每个节段的颈椎前凸恢复了5度，手术节段平均活动度为5度。有2例发生了自发融合。未观察到假体松动。总体而言，该研究表明人工关节置换术的早期疗效在临床上与融合术一样有效且安全。评估人工关节置换术的生物力学优势需要进一步观察，以比较其长期疗效是否优于融合术。
