Cappelletto Barbara, Giorgiutti Fabrizia, Veltri Claudio, Trevigne Massimo A, Facchin Paolo, Del Fabro Paolo
Spine and Spinal Cord Surgery Unit, University Hospital Santa Maria della Misericordia of Udine, Udine, Italy,
Eur Spine J. 2013 Nov;22 Suppl 6(Suppl 6):S894-9. doi: 10.1007/s00586-013-3023-y. Epub 2013 Sep 18.
The purpose of this retrospective analysis is to determine whether disc prosthesis replacement can be equivalent or superior compared with the disc interbody fusion.
Between January, 2005 and June, 2011 we performed microdiscetomy by the anterior approach in 176 patients. We subdivided the total set of patients into two groups. Group A is made up of 84 patients in whom the prosthetic disc was implanted; Group B is made up of 92 patients in whom disc fusion was performed.
In both groups, the radicular pain disappeared and the signs of spinal cord compression improved or remained stable. Patients of Group A required significantly fewer days of hospitalization and shorter absence from work, and had significant lower scores in the Neck Disability Index (NDI) at 12 months.
Our experience demonstrates that the use of disc prosthesis is a safe and effective alternative to interbody fusion.
本回顾性分析的目的是确定椎间盘假体置换与椎间盘椎间融合术相比是否等效或更优。
2005年1月至2011年6月期间，我们采用前路入路对176例患者进行了显微椎间盘切除术。我们将所有患者分为两组。A组由84例植入人工椎间盘的患者组成；B组由92例行椎间盘融合术的患者组成。
两组患者的神经根性疼痛均消失，脊髓压迫体征改善或保持稳定。A组患者的住院天数明显减少，缺勤时间更短，且在12个月时的颈部功能障碍指数（NDI）得分显著更低。
我们的经验表明，使用椎间盘假体是椎间融合术的一种安全有效的替代方法。
