聚醚醚酮椎间融合器填充人工骨植骨在前路颈椎融合术中治疗急性颈椎损伤的应用
Anterior cervical interbody fusion using polyetheretherketone cage filled with synthetic bone graft in acute cervical spine injury.
作者信息
Hattou L, Morandi X, Lefebvre J, Le Reste P-J, Riffaud L, Hénaux P-L
机构信息
Department of neurosurgery, Rennes university hospital, CHU Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France.
Department of neurosurgery, Rennes university hospital, CHU Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France.
出版信息
Orthop Traumatol Surg Res. 2017 Feb;103(1):61-66. doi: 10.1016/j.otsr.2016.09.004. Epub 2016 Oct 5.
PURPOSE
The aim of this study was to assess the interbody fusion rate for patients treated by anterior cervical interbody fusion (ACIF) using polyetheretherketone (PEEK) cages filled with synthetic bone graft in acute cervical spine injury.
MATERIALS AND METHODS
Twenty-nine patients (mean age: 49 years) with monosegmental instability due to cervical spine injury were followed. We assessed the rate of and time to interbody fusion at 1-year follow-up. In case of secondary displacement, we analysed its causes and surgical management.
RESULTS
The rate of fusion was 86.2%. The mean time to fusion was 7.2 months. Interbody fusion was observed at 3 months in 4 patients, at 6 months in 14 and at 1 year in 7. Four patients had secondary displacement within 3 months.
CONCLUSION
ACIF with a PEEK cage filled with synthetic bone graft seems to be an alternative to iliac crest bone graft with no morbidity related to the harvest site.
目的
本研究旨在评估在急性颈椎损伤患者中，使用填充人工骨 graft 的聚醚醚酮（PEEK）椎间融合器进行前路颈椎椎间融合术（ACIF）后的椎间融合率。
材料与方法
对 29 例因颈椎损伤导致单节段不稳定的患者进行随访。我们在 1 年随访时评估椎间融合率及融合时间。对于出现二次移位的情况，我们分析其原因及手术处理方法。
结果
融合率为 86.2%。平均融合时间为 7.2 个月。4 例患者在 3 个月时观察到椎间融合，14 例在 6 个月时融合，7 例在 1 年时融合。4 例患者在 3 个月内出现二次移位。
结论
使用填充人工骨 graft 的 PEEK 椎间融合器进行 ACIF 似乎是髂嵴骨 graft 的一种替代方法，且无取骨部位相关的并发症。
Zotero 插件