van den Bent M J, van Acker R E, Meyer J
Ned Tijdschr Geneeskd. 1989 Aug 5;133(31):1550-4.
The results are presented of a retrospective survey of anterior cervical surgery followed by fusion with autologous bone grafting for the treatment of radiculopathy due to cervical intervertebral disc prolapse or spondylosis. The study included 46 patients, with a follow-up period of at least a year. Follow-up examination was performed by an independent observer. Of the patients 38 (83%) were improved, 34 (74%) having a 'good' or 'excellent' response. Postoperative complications were minor; the most frequent complication was pain or dysaesthesia at the donor site of the bone graft, the iliac crest. It is questionable whether autologous bone grafting is indicated following anterior discectomy.
本文呈现了一项关于颈椎前路手术的回顾性调查结果,该手术采用自体骨移植融合术治疗因颈椎间盘突出或颈椎病导致的神经根病。该研究纳入了46例患者,随访期至少为一年。由一名独立观察者进行随访检查。其中38例(83%)患者病情改善,34例(74%)有“良好”或“优秀”的反应。术后并发症轻微;最常见的并发症是髂嵴处骨移植供区的疼痛或感觉异常。椎间盘切除术后是否需要自体骨移植仍存在疑问。