Department of orthopedics, Peking University International Hospital, 102206 Beijing, China.
Department of orthopedics, Peking University International Hospital, 102206 Beijing, China.
Neurochirurgie. 2020 Nov;66(5):369-372. doi: 10.1016/j.neuchi.2020.05.009. Epub 2020 Aug 27.
This study aimed to investigate the safety and effectiveness of ultrasonic osteotome in cervical anterior vertebral subtotal resection.
Retrospective clinical data were collated for 81 patients with cervical spondylotic myelopathy who required cervical anterior vertebral subtotal resection.
Group A (n=40) was treated with an ultrasonic osteotome and group B (n=41) with a high-speed burr. Vertebrectomy time, intraoperative blood loss, surgical complications, Japanese Orthopedic Association (JOA) scores and JOA score improvement were compared. Group A showed significantly shorter vertebrectomy time and significantly less intraoperative blood loss (P<0.05). In group A, dysphagia occurred in one patient, and superior laryngeal nerve injury in one. Urinary tract infection occurred in one patient in group B. JOA score in both groups significantly increased 3 days after surgery (P<0.05), and at last follow-up compared with 3 days after surgery (P<0.05).
Ultrasonic osteotome was a safe and effective tool for subtotal anterior cervical vertebral resection.
本研究旨在探讨超声骨刀在颈椎前路椎体次全切除术中的安全性和有效性。
回顾性收集了 81 例需要行颈椎前路椎体次全切除的脊髓型颈椎病患者的临床资料。
A 组（n=40）采用超声骨刀治疗，B 组（n=41）采用高速磨钻治疗。比较两组患者的椎体切除时间、术中出血量、手术并发症、日本骨科协会（JOA）评分及 JOA 评分改善情况。A 组患者的椎体切除时间明显短于 B 组，术中出血量明显少于 B 组（P<0.05）。A 组中 1 例患者出现吞咽困难，1 例患者出现喉上神经损伤。B 组中有 1 例患者发生尿路感染。两组患者术后 3 天 JOA 评分均较术前明显升高（P<0.05），末次随访时与术后 3 天比较差异有统计学意义（P<0.05）。
超声骨刀是一种安全有效的颈椎前路椎体次全切除工具。
