使用取自颈椎的自体骨移植与改良的史密斯-罗宾逊技术进行颈椎前路融合术的比较。
Comparison of anterior cervical fusions using autogenous bone graft obtained from the cervical vertebrae to the modified Smith-Robinson technique.
作者信息
McGuire R A, St John K
机构信息
Department of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson 39216.
出版信息
J Spinal Disord. 1994 Dec;7(6):499-503.
Anterior cervical discectomy and interbody grafting provide excellent results in treating cervical radiculopathy. This prospective study compares the results of the technique obtaining autogenous bone from the cervical vertebrae for grafting to the modified Smith-Robinson technique using autogenous iliac crest graft. Seven levels in six patients were fused using the vertebral body autograft technique and 43 levels in 40 patients using the standard technique. All patients had radiculopathy and neck pain. Statistically significant differences in fusion rate (4/7 vertebral body autograft; 40/43 modified Smith-Robinson) (p = 0.029), disc height maintenance (p = 0.001), and neck pain improvement (p = 0.05) occurred between the techniques. We do not recommend vertebral body autograft over the modified Smith-Robinson technique for anterior cervical fusion following discectomy.
颈椎前路椎间盘切除及椎间植骨融合术在治疗神经根型颈椎病方面疗效显著。本前瞻性研究比较了取自颈椎椎体的自体骨移植技术与改良Smith-Robinson技术（使用自体髂嵴骨移植）的疗效。6例患者的7个节段采用椎体自体骨移植技术进行融合，40例患者的43个节段采用标准技术进行融合。所有患者均患有神经根型颈椎病和颈部疼痛。两种技术在融合率（椎体自体骨移植4/7；改良Smith-Robinson技术40/43）（p = 0.029）、椎间隙高度维持（p = 0.001）和颈部疼痛改善（p = 0.05）方面存在统计学显著差异。对于颈椎前路椎间盘切除术后的融合，我们不推荐椎体自体骨移植技术优于改良Smith-Robinson技术。
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