Kaden B, Swamy S, Schmitz H J, Reddemann H, Fuhrmann G, Gross U
Neurochirurgische Universitätsklinik Bonn.
Zentralbl Neurochir. 1993;54(4):166-70.
We report on our experience with the use of titanium for disc replacement in the cervical spine. In 52 patients a total of 55 titanium grafts were implanted. Follow-up examinations were available in 48 patients with an observation time of 14 month on average. Results of clinical-neurological examinations were excellent or good in 37 patients (77%), moderate in 9 cases (19%), while two patients (4%) showed poor outcome. Radiological follow-up examinations showed a correct position in 47 of the 48 patients. Incorrect position as observed in 1 case made operative revision necessary. According to our results, titanium grafts seem to be a useful alternative method as compared to conventional techniques of fusion. Essential advantages are simple handling, biocompatibility of the material as well as the solid bond achieved by the special qualities of the graft with respect to surface and form. Availability of different graft sizes allows tailored fusion.
我们报告了使用钛进行颈椎间盘置换的经验。52例患者共植入了55枚钛移植物。48例患者进行了随访检查，平均观察时间为14个月。临床神经学检查结果为优或良的有37例（77%），中等的有9例（19%），而2例（4%）效果较差。影像学随访检查显示48例患者中有47例位置正确。1例位置不正确，需要进行手术翻修。根据我们的结果，与传统融合技术相比，钛移植物似乎是一种有用的替代方法。其主要优点是操作简单、材料具有生物相容性，以及移植物在表面和形状方面的特殊性质所实现的牢固结合。不同移植物尺寸的可用性允许进行定制融合。
