颈椎病；颈椎前路椎间融合术；椎间融合器；聚醚醚酮_

应用Solis融合器治疗双节段脊髓型颈椎病

http://www.100md.com 《中华首席医学网》 2006年第13期

颈椎病；颈椎前路椎间融合术；椎间融合器；聚醚醚酮,,颈椎病；颈椎前路椎间融合术；椎间融合器；聚醚醚酮,1资料与方法,2结果,3讨论,参考文献：

     摘要：[目的]观察聚醚醚酮制Solis颈椎融合器在双节段脊髓型颈椎病前路间盘切除后椎体间融合效果。[方法]回顾性分析2002年9月~2004年9月用Solis融合器治疗的16例双节段脊髓型颈椎病患者的临床效果，术后定期X线检查，观察手术节段的稳定性和融合情况。[结果]患者术后次日即下床活动，手术节段能获得即刻稳定,所有患者术后平均随访18个月，术区3～6个月就能获得融合，无感染及神经系统并发症发生，15/16的病人对手术效果满意。[结论]Solis融合器可以使颈椎手术节段获得即刻稳定，手术创伤小，手术时间短，融合效果确定，并发症较低，对于不连续的双节段脊髓型颈椎病的前路融合术，Solis融合器更具优点。

    关键词：颈椎病；颈椎前路椎间融合术；椎间融合器；聚醚醚酮

    Treatment of two levels cervical spondylotic myelopathy using Solis cage∥WANG Huimin,LIU Haiying,ZHANG JianDepartment of Spinal Surery,Peoples Hospital,Peking University,Beijing 100034，China

    Abstract：[Objective]To observe the effect of Solis cage made of polyether ether ketone(PEEK)for the cervical interbody fusion after anterior discoidectomy of two levels cervical spondylotic myelopathy[Method]We retrospectively analyzed the clinical outcome of 16 patients with two levels cervical spondylotic myelopathy underwent anterior discoidectomy and stabilized the operative segment using Solis cage from September 2002 to September 2004Sequent Xray examination was taken after operation to observe the stability and fusion of the operative segments[Result]All of the segments were mobilized at the next day after operationThe patients were followed up from 14 months to 36 months(averaged 18 months)The operative segments were stable instantly and solid fusion was observed at 3 to 6 months after operation15/16 of patients were satisfactory,no complication was found[Conclusion]The immediate stability of the operative segments can be obtained by Solis cage,the Solis cage is safe and simple,complication is relatively fewIt has a special advantage in the treatment of the discontinuous two levels cervical spondylotic myelopathy ......

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