[1]李亚锋,贾象元,刘楚吟,等.零切迹颈椎前路椎间融合术治疗双节段颈椎病术后矢状位参数的变化研究[J].中国中医骨伤科杂志,2023,31(05):30-34.[doi:10.20085/j.cnki.issn1005-0205.230506]
 LI Yafeng,JIA Xiangyuan,LIU Chuyin,et al.Changes of Sagittal Position Parameters after ROI-C Anterior Cervical Discectomy Decompression and Fusion for Double Level Cervical Spondylosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(05):30-34.[doi:10.20085/j.cnki.issn1005-0205.230506]
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零切迹颈椎前路椎间融合术治疗双节段颈椎病术后矢状位参数的变化研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年05期
页码:
30-34
栏目:
临床研究
出版日期:
2023-05-15

文章信息/Info

Title:
Changes of Sagittal Position Parameters after ROI-C Anterior Cervical Discectomy Decompression and Fusion for Double Level Cervical Spondylosis
文章编号:
1005-0205(2023)05-0030-05
作者:
李亚锋1贾象元2刘楚吟3袁林1马慧1杨浩田1赵学千3△贾育松3△
1北京中医药大学东直门医院(北京,100700)
2首都医科大学附属朝阳医院
3清华大学玉泉医院(清华大学中西医结合医院)
Author(s):
LI Yafeng1JIA Xiangyuan2LIU Chuyin3YUAN Lin1MA Hui1YANG Haotian1ZHAO Xueqian3△JIA Yusong3△
1Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;
2Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;
3Tsinghua University Yuquan Hospital(Tsinghua University Hospital of Integrated Traditional Chinese and Western Medicine),Beijing 100040,China.
关键词:
颈椎前路椎间融合术 矢状位参数 双节段 零切迹融合器 颈椎病
Keywords:
anterior cervical interbody fusion sagittal position parameters two level ROI-C fusion device cervical spondylosis
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.230506
文献标志码:
A
摘要:
目的:探讨零切迹颈椎前路椎间融合术(Anterior Cervical Discectomy and Fusion,ACDF)治疗双节段颈椎病术后矢状位参数的变化。方法:回顾性分析2017年5月至2021年5月行双节段椎间融合且使用ROI-C融合器的患者,建立Excel数据库,观察胸1倾斜角(T1S)、C2~7 Cobb角、C2~7矢状面轴向距离(C2~7 SVA)及手术节段角(SA)术前及末次随访时的变化。采用t检验或非参数检验分析术前及末次随访时各数据是否存在差异; Pearson相关或秩相关(Spearman法)分析各数值之间的相关性。结果:共纳入35例患者,男12例,女23例; 年龄为46~69岁,平均为(57.94±6.05)岁; 随访时间为6~38个月,平均为(9.23±7.97)个月。手术节段C3~4、C4~51例,C4~5、C5~620例,C5~6、C6~714例。末次随访时T1S、C2~7 Cobb角及手术节段角较术前增加,差异有统计学意义(P<0.05)。相关性:T1S与C2~7 Cobb角、T1S与C2~7 矢状面轴向距离、T1S与手术节段角及C2~7 Cobb角与手术节段角之间存在正相关性(P<0.05)。结论:对于双节段颈椎病患者,使用ROI-C融合器行颈椎前路椎间融合术能够改善颈椎矢状位参数,恢复颈椎矢状位平衡,对于颈椎病的治疗有积极作用。
Abstract:
Objective:To explore the changes of sagittal position parameters for anterior cervical discectomy and fusion(ACDF)on the treatment of double-level cervical spondylosis.Methods:A retrospective analysis was conducted on patients who received two-level ACDF and used ROI-C fusion apparatus from May 2017 to May 2021,and an Excel database was established.The changes of thoracic inclination angle(T1S),C2-7 Cobb angle(C2-7 Cobb angle),C2-7 sagittal vertical axis(C2-7 SVA)and surgical segment angle(SA)were observed before and at the last follow-up.t test or nonparametric test was used to analyze whether there were any differences between the data before and at the last follow-up.Pearson correlation or rank correlation(Spearman method)was used to analyze the correlation among the values.Results:A total of 35 patients were included,including 12 males and 23 females.The patients ranged in age from 46 to 69(57.94±6.05)years old and were followed up for 6 to 38(9.23±7.97)months.There were 1 case of C3-4、C4-5,20 cases of C4-5、C5-6,and 14 cases of C5-6、C6-7.At the last follow-up,T1S,C2-7 Cobb angle and SA were increased compared with those before surgery,with statistical significance(P<0.05).Correlation: There were positive correlations between T1S and C2-7 Cobb angle,T1S and C2~7 SVA,T1S and SA,and C2-7 Cobb angle and SA(P<0.05).Conclusion:For patients with double-level cervical spondylosis,the use of ROI-C fusion device for anterior cervical ACDF can improve cervical sagittal position parameters and restore cervical sagittal position balance,which can play a positive role in the treatment of cervical spondylosis.

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备注/Memo

备注/Memo:
基金项目:北京中医药大学横向课题(HX-DZM-2017001)
通信作者 E-mail:1305738227@qq.com(赵学千)
jiayusong1970@163.com(贾育松)
更新日期/Last Update: 2023-05-10