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Posterior longitudinal ligament resection by Smith-Robinson technique combined with metallic fixation for single-level cervical disc herniation

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Author:: No author available

Journal Title:: JOURNAL OF CLINICAL REHABILITATIVE TISSUE ENGINEERING RESEARCH

Issue:: 26

DOI:: 10.3969/j.issn.1673-8225.2012.26.036

Key Word:: 单节段;Cage植骨;螺钉;终板;Smith-Robinson;后纵韧带;颈椎间盘突出症;植入体

Abstract：背景:Smith-Robinson技术结合金属植入物内固定已广泛用于治疗单节段颈椎间盘症,但是否切除后纵韧带仍有争议.目的:观察Smith-Robinson技术切除后纵韧带并金属植入物内固定治疗单节段颈椎间盘突出症的疗效.方法:回顾性分析2005/2008天津医科大学总医院骨科Smith-Robinson技术切除后纵韧带,使用Cage植骨融合、钛板螺钉置入内固定治疗的45例单节段颈椎间盘突出患者的临床资料.结果与结论:治疗后随访12～36个月,随访12个月时JOA评分较治疗前明显提高(P＜0.05),目测类比疼痛评分较治疗前明显降低(P＜0.05),Cobb角、椎间隙高度较治疗前明显改善(P ＞ 0.05),最终融合率100%,未出现Cage移位.疗效评价,30例优,13例良,2例可,无症状加重者,末次随访优良率95.6%.说明通过Smith-Robinson技术切除后纵韧带即能够实现对脊髓、神经根的彻底减压,又能有效防止椎间隙坍陷、成角畸形等并发症.

Reference

[1]刘丹,吴震东,黄宰宇.颈前路手术后纵韧带切除的临床研究[J].2004,(17).
[2]杨启远,罗小丽,冯敬,等.颈椎前路手术并发症的防治探讨[J].2009,(10).
[3]李洪伟,李坤,李辉南,等.颈椎前路手术并发症及原因分析[J].2007,(10).
[4]叶添文,贾连顺,陈德玉,等.脊髓型颈椎病的后纵韧带病理分型及其临床意义[J].2008,(19).
[5]蒋振松,张佐伦,刘立成,等.颈椎前路手术中后纵韧带切除的探讨[J].2003,(3).
[6]雪原,王沛,马信龙,等.保留终板软骨下骨的颈椎后纵韧带悬吊切除技术[J].2008,(12).
[7]于淼,王少波,刘忠军.颈前路椎间过度撑开与术后颈肩痛关系的探讨[J].2008,(4).
[8]顾韬,王新伟,袁文,等.颈椎间盘与后纵韧带上交感神经分布的特点及临床意义[J].2007,(6).
[9]Andre, Tomasino,Harry, Gebhard,Karishma, Parikh,etc.Bioabsorbable instrumentation for single-level cervical degenerative disc disease: a radiological and clinical outcome study.[J].2009,11(5).
[10]J P, Kostuik,P J, Connolly,S I, Esses,etc.Anterior cervical plate fixation with the titanium hollow screw plate system.[J].1993,18.
[11]Bjarne, Lied,Paal Andre, Roenning,Jarle, Sundseth,etc.Anterior cervical discectomy with fusion in patients with cervical disc degeneration: a prospective outcome study of 258 patients (181 fused with autologous bone graft and 77 fused with a PEEK cage).[J].2010,10.
[12]Justin F, Fraser,Roger, H?rtl.Anterior approaches to fusion of the cervical spine: a metaanalysis of fusion rates.[J].2007,6(4).
[13]Faldini C,Di Martino A,Denaro L,etc.Cervical disc herniation and cervical spondylosis surgically treated by Cloward procedure: a 10-year-minimum follow-up study.[J].2010,11(2).
[14]An HS,Marco RA,Jenis LG,etc.Characterization of graft subsidence in anterior cervical discectomy and fusion with rigid anterior plate fixation.[J].2007,36(8).
[15]Chen D,Chen Y,Wang X.Removal of posterior longitudinal ligament in anterior decompression for cervical spondylotic myelopathy.[J].2009,22(6).
[16]Rushton SA,Albert TJ.Cervical degenerative disease: rationale for selecting the appropriate fusion technique (Anterior, posterior, and 360 degree).[J].1998,29(4).
[17]Nakagawa H,Mizuno J,Hashizume Y.Analysis of hypertrophy of the posterior longitudinal ligament of the cervical spine, on the basis of clinical and experimental studies.[J].2001,49(5).
[18]T.Isu,Y.Iwasaki,K.Miyasaka,etc.A reappraisal of the diagnosis in cervical disc disease: the posterior longitudinal ligament perforated or not[J].1986,28(3).
[19]SHOHEI MANABE,AKIO TATEISHI.Epidural Migration of Extruded Cervical Disc and Its Surgical Treatment[J].1986,11(9).
[20]Brent Morgan,Ashley S. Reynolds,Rob D. Dickerman.Polyetheretherketone (PEEK) cage filled with bone morphogenic protein and demineralised bone matrix in anterior cervical discectomy and fusion[J].2008,32(5).
[21]Peleg S,Peled N,Masharawi Y,etc.Schmorl's nodes distribution in the human spine and its possible etiology.[J].2010,19(4).
[22]T S, Whitecloud.Modern alternatives and techniques for one-level discectomy and fusion.[J].1999,(359).
[23]Lind BI,Zoega B,Rosen H.Autograft versus interbody fusion cage without plate fixation in the cervical spine: a randomized clinical study using radiostereometry.[J].2007,16(8).
[24]Stephen J. Lipson,Helen Muir.Vertebral osteophyte formation in experimental disc degeneration[J].1980,23(3).
[25]Kaiser MichaelG,Haid RegisW Jr,Subach BrianR,etc.Anterior cervical plating enhances arthrodesis after discectomy and fusion with cortical allograft.[J].2002,50(2).
[26]G W, SMITH,R A, ROBINSON.The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion.[J].1958,40-A(3).