中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (9): 1635-1638.doi: 10.3969/j.issn.1673-8225.2012.09.027

• 人工假体 artificial prosthesis • 上一篇    下一篇

半限制型与非限制型假体在颈椎间盘置换中的应用

雷  高1，罗德民1，薛厚军2，方国芳1，潘亚伟1，张丁城1，周健和1，潘合科1   

  1. 1东莞康华医院脊柱关节外科，广东省东莞市523080；2佛山市三水区人民医院 脊柱创伤骨科，广东省佛山市 528100
  • 收稿日期:2011-08-18 修回日期:2011-12-12 出版日期:2012-02-26 发布日期:2012-02-26
  • 作者简介:雷高，男，1946年生，陕西省合阳县人，汉族，1970年西安医科大学(原西安医学院)毕业，主任医师，教授，主要从事脊柱外科、微创脊柱外科、显微外科研究。lei.chenggao@126.com

Application of semi-constrained and non-restrictive prostheses in cervical disc replacement

Lei Gao1, Luo De-min1, Xue Hou-jun2, Fang Guo-fang1, Pan Ya-wei1, Zhang Ding-cheng1, Zhou Jian-he1, Pan He-ke1   

  1. 1Department of Spinal and Joint Surgery, Dongguan Kanghua Hospital, Dongguan  523080, Guangdong Province, China;
    2 Department of Spinal Trauma Orthopaedics, People’s Hospital of Sanshui District of Foshan, Foshan  528100, Guangdong Province, China
  • Received:2011-08-18 Revised:2011-12-12 Online:2012-02-26 Published:2012-02-26
  • About author:Lei Gao, Chief physician, Professor, Department of Spinal and Joint Surgery, Dongguan Kanghua Hospital, Dongguan 523080, Guangdong Province, China lei.chenggao@126.com

PDF

344

被引次数

16

摘要：

背景：人工椎间盘置换(非融合技术)是相对传统的颈椎前路减压椎体间植骨融合基础上设计的新术式，非融合技术的运用是一种新的理念。
目的：比较半限制型与非限制型假体在人工颈椎间盘置换中的应用效果。
方法：回顾性分析22例人工颈椎间盘置换患者的临床资料，非限制型假体Bryan 2例；半限制型假体Prodisc-C 15例，Activ-C 5例。通过比较手术时间、出血量、置换后颈椎活动度来比较颈椎间盘假体的置换效果。
结果与结论：Bryan假体具备置换后颈椎活动度好的优点，但价格昂贵，安装较为复杂。而Prodisc-C假体与Activ-C假体安装容易，但相对Bryan假体置换后颈椎活动度稍差。提示颈椎间盘置换在颈椎病的治疗上是一种行之有效的方法，非限制型及半限制型假体均取得了良好的临床效果，但半限制型假体Prodisc-C及Activ-C安装较为方便。

关键词: 半限制型假体, 非限制型假体, 颈椎间盘置换, 活动度, 植入体

Abstract:

BACKGROUND: The artificial disc replacement (non-fusion technology) is a new surgical procedure based on traditional anterior cervical decompression and interbody fusion, and the use of non-fusion technology is a new concept.
OBJECTIVE: To compare the clinic results between semi-constrained and non-restrictive prostheses used in cervical disc replacement.
METHODS: A retrospective analysis was performed in 22 patients who received cervical artificial disc replacement. Two cases were replaced with non-restrictive prosthesis of Bryan, 15 cases were with semi-constrained prosthesis of Prodisc-C, and 5 cases were replaced with semi-constrained prosthesis of Activ-C. Comparisons of the operation time, bleeding and the active degree of cervical vertebrate after operation were performed in order to compare the displacement effects.
RESULTS AND CONCLUSION: Replacement with Bryan prosthesis had better active degree of cervical vertebrate after operation, but it cost longer operation time and its installation was more complicated. Installation of Prodisc-C and Activ-C was simple, but patients with these prostheses replacement had poor active degree of cervical vertebrate after operation. It is indicated that cervical disc replacement is effective in treatment of cervical spondylosis. Both semi-constrained and non-restrictive prostheses used in cervical disc replacement can lead to satisfied clinic results, and installation of Prodisc-C and Activ-C is simpler.

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