- 期刊
- OpenAccess
Results of Anterior Cervical Discectomy and Arthrosesis for Cervical Disc Disease
以前頸椎間盤切除術及關節固定術治療頸部椎間盤病變之結果
摘要
從一九九四年十月至一九九六年九月，三軍總醫院共有一百一十位病人因為外傷或非外傷原因而造成頸部椎問盤病變；這些病人皆接受前頸椎間盤切除及關節固定術。其中四十七個病人關節固定術由Caspar plate固定及BOP移植完成，而其他七十三個病人則由BOP移植完成。平均臨床及放射線追蹤期間為一年。（範圍：半年至一年半）其中有三例併發症：一例在術後二日傷口發現有乳麋廔管，一例在術後發生血腫堆積，另外一例則有暫時性的聲音沙啞。在臨床預後方面：依據Odom's標準共有百之七十三的病人有好到極佳的功能恢復。而在放射線追蹤：則有五位病人有螺絲鬆動或失敗的情形，沒有任何死亡與我們的手術有關。我們的結果顯示在頸部椎間盤病變的病人，前頸椎間盤切除及關節固定術是一種安全且有效的手術方法。
並列摘要
From Oct. 1994 to Sep. 1996, there were 110 patients sustained cervical disc disease from traumatic or non-traumatic reasons in Tri -Service General Hospital. These patients received anterior cervical discectomy and arthrodesis with Biocompatible osteoconductive polymer (BOP). Among them, 47 (42.7%) patients received arthrodesis by Caspar plate fixation and BOP graft. Others (73/110) were treated by BOP graft only. The average duration of clinical and roentgenographic follow-up was one year (Range: 6 months to 18 months). There were three complications noted in our series; One patient had chylous fistula over the wound found two days after the operation, one patient had post-operative hematoma accumulation and one case suffered from a transient hoarseness. In clinical outcome, there was 73% of patients had good-to-excellent functional recovery according to Odom's criteria. In radiologic outcome, five patients revealed screw loose or failure. The rate for successful arthrodesis was 95.5%. There showed no mortality directly caused by the operation. Our results suggest that anterior cervical discectomy and arthrodesis for cervical disc disease is a safe and effective procedure.
延伸閱讀
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