颈椎间盘切除结合“L”形开槽治疗椎间盘 游离
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西南医科大学附属医院

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ACDF combined with L-shaped vertebral slotting in the treatment of huge cervical intervertebral disc
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Department of spine surgery, Affiliated Hospital of Southwest Medical University

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    摘要:

    颈椎间盘突出症是常见的脊柱外科疾病,常采用颈前路椎体次全切除椎体间植骨融合术(Anterior Cervical Corpectomy and Fusion,ACCF)与颈前路椎间盘切除椎体间植骨融合术(Anterior Cervical Discectomy and Fusion,ACDF) 。 ACDF最早由史密斯和罗宾逊在1958年提出,被认为是颈前路最可靠的选择。ACCF常适用于压迫位于椎体后方,与ACDF一样有较高的安全性及满意的疗效。传统的ACDF不能解除椎体后压迫,而ACCF在手术及住院时间、出血量、稳定性、融合率等方面又存在劣势,高龄患者因其特殊身体机能,对手术有很高要求,这些劣势又恰是高龄患者手术需竭力减少的,故本文报告了1例创新性采用ACDF结合“L”形椎体开槽治疗高龄男性颈4/5椎间盘伴终板脱出游离于颈5椎体后方的病例。

    Abstract:

    Cervical disc herniation is a common spinal surgical disease. Anterior subtotal corpectomy and fusion and anterior discectomy and fusion are often used . ACDF was first proposed by Smith and Robinson in 1958 , it is considered to be the most reliable choice for anterior cervical approach . ACCF is often suitable for compression located behind the vertebral body, which has high safety and satisfactory curative effect as ACDF . Traditional ACDF can not relieve posterior vertebral compression, while ACCF has disadvantages in operation, hospital stay, bleeding volume, stability, fusion rate, etc, elderly patients have high requirements for surgery because of their special physical functions, and these disadvantages need to be reduced as much as possible. Therefore, this paper reports a case of innovatively using ACDF combined with "L" shaped vertebral body slotting to treat elderly male cervical 4 / 5 intervertebral disc with end plate prolapse and dissociation behind cervical 5 vertebral body.

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  • 收稿日期:2021-06-11
  • 最后修改日期:2021-10-26
  • 录用日期:2021-12-10
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