【摘要】 目的探讨颈椎前路动态稳定器(DCI)在颈椎病合并老年骨质疏松治疗中的作用。方法将杭州市第一人民医院收治的颈椎病合并骨质疏松患者100例根据随机原则分为DCI组和融合组(颈前路椎间盘切除减压融合术),每组50例。DCI组采取颈椎前路动态稳定器非融合植入,融合组采取颈椎前路自身髂骨植入术。对2组患者的手术时间、术中出血量、住院时间、整体疗效、不良反应等进行比较。结果 DCI组的手术时间、术中出血量和住院时间均显著少于融合组(t=5.535,2.113,2.996,P<0.05);DCI组在术后3个月和6个月的JOA评分显著高于融合组(t=10.74,9.971,P<0.05);术后6个月,DCI组的恢复优良率为98%,显著高于融合组(86%),χ2=4.891,P<0.05;DCI组的总体不良反应发生率为2%,显著低于融合组(16%),χ2=11.97,P<0.05。结论颈椎前路动态稳定器治疗颈椎病合并骨质疏松疗效较好,值得临床推广。更多还原

【Abstract】 Objective To explore the application of dynamic cervical implant( DCI) in treatment of patients with cervical spondylosis combined with senile osteoporotic. Methods A total of 100 patients with cervical spondylosis and senile osteoporosis in our hospital were randomly divided into DCI group and ACDF( anterior cervical discectomy and fusion) group with 50 cases in each group. DCI group were taken the dynamic stabilization non-fusion implant in anterior cervical,and ACDF group were taken iliac implantation in anterior cervical. The overall efficacy between the two groups was compared. Results The operative time,blood loss and hospital stay in DCI group were significantly less than those in ACDF group( t =5. 535,2. 113,2. 996,P <0. 05); JOA scores in DCI group 3 months and 6 months after the surgery were significantly higher than those in ACDF group( t = 10. 74,9. 971,P < 0. 05); The excellent recovery rate in DCI group after 6 months was 98%,significantly higher than ACDF group( 86%),χ2= 4. 891,P < 0. 05; the overall adverse reaction rate in DCI group was 2%,significantly lower than in ACDF group( 16%),χ2= 11. 97,P < 0. 05. Conclusion Anterior cervical dynamic stabilization for the cervical diseases with osteoporosis is effective,and worthy of clinical promotion.更多还原