頁籤選單縮合
| 題 名 | 無椎體間殖骨之頸前位顯微椎間盤切除術 |
|---|---|
| 作 者 | 劉榮東; 熊海明; 李良雄; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 20:6 1987.11[民76.11] |
| 頁 次 | 頁529-534 |
| 分類號 | 416.292 |
| 關鍵詞 | 無椎體間殖骨; 頸前位; 顯微椎間盤切除術; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 榮民總醫院神經外科自民國73年5月至75年6月兩年間共實施了24例無椎體間殖骨(interbody bone graft)之頸前位椎間盤切除術。此24例均為頸椎退化性關節病合併有單純性神經根病變(pure radiculopathy)。其優點不但可降低手術之複雜性及縮短手術時間,同時也減少殖骨後可能產生的併發症以及因取骨所造成的痛苦。手術後症狀均有不同程度的改善,X-ray film的追蹄檢查顯示對頸椎之穩定性也無影響。 |
| 英文摘要 | The standard anterior cervical discectomy with interbody fusion using different techniques has been utilized to treat cervical disc disease for more than three decades. However, no markedly different surgical results seem to come from using the various techniques. The original idea of inserting. a piece of bone into the intervertebral space after discectomy was to insure the stability of the affected segment. In 1960,Hirsch fust described a case of cervical disc protrusion treated with an anterior cervical discectomy without interbody fusion. Subsequently, a number of authors have shared their experiences pointing out that there were no significant differences in result whether interbody bone graft was used or not. As a consequence, interbody bone grafting is no longer a routine procedure for treatment of cervical disc disease. From May 1984 to June 1986, 24 cases of cervical spondylotic rediculopathy underwent microscopic anterior cervical discectomy, without interbody bone graft, at the Neurosurgical Service of the Veterans General Hospital. The preoperative evaluation included dynamic plain C-spine films and CT-myelographic studies. Cases with instability or a stenotic canal were not regarded as candidates for this procedure. Results showed significant improvement in all cases, and no complications were encountered in the series. Long-term follow-up ranging from 9 to 31 months by using dynamic X-ray films showed no instability. Three cases (12.5%) presented minimal anterior angulation (less than 10°) but without clinical deterioration. No cases need reoperation to treat instability of the spine. |
本系統中英文摘要資訊取自各篇刊載內容。