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題名 | Anterior Cervical Stabilization with the Synthes Cervical Spine Locking Plate System=使用Synthes頸椎鎖定骨板施行頸椎前方固定 |
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作者 | 潘宏川; 黃俊一; 陳明德; 李良雄; | 書刊名 | 中華醫學雜誌 |
卷期 | 62:12 1999.12[民88.12] |
頁次 | 頁852-858 |
分類號 | 416.61 |
關鍵詞 | 前置頸椎固定; 鈦金屬前置頸椎鎖定骨板; 頸椎退化性關節病變; Anterior cervical fixation; Cervical spine locking plate; Cervical spondylosis; |
語文 | 英文(English) |
中文摘要 | 背景:鈦金屬及鎖定裝置的前置頸椎固定板巳被廣泛用於頸椎前方固定。Morschcr設計的Synthos頸椎鎖定骨板為此系列中最早使用的。與以往的Caspar骨板比較,其好處為:(1)螺釘及固定板不易鬆脫或滑動;(2)由於螺釘不需深入至椎體的後皮質,因此不易造成脊髓損傷;(3)此鎖定骨板具生物相容性,不易造成影像扭曲。本文報告使用Syntheo頸椎鎖定骨板的經驗。 方法:從1993年8月至1996年4月,我們使用Synthco頸椎鎖定骨板施行共20例頸椎前方固定手術。所有病例均有頸椎不穩定,其中包括10例為創傷性、9例為頸椎退化性關節病變及1例為前置椎體間骨融合術失敗。此20例病人均須接受術前與術後X光及核磁共振檢查,以便探討核磁共振檢查是否可作為術後追蹤評估之用。 結果:所有病例的平均追蹤時間為36個月,他們都獲得穩定的骨融合,其中19例的神經功能進步。未有任何病人因使用此鎖定骨板而引起神經功能缺損。影像檢查未發現螺釘或固定板鬆脫。術後核磁共振檢查發現,其脊髓都獲得足夠的減壓,幾乎無固定板假影的產生。 結論:Synthcs頸椎鎖定骨板不但能提供良好的頸椎前方固定,而且使用既安全且簡單,術後還可用核磁共振掃描作追蹤檢查。 |
英文摘要 | Background: The Synthes cervical spine locking plate (CSLP) was originally designed by M6rscher and colleagues, who refined it to prevent the migration and loosening of a locking screw by using a cross-split screw head that could be locked into the plate. This eliminated the requirement of the posterior cortex purchase and thereby decreased the risk of spinal cord injury. The purpose of this report is to review our experience using the cervical spine locking plate system and to evaluate its ability to stabilize the cervical spine. Methods: Twenty patients with cervical trauma, cervical spondylosis or failed anterior interbody fusion underwent anterior cervical fusion with the Synthes CSLP system between August, 1993, and April, 1996. All patients were evaluated preoperatively and postoperatively by plain radiography and magnetic resonance imaging (MRI). Results: All 20 patients achieved solid bone fusion and 19 of them had neurologic improvement, by a mean follow-up period of 36 months. No patients suffered from neurologic injury as a result of the locking device. No patient demonstrated radiologic evidence of implant failure. The postoperative MRI examination disclosed minimal implant artifacts and adequate spinal cord decompression. Conclusions: The Synthes CSLP system for anterior stabilization provides efficacy, safety and ease of use. It also caused less distortion and minimal artifacts on postoperative MRI. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。