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首页> 外文期刊>Acta orthopaedica Belgica. >Comparison of cervical disc arthroplasty with anterior cervical discectomy and fusion for the treatment of cervical spondylotic myelopathy
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Comparison of cervical disc arthroplasty with anterior cervical discectomy and fusion for the treatment of cervical spondylotic myelopathy

机译：颈椎间盘置换术与颈前路椎间盘切除术和融合术治疗颈椎病的比较

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摘要

The clinical outcome of cervical disc arthroplasty for cervical spondylotic myelopathy (CSM) is still controversial. The authors retrospectively compared the intermediate term clinical outcome of cervical disc arthroplasty and traditional anterior cervical discectomy and fusion (ACDF). Seventy-six cases of single-level CSM with a minimum follow-up of two years were retrospectively analyzed. Thirty-seven patients underwent single-level cervical disc arthroplasty (Bryan disc : 12 cases; Prestige LP disc : 25 cases), while the other 39 patients underwent single-level ACDF. Significant improvement in SF-36 physical/mental component scores and NDI score was found in both groups (p < 0.05); however, the arthroplasty group had significantly greater score improvement at each follow-up time point (p < 0.05). The JOA score and Nurick grade improved significantly at each time point in both groups (p < 0.05), but there were no significant differences between the groups (p > 0.05). The range of motion (surgical level and C2C7) remained unchanged in the arthroplasty group (p > 0.05), whereas it decreased significantly in the ACDF group (p < 0.05). The arthroplasty group had a lower incidence of complications than the ACDF group. The intermediate outcomes of cervical disc arthroplasty compared favourably to those of ACDF. Arthroplasty avoids complications from spinal fusion by preserving mobility.
机译：颈椎间盘置换术治疗颈椎病（CSM）的临床结果仍存在争议。作者回顾性地比较了颈椎间盘置换术和传统的颈前路椎间盘切除与融合术（ACDF）的中期临床结局。回顾性分析了76例单级CSM，随访时间最少为两年。三十七名患者接受了单级颈椎间盘置换术（布莱恩（Bryan）椎间盘：12例; Prestige LP椎间盘：25例），而其他39例接受了单级ACDF。两组的SF-36身体/精神成分评分和NDI评分均显着改善（p <0.05）;然而，置换组在每个随访时间点的评分改善显着更大（p <0.05）。两组的每个时间点的JOA评分和Nurick评分均有显着改善（p <0.05），但两组之间无显着差异（p> 0.05）。关节置换组的运动范围（手术水平和C2C7）保持不变（p> 0.05），而ACDF组则明显降低（p <0.05）。关节置换组的并发症发生率比ACDF组低。颈椎间盘置换术的中间结局优于ACDF。关节置换术通过保持活动性避免了脊柱融合的并发症。

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