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首页> 外文期刊>British journal of neurosurgery >To graft or not to graft: rationalizing choice in anterior cervical discectomy.
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To graft or not to graft: rationalizing choice in anterior cervical discectomy.

机译：移植或不移植：颈椎前路椎间盘切除术的合理选择。

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摘要

Anterior cervical discectomy has been performed for almost 50 years. Initially, bone grafts were used routinely, but soon their necessity was questioned. It remains disputed to this day. The aim was to establish whether there are grounds for basing choice of technique on individual patient data. The cervical spine radiographs of 148 patients who had undergone grafted or ungrafted anterior cervical discectomy were reviewed and changes in geometry at the operated level were measured. These data were then examined for any correlation between preoperative geometry, choice of operative technique and adverse clinical outcome. Disturbances to spinal geometry after ungrafted discectomy are minimal at disc heights below 4 mm. At and above 4 mm significant settlement and angulation occur. Complications in our series were fewer where small disc spaces were left ungrafted and larger ones grafted. Disc spaces below 4 mm should not be grafted, but spaces of 4 mm or more should.
机译：颈椎间盘摘除术已经进行了近50年。最初，常规使用了植骨，但很快就质疑了其必要性。直到今天仍然有争议。目的是确定是否有根据个人患者数据选择技术的依据。回顾了148例接受或未移植颈前路椎间盘切除术的患者的颈椎X光片，并测量了手术水平的几何形状变化。然后检查这些数据的术前几何形状，手术技术选择和不良临床结局之间的任何相关性。椎间盘高度低于4 mm时，未移植椎间盘切除术对脊椎几何结构的干扰最小。在4毫米及以上时，会发生明显的沉降和成角度。在未植入小椎间盘的情况下，我们的系列并发症较少，而在较大椎间盘的情况下，并发症发生率更高。小于4 mm的椎间盘间隙不应移植，但应大于4 mm的间隙。

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