Dynamic cervical implant in the treatment of cervical spondylosis

  • LIN Yong-Rui ,
  • WANG Chun ,
  • LIU Cheng-Qiao ,
  • HE Hai-Long ,
  • SHI Guo-Dong ,
  • XIE Xiao-Jian
Expand
  • 1.  Department of Spine Surgery, the Affiliated Mindong Hospital, Fujian Medical University, Fu'an 355000, China;   2. Department of Spine Surgery, the Affiliated Changzheng Hospital, Second Military Medical University, Shanghai 200003, China

Received date: 2014-06-02

  Online published: 2015-02-12

Abstract

Objective   To evaluate the safety and short-term clinical curative effect of dynamic cervical implant(DCI) in the treatment of cervical spondylosis.   Methods    From September 2011 to May 2012, 11 patients were treated by anterior cervical decompression and DCI implantation. The amount of bleeding and surgical duration were counted, and surgical complication was recorded. The pain visual analogue score (VAS) and neck disability index (NDI) scale were adopted to evaluate pre- and post-operative symptoms, and Japanese orthopaedic association (JOA) score was adopted to evaluate pre- and post-operative nerve function.   Results    All 11 cases were followed up. The amount of bleeding and the surgical duration were (58.4±22.1) ml and (63.9±20.1) min respectively. Incision infection, implant loosening, dislocation or breakage, operation segment heterotopic ossification, cervical kyphosis and other complications were not found. The 3 months postoperative pain VAS and NDI score were significantly reduced when compared with the preoperative one (P<0.05). The last follow-up JOA score had significantly increased compared with the preoperative one and  the one 3 months after the surgery (P<0.05).  Conclusion  Anterior cervical decompression and DCI implantation in the treatment of cervical spondylosis is safe and effective in Pain relif. recovery of neurological function, and the short-term clinical curative effect is satisfactory.

Cite this article

LIN Yong-Rui , WANG Chun , LIU Cheng-Qiao , HE Hai-Long , SHI Guo-Dong , XIE Xiao-Jian . Dynamic cervical implant in the treatment of cervical spondylosis[J]. Chinese Journal of Clinical Anatomy, 2015 , 33(1) : 97 -100 . DOI: 10.13418/j.issn.1001-165x.201

References


[1] 丁深,刘浩,胡韬,等. 单节段人工颈椎间盘置换与前路融合术的对照研究
[J]. 中华骨科杂志,2012,32(1):32-38.

[2]  侯振扬,徐耀增,钱忠来,等. 颈椎动态稳定器置入治疗颈椎病5例:非融合术后弹性动态固定效果随访
[J]. 中国组织工程研究与临床康复,2010,14(30):5678-5681.

[3]  Steinmetz MP, Warbel A, Whitfield M, et al. Preliminary experience with the DOC dynamic cervical implant for the treatment of multilevel cervical spondylosis
[J]. J Neurosurg, 2002, 97(3 Suppl): 330-336.

[4]  夏跃冲,王卫东,刘宏建,等. 颈椎动态稳定器植入术治疗单节段脊髓型颈椎病
[J]. 中华实验外科杂志,2014,31(1):192-194.

[5]  Robinson RA, Smith GW. Anterolateral cervica1 disc removal and interbody fusion for cervical disc syndrome
[J]. Bulletin of the Johns Hopkins Hospital, 1955, 95(1):223-224.

[6]    Hilibrand AS,Carlson GD,Palumbo MA,et al.Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis
[J]. J Bone Joint Surg Am,1999, 81:519-528.

[7]    Tu TH, Wu JC,Huang WC, et al.  Heterotopic ossification after cervical total disc replacement: determination by CT and effects on clinical outcomes
[J]. J Neurosurg Spine, 2011, 14: 457-465.

[8]  Pickett GE, Sekhon LH, Sears WR, et al. Complications with cervical arthroplasty
[J]. J Neurosurg Spine, 2006, 4(2): 98-105.

[9]  林永绥,王万明,郑和平,等. 下颈椎血供的解剖研究及其临床意义
[J]. 中国临床解剖学杂志,2012,30(3):247-250.

Options
Outlines

/