Objective:To observe the effect of anterior cervical discectomy,decompression and fusion(ACDF)in treatment of patients with cervical spondylotic myelopathy(CSM).Methods:The clinical data of 80 patients with CSM admitted to this hospital from February 2020 to December 2022 were retrospectively analyzed.They were divided into control group and study group according to different surgical methods,40 cases in each group.The control group was treated with anterior cervical discectomy and fusion,while the study group was treated with ACDF.The levels of operation-related indicators,the pain degree[visual analogue scale(VAS)]scores before and after the surgery,the lumbar function[Japanese Orthopaedic association(JOA)]score,the Cobb angle of fusion segment,the intervertebral height,and the incidence of complications were compared between the two groups.Results:There were no significant differences in the operation time and the hospitalization time between the two groups(P>0.05).The amount of bleeding in the study group was less than that in the control group,and the difference was statistically significant(P<0.05).1,3 and 6 months after the surgery,the VAS scores of the two groups were lower than those before the surgery,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).1,3 and 6 months after the surgery,the JOA scores of the two groups were higher than those before the surgery,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).6 months after the surgery,the levels of the Cobb angle and intervertebral height of the fusion segments in the two groups were higher than those before the surgery,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:ACDF in the treatment of the CSM patients can reduce the intraoperative blood loss,reduce the VAS scores,and improve the lumbar function scores,the Cobb angle of fusion segment and the intervertebral height.Moreover,it is superior to anterior cervical discectomy and fusion.
关键词
脊髓型颈椎病/颈椎前路椎间盘切除减压植骨融合术/颈前路椎间盘摘除融合术/疼痛程度/腰椎功能/并发症
Key words
Cervical spondylotic myelopathy/Anterior cervical discectomy,decompression and fusion/Anterior cervical discectomy and fusion/Pain degree/Lumbar function/Complication
维普
万方数据