Zero-P 系统与传统钛板在单节段前路颈椎间盘切除融合术中的临床疗效比较

金世昌; 叶雨辰; 吴楠; 邹阳; 张梦龙; 任明宇; 张长春

Zero-P 系统与传统钛板在单节段前路颈椎间盘切除融合术中的临床疗效比较

A comparative study on the clinical efficacy of Zero-P system and traditional titanium plate in the single-segment snterior cervical discectomy and fusion

摘要

摘要:
目的比较 Zero–P 系统与传统钛板在前路颈椎间盘切除融合术（ACDF）中的临床疗效及并发症情况。
方法回顾性分析单节段 ACDF 病人 151 例，其中Zero–P 组 73 例，钛板组 78 例，比较2组病人围手术期指标、日本骨科协会（Japanese Orthopaedic Association Scores,JOA）评分、疼痛视觉模拟评分（Visual Analog Scale,VAS）、颈椎功能障碍指数（Neck Disability Index,NDI）、影像学指标改变及吞咽困难发生率。
结果 Zero–P组与钛板组术后的围手术期指标、JOA评分、VAS评分、NDI评分及影像学数据均明显改善（P ＜ 0.05）；钛板组病人术后早期吞咽困难发生率显著高于Zero–P组（P ＜ 0.05）。
结论 Zero–P 系统与传统钛板在单节段 ACDF 中疗效相当，但在不影响融合与功能恢复的前提下，Zero–P 可显著降低术后早期吞咽困难发生率。

Abstract:
Objective To compare the clinical efficacy and complications of the Zero-P system and traditional titanium plates in the anterior cervical discectomy and fusion(ACDF).
Methods A retrospective analysis was conducted on 151 patients with single-segment ACDF, including 73 cases in the Zero-P group and 78 cases in the titanium plate group. The perioperative indicators, Japanese Orthopaedic Association Scores(JOA) scores, Visual Analog Scale(VAS) of pain, Neck Disability Index(NDI), changes in imaging indicators and incidence of dysphagia between two groups were compared.
Results The perioperative indicators, JOA score, VAS score, NDI score and imaging data in the Zero-P group and titanium plate group were significantly improved after the operation(P ＜ 0.05). The incidence of early postoperative dysphagia in the titanium plate group was significantly higher than that in the Zero-P group(P ＜ 0.05).
Conclusions The Zero-P system has comparable efficacy to traditional titanium plates in single-segment ACDF. However, without affecting fusion and functional recovery, the Zero-P can significantly reduce the incidence of early postoperative dysphagia.

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