前路椎间盘切除及植骨内固定技术

Anterior

Cervical

Discectomy

with

Fusion:

前路椎间盘切除及植骨内固定技术adoption

of

new

technology椎间盘突出外科手术减压技术椎间盘切除（discectomy)椎体次全切除(corpectomy)稳定技术骨移植（bone

grafing)内植物(cage

and

plate)人工椎间盘(artifical

disc

replacement)椎间盘切除手术（discectomy)•••••••••••麻醉

及监测

体位消毒皮肤切口入路定位椎间盘切除置入物透视确认缝合切口软围领固定3手术所需器械手术所需器械椎间盘切除手术（discectomy)椎间盘切除—减压彻底最关键植骨技术？稳定技术（immobilization

?

stabilization）植入骨内置物稳定技术（stabilization）植入骨（Bone

Grafts）Auto

graft

(iliac

crest)Cadaver

or

allograft

boneSynthetic

boneBiologics

or

proteins

(BMP)稳定技术（stabilization）•内置物•PLATE•CAGE

•ZERO‐P•DISC稳定技术（stabilization）•内置物•PLATE稳定技术（stabilization）•内置物‐‐钛笼

钛板Gao

LL,

cervical

and

upper

limb

numbness

2

yrs.稳定技术（stabilization）•内置物•CAGE稳定技术（stabilization）•内置物‐CAGECUI

YG,

39ys,

worker,cervical

and

upper

limb

numbness

4months.

Leg

weakness

10days.稳定技术（stabilization）•内置物•ZERO‐P稳定技术（stabilization）•内置物‐ZERO‐PSU

DL,

cervical

disc

herniation,

limb

numbness,

weakness

2

months

稳定技术（stabilization）•人工椎间盘置换

(artificial

disc

replacement)融合技术

向非融合技术的变革稳定技术（stabilization）人工椎间盘置换

（artificial

disc

replacement,

ADR

)PEN

YX,

F,

50ys.

Neck

pain

3

yr

and

limb

numbness

3

months.

稳定技术（stabilization）•FUSION

Vs

NO

FUSION

–我们的个案ZHOU

MG，M，91Y，neck

pain

and

paralysis

2

months.QUESTION•COMPLICATION•USE

OF

MICROSCOPEQUESTIONCOMPLICATION（并发症）••••••••••••••ReactionstotheanesthesiaBleedingInjurytospinalcordornervesSpinalfluidleakVoicechangeStrokeDifficultybreathingDifficultyswallingNon-healingofthebodyfusionFailuretoimproveInstrumentationbreakageorfailureInfectionandbonegraftsitepainPainandswellinginyourlegveinsUrinaryprobl