人工颈椎间盘与桥型自锁式融合器在治疗单节段颈椎病的研究进展

Progress of Artificial Cervical Intervertebral Disc and Bridge-Type Self-Ligating Fusion in the Treatment of Single-Segment Cervical Spondylosis

摘要: 颈椎病已经成为临床上常见及多发的疾病，给社会、家庭和患者造成生活上及经济上的危害。由于其病因复杂、病理表现多样、临床症状繁杂、容易复发、严重的甚至需要手术治疗，是骨与关节退行性病变中发病率最高、危害性最大的一种难治性、复杂性疾病。对于存在神经症状的颈椎病患者目前考虑最有效的治疗方案为手术治疗，目前常规手术方式为颈椎前路减压椎间融合手术(anterior cervical discectomy and fusion, ACDF)及人工颈椎椎间盘置换手术(artificial cervical disc replace-ment, ACDR)。但随着微创技术的发展及融合材料及椎间盘假体材料的不断更新，对于两种手术方案的争论一直存在。本综述主要探讨两种不同的植入材料在治疗单节段颈椎病的临床疗效以及研究进展。

Abstract: Cervical spondylosis has become a common and frequent disease in clinical practice, causing life and economic hazards to society, families and patients. Due to its complex etiology, various patho-logical manifestations, complicated clinical symptoms, easy recurrence, and even the need for sur-gical treatment in severe cases, it is an intractable and complex disease with the highest morbidity rate and the greatest harm among the degenerative diseases of bones and joints. For cervical spon-dylosis patients with neurological symptoms, the most effective treatment option is surgery, and the conventional surgical procedures are anterior cervical discectomy and fusion (ACDF) and artifi-cial cervical disc replacement (ACD) and artificial cervical disc replacement (ACDR). However, with the development of minimally invasive techniques and the continuous updating of fusion materials and disc prosthesis materials, there has been an ongoing debate about the two surgical options. This review focuses on the clinical efficacy of two different implant materials in the treatment of single-segment cervical spondylosis and analyzes the variability of cervical sagittal parameters.