ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the clinical effect of PCB (a new anterior cervical instrumental system combining an intradiscal cage with an integrated plate) in treating traumatic cervical intervertebral disc herniation.</p><p><b>METHODS</b>Anterior decompression and PCB internal fixation were used in 22 patients with traumatic cervical intervertebral disc herniation. They were followed up from 3 to 16 months and analyzed by symptom and image data. Among them, 16 patients underwent fixation at one level and 6 patients at two levels.</p><p><b>RESULTS</b>This technique did not cause intraoperative complications. After surgery no screw backout or device failure was found. Based on the JOA grade, 20 patients improved clinically and 2 gently because of serious cervical stenosis. The general excellent rate was 90.9%.</p><p><b>CONCLUSIONS</b>PCB internal fixation is stable. Morbidity of donor and acceptor sites is less. No collars are needed after surgery.</p>
Subject(s)
Adult , Female , Humans , Male , Middle Aged , Bone Plates , Cervical Vertebrae , Equipment Design , Intervertebral Disc Displacement , General Surgery , Orthopedic Fixation Devices , Orthopedic ProceduresABSTRACT
All twenty seven patients suffered from Ⅱ grade spondilolisthesis were treated by posterior decompression, fixation with RF system and interbody fusion with TFC. One to three yearsafter operation, pain relief rate was 95%, lumbar fusion ratewas 95%,slip correction was 93.8%, and disc space was increased by 34%. It is concluded that this kind of operation can achieve satisfactory clinical results.
ABSTRACT
An evaluation of 16 patients with cervical spondylosis undergoing PCB (a new anterior cervical instrumental system combining an intradiscal cage with an integrated plate,PCB) is presented. Four patients underwent surgery for cervical myelopathy and 12 for cervical radiculopathy.There were 11 males and 5 females.The average age was 46 years (ranging from 31～67 years).The time of follow up was 3～16 months after operation.Fixation at one level was performed in 12 patients,and at two levels in 4. The results revealed that the technique was easy to learn and implement,without intraoperative complications.After surgery no screw backout or device failure was identified.Symptoms improved significantly in 14 patients.Complications in donor site were rare. An external collar support was unnecessary after operation.