Curative effect analysis of two kinds of anterior decompression and fusion methods for double cervical spondy-lotic myelopathy / 局解手术学杂志

ABSTRACT

Objective To investigate the effect of anterior cervical discectomy and interbody fusion ( ACDF) combined with titanium plate fixation technique and subtotal vertebrectomy and fusion and titanium plate internal fixation operation ( ACCF) on adjacent segmental cervical spondylotic myelopathy. Methods 76 patients with double segment spondylotic cervical myelopathy were randomly divided into AC-CF group and ACDF group,the relevant indicators of operation period,spinal cord function,anteroposterior and lateral of cervical spine and flexion-extension dynamic radiographs were observed,the Cobb’ s angle and fusion segmental height and bone fusion were recorded. Results The operation related index results showed that the operation time,bleeding volume and hospitalization time of patients in ACDF were less than those in ACCF group (P 0. 05). The postoperative Cobb’s angle degree of ACDF group is better than that of AC-CF group (P<0. 05). Conclusion The effect of ACCF and ACCF on the treatment of two-level CSM were satisfactory,of which ACDF has the advantages of short operation time,less bleeding,fusion segments of Cobb’ s angle and fewer complications.