前路椎間盤切除及植骨內(nèi)固定技術(shù)

Anterior

Cervical

Discectomy

with

Fusion:

前路椎間盤切除及植骨內(nèi)固定技術(shù)adoption

of

new

technology椎間盤突出外科手術(shù)減壓技術(shù)椎間盤切除（discectomy)椎體次全切除(corpectomy)穩(wěn)定技術(shù)骨移植（bone

grafing)內(nèi)植物(cage

and

plate)人工椎間盤(artifical

disc

replacement)椎間盤切除手術(shù)（discectomy)???????????麻醉

及監(jiān)測

體位消毒皮膚切口入路定位椎間盤切除置入物透視確認縫合切口軟圍領(lǐng)固定3手術(shù)所需器械手術(shù)所需器械椎間盤切除手術(shù)（discectomy)椎間盤切除—減壓徹底最關(guān)鍵植骨技術(shù)？穩(wěn)定技術(shù)（immobilization

?

stabilization）植入骨內(nèi)置物穩(wěn)定技術(shù)（stabilization）植入骨（Bone

Grafts）Auto

graft

(iliac

crest)Cadaver

or

allograft

boneSynthetic

boneBiologics

or

proteins

(BMP)穩(wěn)定技術(shù)（stabilization）?內(nèi)置物?PLATE?CAGE

?ZERO‐P?DISC穩(wěn)定技術(shù)（stabilization）?內(nèi)置物?PLATE穩(wěn)定技術(shù)（stabilization）?內(nèi)置物‐‐鈦籠

鈦板Gao

LL,

cervical

and

upper

limb

numbness

2

yrs.穩(wěn)定技術(shù)（stabilization）?內(nèi)置物?CAGE穩(wěn)定技術(shù)（stabilization）?內(nèi)置物‐CAGECUI

YG,

39ys,

worker,cervical

and

upper

limb

numbness

4months.

Leg

weakness

10days.穩(wěn)定技術(shù)（stabilization）?內(nèi)置物?ZERO‐P穩(wěn)定技術(shù)（stabilization）?內(nèi)置物‐ZERO‐PSU

DL,

cervical

disc

herniation,

limb

numbness,

weakness

2

months

穩(wěn)定技術(shù)（stabilization）?人工椎間盤置換

(artificial

disc

replacement)融合技術(shù)

向非融合技術(shù)的變革穩(wěn)定技術(shù)（stabilization）人工椎間盤置換

（artificial

disc

replacement,

ADR

)PEN

YX,

F,

50ys.

Neck

pain

3

yr

and

limb

numbness

3

months.

穩(wěn)定技術(shù)（stabilization）?FUSION

Vs

NO

FUSION

–我們的個案ZHOU

MG，M，91Y，neck

pain

and

paralysis

2

months.QUESTION?COMPLICATION?USE

OF

MICROSCOPEQUESTIONCOMPLICATION（并發(fā)癥）??????????????ReactionstotheanesthesiaBleedingInjurytospinalcordornervesSpinalfluidleakVoicechangeStrokeDifficultybreathingDifficultyswallingNon-healingofthebodyfusionFailuretoimproveInstrumentationbreakageorfailureInfectionandbonegraftsitepainPainandswellinginyourlegveinsUrinaryprobl