人工颈椎间盘置换与acdf术后邻近节段退变情况的对比与分析

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1、硕士学位论文AdjacentSegmentDegenerationafterCervicalArtificialDiscReplacementVSACDFName：LiuYapuSupervisor：XiaHongSupervisor：XiaHongABSTRACTobjectiveAnteriorcervicaldiscectomyandfusion(ACDF)maybeconsideredtobethegoldstandardfortreatmentofsymptomaticdegenerativediscdiseasewithinthecervi

2、calspine．Manypublishedseriesinthepasthavereportedsatisfactoryclinicaloutcomes．ACDFisasafeandeffectivetechniqueinprovidingsymptomaticrelief岱thepatientsandexcellentfusionrate．However，therearecluesthatACDFmayresultinprogressivedegenerationoftheadjacentsegments．Toavoidthis，therehave

3、beennumerousattemptstodevelopunfusontechnology，artificialcervicaldiscreplacement．It，abrand-newtechnology,hasalreadybeenappliedincilinic．Inearlierperiodclinicreoortshadshownthatartificialcervicaldiscreplacementisaeffectivetechniqueinalleviateingthesymptomsandpreservingsegmentalmo

4、tion．Accompanythefollow-uptimeprogression，manysurgeonspaytheirattentionstotheadjacentsegmentdegeneration．FurtherinvestigationshouldbetakentocomparethedifferencebetweenartificialcervicaldiscreplacementgroupandACDFgroupinadjacentsegmentdegeneration．Thisstudycomparedthedifferencebe

5、tweenartificialcervicaldiscreplacementandACDFinadjacentsegmentdegenerationaccordingtotheclinicalfollow-upresultsofthepatientstakenartificialcervicaldiscreplacementorACDF．FiniteelementanalysesWasusedtoanalyzetheoutcomesofadjacentsegmentdegenerationandcomparetheadjacentleveldiscsl

6、oadsartificialcervicaldiscreplacementorACDFsystem．MethodsABSTRACT1．39cases(male：20，female：19，averageage：47．15+7．72，rangingfrom32to65)ofcervicalspondylosisadmittedtoourdepartmentsince2008wereanalyzedinthisstudy．9patients(single-level：7，double—level：2)wereperformed嘶t11Prestigedisc

7、prosthesis，4patients(single—level：3，double—level：1)withProdisc—C，and26patients(single—level：17，double-level：9)淅n1Discoverdiscprosthesis．NeurologicalfunctionalrecoveryWasassessedafteroperation．Movementextentionofadjacentsegmentswasmeasured,andX-rayWasusedtoevaluatethedegreeofadja

8、centsegmentdegeneration．2．94cases(male：60，femal