Zero-P.ppt

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1、Zero-P颈椎前路椎间融合系统颈椎间盘疾病治疗的新选择22thNov2009颈椎融合融合=下颈椎间盘退行性疾病治疗的金标准22thNov2009,Nov,5-6th,2009颈椎融合融合术有效融合率>90%临床疗效的优良率>80%患者满意率>90%Hackeretal,Vavruchetal,Choetal22thNov2009,Nov,5-6th,2009用什么做颈椎融合加接骨板or不加接骨板22thNov2009,Nov,5-6th,2009Platevs.NoPlate(degenerativ

2、ecervicalspinedisease)MedlineResearchSeveralStudies4RCT´s(随机对照试验)Zoega,ActaOrthopScand1998ClassIIZoega,EurSpine1998ClassIISavolainen,Neurosurgery1998ClassIIGrob,EurSpine2001ClassII22thNov2009,Nov,5-6th,2009融合率22thNov2009,Nov,5-6th,2009临床疗效的优良率22thNov200

3、9,Nov,5-6th,2009结论SimilaroutcomeinsinglelevelfusionPlateincreasesoutcomeinmultilevelfusion22thNov2009,Nov,5-6th,2009结论加接骨板or不加接骨板单节段病例　临床效果类似在多阶段病例　接骨板疗效更佳22thNov2009,Nov,5-6th,2009颈椎前路接骨板在颈椎间盘退行性疾病的应用接骨板相关的问题:内植物失效食道瘘(Sahjpaul2007)体积庞大吞咽困难(Lee2005)接骨板置

4、入过程中需要一定的牵拉(Tortolani2006)手术时间较长22thNov2009,Nov,5-6th,2009怎么办???22thNov2009,Nov,5-6th,2009“独立应用”ALIFSynFix-LR(2002)+design,endplate,lockingscrews22thNov2009,Nov,5-6th,2009“独立应用”ACDFDevelopment(2007):Zero-P22thNov2009,Nov,5-6th,2009“独立应用”ACDFZero-P22thNo

5、v2009,Nov,5-6th,2009Zero-P的设计理念容纳移植骨并且提供节段稳定性为是现有颈椎前路内固定物的替代物完全容纳于椎间隙,降低对软组织的干扰22thNov2009,Nov,5-6th,2009Zero-P的临床目的在椎体和食道之间没有金属存在,从而降低吞咽困难的发生率不会导致因接骨板位置过高所致的相邻节段骨化22thNov2009,Nov,5-6th,2009Zero-P的临床目的相对来讲更微创,因为内置物更小可以通过更小的切口置入,尤其是在多阶段手术手术节段上下已经有内固定的时候,

6、无需取出接骨板,即可进行置入,22thNov2009,Nov,5-6th,2009Zero-P22thNov2009,Nov,5-6th,2009特点与优势22thNov2009,Nov,5-6th,2009特点与优势22thNov2009,Nov,5-6th,2009特点与优势22thNov2009,Nov,5-6th,200922thNov2009,Nov,5-6th,200922thNov2009,Nov,5-6th,2009内植物22thNov2009,Nov,5-6th,200922thNo

7、v2009,Nov,5-6th,200922thNov2009,Nov,5-6th,2009Zero-Pexamples22thNov2009,Nov,5-6th,200922thNov2009,Nov,5-6th,2009Zero-Pexamples22thNov2009,Nov,5-6th,2009工具22thNov2009,Nov,5-6th,2009谢谢!22thNov2009,Nov,5-6th,2009