To investigate the efficacy of cervical external fixation after cervical single-segment anterior fusion
10.3760/cma.j.issn.1672-7088.2019.24.005
- VernacularTitle: 探讨颈椎单节段前路融合术后颈托外固定治疗的有效性研究
- Author:
Qunfei YU
1
;
Ying REN
;
Pingping FANG
;
Yuxiang XIAO
;
Guoping XU
Author Information
1. Orthopedics Department of the Second Affiliated Hospital of Zhejiang University, Hangzhou 310000, China
- Publication Type:Journal Article
- Keywords:
Cervical external fixation;
Anterior cervical discectomy and fusion;
Effectiveness
- From:
Chinese Journal of Practical Nursing
2019;35(24):1864-1868
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study was to investigate the necessity of wearing a cervical collar after single-segment anterior cervical discectomy and decompression.
Methods:The experimental methods were used to group the two wards in the same department. There were 54 patients in the experimental group and 48 patients in the control group. The patients in the experimental group did not wear the cervical collar during the postoperative outpatient activities and after discharge. The control group patients wore the cervical collar within 3 months after walking and after discharge. The cervical dysfunction index of the two groups before surgery and 3 months after surgery was compared between the two groups; also vertebral fusion at 6 months postoperatively; and SF-36 (Quality of Life Assessment Scale) scores before surgery and 3 months after surgery.
Results:The NDI of the experimental group was significantly lower than that of the preoperative NDI (20.62%±1.94% vs 26.06%±2.17%) (t=18.32, P<0.01). The NDI of the control group was 3 months after operation compared with the preoperative NDI (21.30±%1.87% vs26.26%±2.74%) also had a significant decrease (t=16.67, P<0.01). The NDI of the experimental group was significantly lower than that of the preoperative NDI (14.97%±1.85%vs26.06%±2.17%) (t=31.93, P<0.01), the NDI of the control group was significantly lower than that of the preoperative NDI (15.98%±1.49% vs26.26%±2.74%) at 6 months after operation (t=24.45, P<0.01). The difference was statistically significant. The SF-36 score in the last 3 months was higher than that in the control group (53.37±9.23 vs 45.77±8.07), and the difference was statistically significant (t=4.40, P<0.01).
Conclusions:Compared with the external fixation without neck and neck, the treatment of cervical external fixation does not affect the postoperative treatment effect, and can improve the quality of life of patients.
