Anterior decompression and fusion for cervical spondylosis

Curing disease: Indication Anterior decompression and fusion of cervical spondylosis is applicable to: 1. Traumatic instability of the cervical spine caused by fracture of the cervical spine or fracture and dislocation. 2. Cervical burst fracture, vertebral body crushing, compression of the spinal cord or anterior spinal artery, pre-spinal syndrome, need to do anterior decompression, relieve spinal cord compression. 3. Posterior extensive laminectomy, cervical instability, and posterior lateral fusion is still not strong. Preoperative preparation Anterior decompression and bone graft fusion, must pay attention to the integrity of the posterior structure of the cervical spine before surgery, or whether surgery has been fixed, otherwise anterior surgery will reduce the stability of the spine. Surgical procedure 1. According to the cervical anterior approach, the anterior vertebral fascia, anterior longitudinal ligament, intervertebral disc and long neck muscle were inserted, and a needle was inserted into the intervertebral disc. The X-ray was taken by the C-arm X-ray machine. 2. Waiting for the filming result process, you can use time to cut the bone graft. The donor site selects one third of the tibia or the tibia. 3. According to the X-ray positioning results, determine the diseased vertebral body, longitudinally incision of the anterior vertebral fascia and anterior longitudinal ligament, remove the upper and lower intervertebral discs of the diseased vertebral body, and then scrape the anterior part of the vertebral body with a rongeur or curette, pay attention to retain The integrity of the posterior longitudinal ligament, as it protects the spinal cord, scrapes the posterior cortical bone from the posterior longitudinal ligament. At this time, under the direct vision, the periosteal screwdriver is extended and reset. Make a nest on each side of the adjacent vertebral body to accommodate the bone graft. 4. The tibial block is trimmed into a T-shape to fit the pre-formed bone graft bed of the adjacent vertebral body, and the cortex faces the posterior longitudinal ligament and is embedded in the humerus block. It can also be used for bone grafting, which has a strong supporting effect. When implanting bones, it should help to increase the amount of traction, which is conducive to the embedding of bone grafts. 5. Rinse the wound, suture and drain as usual.

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