Can Self-Locking Cages Offer the Same Clinical Outcomes as Anterior Cage-with-Plate Fixation for 3-Level Anterior Cervical Discectomy and Fusion (ACDF) in Mid-Term Follow-Up?
| العنوان: | Can Self-Locking Cages Offer the Same Clinical Outcomes as Anterior Cage-with-Plate Fixation for 3-Level Anterior Cervical Discectomy and Fusion (ACDF) in Mid-Term Follow-Up? |
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| المؤلفون: | Jichao Zhu, Duo Zhang, Chenxi Li, Di Zhu, Baoge Liu |
| المصدر: | Medical Science Monitor : International Medical Journal of Experimental and Clinical Research |
| بيانات النشر: | International Scientific Literature, Inc., 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, China, Nerve root, Radiography, Operative Time, Anterior cervical discectomy and fusion, Intervertebral Disc Degeneration, 030204 cardiovascular system & hematology, Spinal Cord Diseases, Spinal Osteophytosis, 03 medical and health sciences, Fixation (surgical), 0302 clinical medicine, Clinical Research, Bone plate, medicine, Humans, Technology, Radiologic, Retrospective Studies, Aged, Pain Measurement, Neck pain, Palsy, Neck Pain, business.industry, General Medicine, Middle Aged, Surgery, Treatment Outcome, Spinal Fusion, 030220 oncology & carcinogenesis, Orthopedic surgery, Cervical Vertebrae, Female, Spondylosis, medicine.symptom, business, Spinal Cord Compression, Bone Plates, Diskectomy, Follow-Up Studies |
| الوصف: | BACKGROUND Self-locking stand-alone cages (MC+) and cage-with-pate fixation system are 2 different surgical methods used in anterior cervical discectomy and fusion (ACDF), but few systematic comparative studies comparing the 2 methods in treating multilevel cervical spondylotic myelopathy (MCSM) have been published. MATERIAL AND METHODS Sixty-two patients with MCSM who underwent multilevel ACDF were enrolled and completed at least a 3-year postoperative follow-up. The operative time, intra-operative blood loss, and clinical and radiological results were compared between the MC+ self-locking cages group and the cage-with-plate fixation group. Clinical parameters, including VAS for neck pain, Japanese Orthopedic Association (JOA) score, and neck disabled index (NDI), were evaluated. Surgical results according to Odom's criteria and postoperative dysphagia status, C5 nerve root palsy, and loosening of the instrumentation were recorded. Postoperative radiological results, including fusion rates, fusion segmental Cobb's angle (FSC), cervical lordosis, fusion segmental height (FSH), cage subsidence, and adjacent segment degeneration, were assessed. RESULTS The VAS score, JOA score, and NDI score were significantly improved in both groups. However, the patients in the cage-with-plate group were more likely to have neck pain at the last follow-up. The cervical lordosis, FSC, and FSH showed significant correction immediately after surgery. The loss of the cervical lordosis and FSH were higher in the MC+ group. CONCLUSIONS We found that use of MC+ cages is safe and effective in treating MCSM, but for patients who require strong postoperative stabilization and maintaining the cervical alignment better, the cage-with-plate fixation may best. |
| اللغة: | English |
| تدمد: | 1643-3750 1234-1010 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d10b2cc55295fec9e67a8e0ae0ba03ea http://europepmc.org/articles/PMC6347916 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....d10b2cc55295fec9e67a8e0ae0ba03ea |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16433750 12341010 |
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