A comparative study for the usage of Fidji cervical cages after multilevel anterior cervical discectomy and fusion

Wang, Yapeng; Zhang, Wei; An, Jilong; Lian, Lichao; Zhang, Jian; Sun, Yapeng

doi:10.1016/j.injury.2019.03.029

Cited by 4 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Traditional prostheses are often fixed with anterior nails and a plate, which causes compression of the trachea and esophagus, as well as dysphagia and even esophageal fistula [ 54 – 56 ]. Lesser anterior fixation can significantly reduce the occurrence of esophageal irritation and dysphagia [ 57 – 59 ]. The nail channels of the MACDVC-AM are located in the first quarter of the plate and at an angle of 40° to the axis, allowing cortical screws with a diameter of 3.5 mm to fix the endplates (Fig.…”

Section: Discussionmentioning

confidence: 99%

Cervical non-fusion using biomimetic artificial disc and vertebra complex: technical innovation and biomechanics analysis

Ouyang

et al. 2022

J Orthop Surg Res

View full text Add to dashboard Cite

Background Changes in spinal mobility after vertebral fusion are important factors contributing to adjacent vertebral disease (ASD). As an implant for spinal non-fusion, the motion-preserving prosthesis is an effective method to reduce the incidence of ASD, but its deficiencies hamper the application in clinical. This study designs a novel motion-preserving artificial cervical disc and vertebra complex with an anti-dislocation mechanism (MACDVC-AM) and verifies its effect on the cervical spine. Methods The MACDVC-AM was designed on the data of healthy volunteers. The finite element intact model, fusion model, and MACDVC-AM model were constructed, and the range of motion (ROM) and stress of adjacent discs were compared. The biomechanical tests were performed on fifteen cervical specimens, and the stability index ROM (SI-ROM) were calculated. Results Compared with the intervertebral ROMs of the intact model, the MACDVC-AM model reduced by 28–70% in adjacent segments and increased by 26–54% in operated segments, but the fusion model showed the opposite result. In contrast to the fusion model, the MACDVC-AM model diminished the stress of adjacent intervertebral discs. In biomechanical tests, the MACDVC-AM group showed no significant difference with the ROMs of the intact group (p > 0.05). The SI-ROM of the MACDVC-AM group is negative but close to zero and showed no significant difference with the intact group (p > 0.05). Conclusions The MACDVC-AM was successfully designed. The results indicate that the MACDVC-AM can provide physiological mobility and stability, reduce adjacent intervertebral compensatory motion, and alleviate the stress change of adjacent discs, which contributes to protect adjacent discs and reduce the occurrence of ASD.

show abstract

Section: Discussionmentioning

confidence: 99%

Cervical non-fusion using biomimetic artificial disc and vertebra complex: technical innovation and biomechanics analysis

Ouyang

et al. 2022

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…Anterior cervical plating, as well as well-fitted interbody grafts, has been a common augmentation procedure for ensuring stability at the operated segment [1]. Several studies have reported that plating has the advantages of decreased rates of pseudarthrosis, subsidence, and segmental kyphosis [1][2][3][4]; nevertheless, its drawbacks include higher incidences of dysphagia and adjacent segment disease (ASD) than those observed with cage and graft-alone procedures [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have reported that stand-alone anterior cervical discectomy and fusion (ACDF) was sufficiently effective for inducing fusion and have demonstrated similar fusion rates, even in multi-level cervical segments [5][6][7][8][9][10][11][12][13][14][15][16]. Moreover, reports of postoperative disadvantages associated with the presence of an anterior plate suggest that its routine use is not beneficial [17].…”

Section: Introductionmentioning

confidence: 99%

Postoperative Segmental Motion up to 1 Year Following Single-Level Anterior Cervical Discectomy and Fusion: Plate versus Non-plate

et al. 2023

View full text Add to dashboard Cite

This study aimed to investigate the impact of plating on postoperative serial segmental motion and its correlation with clinical outcomes in single-level anterior cervical discectomy and fusion (ACDF) for up to 1 year. Overview of Literature: The advantages and disadvantages of using cervical plating in ACDF have been well discussed; however, few studies compared the early serial segmental motions at the postoperative level between plating and non-plating. Methods: In retrospectively collected data, 149 patients who underwent single-level ACDF for degenerative disease were enrolled and divided into non-plating (n=66) and plating (n=83). Interspinous motion (ISM) at the arthrodesis segment, Numeric Rating Scale (NRS) for neck pain, and Neck Disability Index (NDI) were serially evaluated at 3, 6, and 12 months postoperatively. Predictable factors for fusion, including age, sex, plating, diabetes, smoking, and type of grafts, were investigated, and fusion was defined as ISM <1 mm. Results: In both groups, ISM was the highest at 3 months and gradually decreased thereafter, and the plating group showed significantly lower serial ISM than the non-plating group at 12 months. The plating group had lower NRS and NDI scores than the nonplating group at 12 months, and the difference in the NRS scores was statistically significant, particularly at 3 and 6 months, although that of the NDI scores was not. In a multivariate analysis, plating was the most powerful predictor for fusion. Conclusions: Plating significantly decreases the serial ISM compared with non-plating in single-level ACDF, and such decreased motion is correlated with decreased neck pain until 12 months postoperatively, particularly at 3 and 6 months. Given that plating was the most predictive factor for fusion, we recommend plating even in single-level ACDF for better early clinical outcomes.

show abstract

Anterior Cervical Discectomy and Fusion with Zero-Profile Anchored Spacer Versus Plate and Cage for 3-Level Contiguous Cervical Degenerative Disease: A Systematic Review and Meta-Analysis

Chen,

Liu,

Wang

et al. 2024

World Neurosurgery

View full text Add to dashboard Cite

A comparative study for the usage of Fidji cervical cages after multilevel anterior cervical discectomy and fusion

Cited by 4 publications

References 18 publications

Cervical non-fusion using biomimetic artificial disc and vertebra complex: technical innovation and biomechanics analysis

Cervical non-fusion using biomimetic artificial disc and vertebra complex: technical innovation and biomechanics analysis

Postoperative Segmental Motion up to 1 Year Following Single-Level Anterior Cervical Discectomy and Fusion: Plate versus Non-plate

Anterior Cervical Discectomy and Fusion with Zero-Profile Anchored Spacer Versus Plate and Cage for 3-Level Contiguous Cervical Degenerative Disease: A Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About