A comparison of a new zero-profile, stand-alone Fidji cervical cage and anterior cervical plate for single and multilevel ACDF: a minimum 2-year follow-up study

Li, Zhonghai; Zhao, Yantao; Tang, Jiaguang; Ren, Dazhong; Guo, Ji-Ming; Wang, Hua-dong; Li, Li; Hou, Shuxun

doi:10.1007/s00586-016-4739-2

Cited by 65 publications

(96 citation statements)

References 63 publications

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“…Thirty-six studies [20,22–24,27,28,34,35,38,39,42,45,47,48,56,57,60–62,65,66,69–71,73,74,79,81,82,84–86,88,90,91,116] containing 129 patients with CSF of 5007 patients after cervical surgery were included. Figure 15 shows that the incidence was 1.9% (95% CI 1.3%–2.4%), with substantial heterogeneity of incidence observed.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-three studies [20–22,26,30,34,44,46,48,49,56,60,61,66,73,81,83,84,88,89,92,118,119] containing 372 patients with axial pain of 2650 patients after cervical surgery were included for meta-analysis. Figure 25 shows that the incidence was 15.6% (95% CI 11.7%–19.5%), without substantial heterogeneity of incidence observed.…”

Section: Resultsmentioning

confidence: 99%

“…[22,36,48] Anterior approaches had a higher rate of postoperative hoarseness, dysphagia. [55,81] Similarly, C5 palsy and cervical kyphosis may limit the use of posterior surgery. [26] The complications in our study included overall complications, C5 plasy, cerebrospinal fluid (CSF), infection, axial pain, dysphagia, hoarseness, fusion failure, graft subsidence, graft dislodgment, and epidural hematoma.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of complications after surgery in treatment for cervical compressive myelopathy

et al. 2017

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Purpose:We aim to perform a meta-analysis on prevalence of all kinds of operation-related complications following surgery treating cervical compressive myelopathy (CCM) and to provide reference for surgeons making surgical plan.Methods:An extensive search of literature was performed in PubMed/MEDLINE, Embase, the Cochrane library, CNKI, and WANFANG databases on incidence of operation-related complications from January 2007 to November 2016. Data was calculated and data analysis was conducted with STATA 12.0 and Revman 5.3.Results:A total of 107 studies included 1705 of 8612 patients (20.1%, 95% CI 17.3%–22.8%) on overall complications. The incidence of C5 plasy, cerebrospinal fluid (CSF), infection, axial pain, dysphagia, hoarseness, fusion failure, graft subsidence, graft dislodgment, and epidural hematoma is 5.3% (95% CI 4.3%–6.2%), 1.9% (95% CI 1.3%–2.4%), 2.8% (95% CI 1.7%–4.0%), 15.6% (95% CI 11.7%–19.5%), 16.8% (95% CI 13.6%–19.9%), 4.0% (95% CI 2.3%–5.7%), 2.6% (95% CI 0.2%–4.9%), 3.7% (95% CI 2.0%–5.5%), 3.4% (95% CI 2.0%–4.8%), 1.1% (95% CI 0.7%–1.5%), respectively. Patients with ossification of posterior longitudinal ligament (OPLL) (6.3%) had a higher prevalence of C5 plasy than those with cervical spondylotic myelopathy (CSM) (4.1%), and a similar trend in CSF (12.2% vs 0.9%). Individuals after laminectomy and fusion (LF) had highest rate of C5 plasy (15.2%), while those who underwent anterior cervical discectomy and fusion (ACDF) had the lowest prevalence (2.0%). Compared with patients after other surgical options, individuals after anterior cervical corpectomy and fusion (ACCF) have the highest rate of CSF (4.2%), infection (14.2%), and epidural hematoma (3.1%). Patients after ACDF (4.8%) had a higher prevalence of hoarseness than those with ACCF (3.0%), and a similar trend for dysphagia between anterior corpectomy combined with discectomy (ACCDF) and ACCF (16.8% vs 9.9%).Conclusions:Based on our meta-analysis, patients with OPLL have a higher incidence of C5 palsy and CSF. Patients after LF have a higher incidence of C5 palsy, ACCDF have a higher incidence of dysphagia, ACCF have a higher incidence of CSF and infection and ACDF have a higher incidence of hoarseness. These figures may be useful in the estimation of the probability of complications following cervical surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prevalence of complications after surgery in treatment for cervical compressive myelopathy

et al. 2017

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“…Li et al mentioned that the results were satisfactory and no significant differences in terms of improvement in the SF-36, VAS, NDI, Japanese Orthopedic Association scores, disc height, mean fusion time, fusion rate, adjacent segment degeneration, and restoration of cervical lordosis were observed after ACDF between stand-alone Fidji cervical cage and anterior cervical plate. Also, the cage group was associated with a lower risk of postoperative dysphagia, shorter operation time, less blood loss, less cost of index surgery, and relatively greater simplicity than the plate group (25). In a similar study, Azab et al reported significant reduction in arm and neck pain, as well as, neck pain and disability scale maintenance over 12 months with no implant-associated complications and radiological fusion by 3 months in all patients treated with a zero-profile implant.…”

Section: Discussionmentioning

confidence: 99%

“…There are several types of cages available for ACDF, including titanium, carbon fiber and polyetheretherketone (PEEK) cages. Complications from the use of ACDF using an interbody cage with anterior cervical plating have led some researchers to examine new systems to avoid these problems (25). Recently, a new type of self-locking stand-alone PEEK cage with no plates or screws has been designed.…”

Section: Introductionmentioning

confidence: 99%

Single anterior cervical discectomy and fusion (ACDF) using self- locking stand-alone polyetheretherketone (PEEK) cage: evaluation of pain and health-related quality of life

Kapetanakis¹,

Thomaidis²,

Charitoudis³

et al. 2017

J. Spine Surg.

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Background: Anterior cervical discectomy and fusion (ACDF) constitutes the conventional treatment of cervical disc herniation due to degenerative disc disease (DDD). ACDF with plating presents a variety of complications postoperatively and stand-alone cages are thought to be a promising alternative. The aim of this study was firstly, to analyze prospectively collected data from a sample of patients treated with single ACDF using C-Plus self-locking stand-alone PEEK cage system, without the use of plates or screws, in order to evaluate pain levels of patients, utilizing Neck and Arm Pain scale as an expression of visual analogue scale (VAS). Secondly, we aimed to evaluate health-related quality of life, via the short-form 36 (SF-36) and Neck Disability Index (NDI).Methods: Thirty-six patients (19 male and 17 female) with mean age 49.6±7 years old who underwent successful single ACDF using self-locking stand-alone PEEK cage for symptomatic cervical DDD were selected for the study. Neck and Arm pain, as well as SF-36 and NDI were estimated preoperatively and 1, 3, 6, and 12 months postoperatively. Patients underwent preoperative and postoperative clinical, neurological and radiological evaluation. Results:The clinical and radiological outcomes were satisfactory after a minimum 1-year follow-up.All results were statistically important (P<0.05), excluding improvement in NDI measured between 6 and 12 months. SF-36, Neck Pain, as well as Arm Pain featured gradual and constant improvement during follow-up, with best scores presenting at 12 months after surgery, while NDI reached its best at 6 months postoperatively.Conclusions: Generally, all scores showed improvement postoperatively during the different phases of the follow-up. Subsequently, ACDF using C-Plus cervical cage constitutes an effective method for cervical disc herniation treatment, in terms of postoperative improvement on pain levels and health-related quality of life and a safe alternative to the conventional method of treatment for cervical DDD.

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Standalone cage versus anchored cage for anterior cervical discectomy and fusion: a comparative analysis of clinical and radiological outcomes

Virkar

Bhilare

Hadgaonkar

et al. 2022

International Orthopaedics (SICOT)

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A comparison of a new zero-profile, stand-alone Fidji cervical cage and anterior cervical plate for single and multilevel ACDF: a minimum 2-year follow-up study

Cited by 65 publications

References 63 publications

Prevalence of complications after surgery in treatment for cervical compressive myelopathy

Prevalence of complications after surgery in treatment for cervical compressive myelopathy

Single anterior cervical discectomy and fusion (ACDF) using self- locking stand-alone polyetheretherketone (PEEK) cage: evaluation of pain and health-related quality of life

Standalone cage versus anchored cage for anterior cervical discectomy and fusion: a comparative analysis of clinical and radiological outcomes

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