Artrodesis cervical anterior mediante implante de tantalio. Resultados clínicos y radiológicos

Vicario‐Abejón, Carlos; López-Oliva, F.; Sánchez-Lorente, T.; Zimmermann, Michael; Asenjo-Siguero, J J; Ladero, F.; Ibarzabal, Ainitze

doi:10.1016/s1130-1473(06)70354-2

Cited by 13 publications

(7 citation statements)

References 23 publications

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“… 22 – 25 Moreover, clinical studies also reported that symptomatic disc degeneration at the adjacent levels were due to ACDF. 26 , 27 Theoretically, intact segments will compensate for the motion loss of the fused levels to attempt to maintain the total ROM after ACDF. 23 Therefore, multilevel fusion will cause a compensatory increase of the motion at the adjacent levels, which will lead to ASD consequently in long-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Surgery Versus Anterior Cervical Discectomy and Fusion in Multilevel Cervical Disc Diseases

et al. 2016

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To investigate the outcomes and reliability of hybrid surgery (HS) versus anterior cervical discectomy and fusion (ACDF) for the treatment of multilevel cervical spondylosis and disc diseases.Hybrid surgery, combining cervical disc arthroplasty (CDA) with fusion, is a novel treatment to multilevel cervical degenerated disc disease in recent years. However, the effect and reliability of HS are still unclear compared with ACDF.To investigate the studies of HS versus ACDF in patients with multilevel cervical disease, electronic databases (Medline, Embase, Pubmed, Cochrane library, and Cochrane Central Register of Controlled Trials) were searched. Studies were included when they compared HS with ACDF and reported at least one of the following outcomes: functionality, neck pain, arm pain, cervical range of motion (ROM), quality of life, and incidence of complications. No language restrictions were used. Two authors independently assessed the methodological quality of included studies and extracted the relevant data.Seven clinical controlled trials were included in this study. Two trials were prospective and the other 5 were retrospective. The results of the meta-analysis indicated that HS achieved better recovery of NDI score (P = 0.038) and similar recovery of VAS score (P = 0.058) compared with ACDF at 2 years follow-up. Moreover, the total cervical ROM (C2–C7) after HS was preserved significantly more than the cervical ROM after ACDF (P = 0.000) at 2 years follow-up. Notably, the compensatory increase of the ROM of superior and inferior adjacent segments was significant in ACDF groups at 2-year follow-up (P < 0.01), compared with HS.The results demonstrate that HS provides equivalent outcomes and functional recovery for cervical disc diseases, and significantly better preservation of cervical ROM compared with ACDF in 2-year follow-up. This suggests the HS is an effective alternative invention for the treatment of multilevel cervical spondylosis to preserve cervical ROM and reduce the risk of adjacent disc degeneration. Nonetheless, more well-designed studies with large groups of patients are required to provide further evidence for the benefit and reliability of HS for the treatment of cervical disk diseases.

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Section: Discussionmentioning

confidence: 99%

Hybrid Surgery Versus Anterior Cervical Discectomy and Fusion in Multilevel Cervical Disc Diseases

et al. 2016

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“…ACDF, a safe and reliable technique, is regarded as the gold standard procedure for single or multilevel cervical spondylosis leading to radiculopathy and/or myelopathy6,8,22,23). However, fusion can lead to a loss of ROM and increase of load to adjacent levels, which may accelerate degeneration in adjacent segments.…”

Section: Discussionmentioning

confidence: 99%

“…C-TDR is also believed to reduce the incidence of ASD. Robertson et al reported that maintaining motion rather than fusion will delay or prevent symptomatic postoperative disc disease and will decrease to a significant degree the associated adjacent-level radiological disc disease23). Although, there is a considerable body of literature regarding the outcome of single level C-TDR, multilevel cervical TDR has not been comprehensively investigated.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Surgery of Multilevel Cervical Degenerative Disc Disease : Review of Literature and Clinical Results

Lee

Cho

Kim

et al. 2012

J Korean Neurosurg Soc

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ObjectiveIn the present study, we evaluated the effect, safety and radiological outcomes of cervical hybrid surgery (cervical disc prosthesis replacement at one level, and interbody fusion at the other level) on the multilevel cervical degenerative disc disease (DDD).MethodsFifty-one patients (mean age 46.7 years) with symptomatic multilevel cervical spondylosis were treated using hybrid surgery (HS). Clinical [neck disability index (NDI) and Visual Analogue Scale (VAS) score] and radiologic outcomes [range of motion (ROM) for cervical spine, adjacent segment and arthroplasty level] were evaluated at routine postoperative intervals of 1, 6, 12, 24 months. Review of other similar studies that examined the HS in multilevel cervical DDD was performed.ResultsOut of 51 patients, 41 patients received 2 level hybrid surgery and 10 patients received 3 level hybrid surgery. The NDI and VAS score were significantly decreased during the follow up periods (p<0.05). The cervical ROM was recovered at 6 and 12 month postoperatively and the mean ROM of inferior adjacent segment was significantly larger than that of superior adjacent segments after surgery. The ROM of the arthoplasty level was preserved well during the follow up periods. No surgical and device related complications were observed.ConclusionHybrid surgery is a safe and effective alternative to fusion for the management of multilevel cervical spondylosis.

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“…[3–6] The selection of optimal surgical treatment for CSM, especially for multilevel cervical spondylotic myelopathy (mCSM), remains controversial. [1–9] Surgeries mainly involved anterior and posterior approaches, including anterior cervical discectomy and fusion (ACDF), [10–12] anterior cervical corpectomy and fusion (ACCF), [11–15] laminoplasty, [16–20] laminectomy, [12,18–22] and laminectomy with fusion. [20–23] ACDF for treating CSM was firstly introduced by Smith and Robinson [24] and Cloward [25] ; the anterior procedure has become the most widely used surgical choice.…”

Section: Introductionmentioning

confidence: 99%

Anterior cervical discectomy and fusion versus anterior cervical corpectomy and fusion in multilevel cervical spondylotic myelopathy

Wang

Liu

et al. 2016

Medicine

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Background:Both anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy and fusion (ACCF) are used to treat multilevel cervical spondylotic myelopathy (mCSM); however, which one is better treatment for mCSM remains considerable controversy. A meta-analysis was performed to compare clinical outcomes, radiographic outcomes, and surgical outcomes between ACDF and ACCF in treatment for mCSM.Methods:An extensive search of literature was performed in Pubmed/MEDLINE, Embase, the Cochrane library, CNKI, and WANFANG databases on ACDF versus ACCF treatment for mCSM from January 2011 to August 2016. The following variables were extracted: length of hospital stay, blood loss, operation time, Japanese Orthopedic Association (JOA) scores, Neck Disability Index (NDI) score, fusion rate, Cobb angles of C2 to C7, dysphagia, hoarseness, C5 palsy, infection, cerebral fluid leakage, donor site pain, epidural hematoma, graft subsidence, graft dislodgment, pseudoarthrosis, and total complications. Data analysis was conducted with RevMan 5.3 and STATA 12.0.Results:A total of 8 studies containing 878 patients were included in our study. The results showed that ACDF is better than ACCF in the angle of C2 to C7 at the final follow-up (P < 0.00001, standardized mean difference = 4.76 [3.48, 6.03]; heterogeneity: P = 0.17, I2 = 43%), C5 plasy (P = 0.02, odds ratio [OR] 0.42, 95% confidence interval [CI] 0.21, 0.86; heterogeneity: P = 0.52, I2 = 0%), blood loss (P < 0.00001, standardized mean difference = −53.12, 95% CI −64.61, −41.64; heterogeneity: P = 0.29, I2 = 20%), fusion rate (P = 0.04, OR 2.54, 95% CI 1.05, 6.11; heterogeneity: P = 0.29, I2 = 20%), graft subsidence (P = 0.004, OR 0.11, 95% CI 0.02, 0.48; heterogeneity: P = 0.94, I2 = 0%), and total complications (P = 0.0009, OR 0.56, 95% CI 0.40, 0.79; heterogeneity: P = 0.29, I2 = 18%).However, there are no significant differences in length of hospital stay, operation time, JOA scores, NDI scores, preoperative angle of C2 to C7, dysphagia, hoarseness, infection, cerebral fluid leakage, donor site pain, epidural hematoma, graft dislodgment, and pseudoarthrosis (all P > 0.05).Conclusions:Based on our meta-analysis, our results suggest that both ACDF and ACCF are good plans in clinical outcomes; however, ACDF is a better choice in radiographic outcomes and total complications for the treatment of multilevel CSM.

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Artrodesis cervical anterior mediante implante de tantalio. Resultados clínicos y radiológicos

Cited by 13 publications

References 23 publications

Hybrid Surgery Versus Anterior Cervical Discectomy and Fusion in Multilevel Cervical Disc Diseases

Hybrid Surgery Versus Anterior Cervical Discectomy and Fusion in Multilevel Cervical Disc Diseases

Hybrid Surgery of Multilevel Cervical Degenerative Disc Disease : Review of Literature and Clinical Results

Anterior cervical discectomy and fusion versus anterior cervical corpectomy and fusion in multilevel cervical spondylotic myelopathy

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