Interface Fixation Using Absorbable Screws versus Plate Fixation in Anterior Cervical Corpectomy and Fusion for Two-Level Cervical Spondylotic Myelopathy

Qiu, Xiaowen; Zhao, Bo; He, Xijing; Zhao, Chen; Leng, Zikuan

doi:10.12659/msm.921507

Cited by 5 publications

(5 citation statements)

References 22 publications

(24 reference statements)

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“…27 From a biomechanical point of view, additional external or internal support should be employed to prevent excessive movement of cervical cages. 28 Qiu et al 28 reported that corpectomy and discectomy with plate fixation and autograft fusion had similar fusion rates. Several scholars have shown that ACCF has relatively good fusion rates.…”

Section: Discussionmentioning

confidence: 99%

Comparison of anterior cervical discectomy and fusion versus anterior cervical corpectomy and fusion in the treatment of localized ossification of the posterior longitudinal ligament

Chen

Wang

Zhou

et al. 2023

J Orthop Surg (Hong Kong)

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Background The retrospective study was conducted to compare the efficacy of anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy and fusion (ACCF) for localized ossification of the posterior longitudinal ligament (OPLL) by evaluating clinical and radiologic outcomes. Methods We reviewed 151 patients to assess the effects of treatment for one or two levels localized OPLL. Perioperative parameters, such as blood loss, operation time and complications, were recorded. Radiologic outcomes, such as the occupying ratio (OR), fusion status, cervical lordosis angle, segmental angle, disc space height, T1 slope, and C2–C7 sagittal vertical axis (SVA), were assessed. Clinical indices, such as the JOA scores and VAS scores, were investigated to compare the two surgical options. Results There were no significant differences in the JOA scores or VAS scores between the two groups ( p > 0.05). The operation time, volume of blood loss and incidence of dysphagia were significantly less in the ACDF group than in the ACCF group ( p < 0.05). In addition, cervical lordosis, segmental angle and disc space height were significantly different from their preoperative evaluations. No adjacent segment degenerated in the ACDF group. The subsidence rates of implants were 5.2% in the ACDF group and 28.4% in the ACCF group. The degeneration of the ACCF group was 4.1%. The incidence of CSF leaks was 7.8% in the ACDF group and 13.5% in the ACCF group. All the patients ultimately achieved successful fusion. Conclusion Although both options achieved satisfactory primary clinical and radiographic efficacies, ACDF was associated with a shorter surgical procedure, less intraoperative blood loss, better radiologic outcomes, and lower incidence of dysphagia than ACCF.

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Section: Discussionmentioning

confidence: 99%

Comparison of anterior cervical discectomy and fusion versus anterior cervical corpectomy and fusion in the treatment of localized ossification of the posterior longitudinal ligament

Chen

Wang

Zhou

et al. 2023

J Orthop Surg (Hong Kong)

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show abstract

“…From a biomechanical point of view, additional external or internal support should be employed to prevent excessive movement of cervical cages[28]. Qiu et al [29] reported that corpectomy and discectomy with plate xation and autograft fusion had similar fusion rates. Several scholars have shown that ACCF has relatively good fusion rates [30].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Anterior Cervical Discectomy and Fusion and Anterior Cervical Corpectomy and Fusion in Localized Ossification of the Posterior Longitudinal Ligament

Chen

Wang

Zhou

et al. 2022

Preprint

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The retrospective study was conducted to compare the efficacy of anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy and fusion (ACCF) for localized ossification of the posterior longitudinal ligament (OPLL) by evaluating clinical and radiologic outcomes. We reviewed 151 patients to assess the effects of treatment for localized OPLL. Perioperative parameters, such as blood loss, operation time and complications, were recorded. Radiologic outcomes, such as the occupying ratio (OR), fusion status, cervical lordosis angle, segmental angle, segmental height, T1 slope, and C2–C7 sagittal vertical axis (SVA), were assessed. Clinical indices, such as the JOA scores and VAS scores, were investigated to compare the two surgical options. There were no significant differences in the JOA scores or VAS scores between the two groups (P > 0.05). The operation time, volume of blood loss and incidence of dysphagia were significantly less in the ACDF group than in the ACCF group(P < 0.05). In addition, cervical lordosis, segmental angle and segmental height were significantly different from their preoperative evaluations. Both groups had significantly improved T1 slopes. Moreover, C2–C7 SVA was significantly increased at the last follow-up. No adjacent segment degenerated in the ACDF group. The degeneration of the ACCF group was 4.1%. The incidence of CSF leaks was 7.8% in the ACDF group and 13.5% in the ACCF group. All the patients ultimately achieved successful fusion. Although both options achieved satisfactory primary clinical and radiographic efficacies, ACDF was associated with a shorter surgical procedure, less volume of intraoperative blood loss, better radiologic outcomes and lower incidence of dysphagia than ACCF.

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“…ACCF has the advantages of complete decompression and ample exposure [ 1 , 2 ]. Since first reported in the 1950s, it has been widely used in the treatment of various cervical spine diseases and has become one of the main surgical procedures used for the treatment of CSM [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…With the development of modern life, the prevalence of cervical spine diseases is on the rise. Anterior cervical compression and fusion (ACCF) has the advantages of complete decompression and ample exposure, so it is extensively used in the treatment of a variety of cervical-related diseases [ 1 , 2 ], such as cervical spondylotic myelopathy (CSM), cervical fracture, tumor, and tuberculosis. ACCF has become one of the main surgical methods for treating CSM [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Comparative Analysis of 3D-Printed Artificial Vertebral Body Versus Titanium Mesh Cage in Repairing Bone Defects Following Single-Level Anterior Cervical Corpectomy and Fusion

et al. 2021

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Background The aim of this study was to compare the clinical and radiological outcomes of the 3D-printed artificial vertebral body vs the titanium mesh cage in repairing bone defects for single-level anterior cervical corpectomy and fusion (ACCF). Material/Methods A total of 51 consecutive patients who underwent single-level ACCF in Huai’an Second People’s Hospital from July 2017 to August 2020 were retrospectively reviewed. According to the implant materials used, patients were divided into a 3D-printed artificial vertebral body group (3D-printed group) (n=20; 12 males, 8 females) and a titanium mesh cage group (TMC group) (n=31; 15 males, 16 females). General data, radiological parameters, and clinical outcomes were recorded. Results The rate of subsidence in the 3D-printed group (0.01, 2/20) was lower than in the TMC group (0.29, 9/31) ( P <0.05). HAE and HPE of the patients in the 3D-printed group were significantly higher than those in the TMC group ( P <0.05). C2–C7 Cobb angle and SA of the patients in the 3D-printed group were significantly larger than those in the TMC group ( P <0.05). All patients in the 2 groups showed significant improvement in VAS, JOA, and NDI scores at 3 months and 1 year after surgery. Conclusions 3D-printed artificial vertebral body helps maintain intervertebral height and cervical physiological curvature and is a good candidate for ACCF.

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Interface Fixation Using Absorbable Screws versus Plate Fixation in Anterior Cervical Corpectomy and Fusion for Two-Level Cervical Spondylotic Myelopathy

Cited by 5 publications

References 22 publications

Comparison of anterior cervical discectomy and fusion versus anterior cervical corpectomy and fusion in the treatment of localized ossification of the posterior longitudinal ligament

Comparison of anterior cervical discectomy and fusion versus anterior cervical corpectomy and fusion in the treatment of localized ossification of the posterior longitudinal ligament

Comparison of Anterior Cervical Discectomy and Fusion and Anterior Cervical Corpectomy and Fusion in Localized Ossification of the Posterior Longitudinal Ligament

Comparative Analysis of 3D-Printed Artificial Vertebral Body Versus Titanium Mesh Cage in Repairing Bone Defects Following Single-Level Anterior Cervical Corpectomy and Fusion

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