A Retrospective Evaluation and Review of Outcomes for Single- and Multilevel ACDF With a Zero-Profile Stand-Alone Cage Device With Integrated Instrumentation.
A Retrospective Evaluation and Review of Outcomes for Single- and Multilevel ACDF With a Zero-Profile Stand-Alone Cage Device With Integrated Instrumentation.
复制标题
单节段ACDF与多节段ACDF的回顾性评估与回顾，采用零轮廓独立笼式装置与集成仪器。
DOI：
10.7759/cureus.14283
复制
发表时间：
2021-04-03
期刊：
影响因子：
--
通讯作者：
Ozgur B
中科院分区：
文献类型：
--
作者：
Khalifeh K;Faulkner JE;Hara J;Ozgur B
本研究旨在评估与用于单节段和多层颈椎前路椎间盘切除融合术 (ACDF) 手术的零剖面独立笼和仪器相关的临床和放射学结果。许多板笼 ACDF 系统已被证明能够成功地产生高融合率和积极的临床结果。然而，传统系统中的前侧钢板与吞咽困难和机械事故等并发症有关。共有 190 名患者接受了单节段或多节段 ACDF 手术，使用包含集成钛器械和螺钉固定的零轮廓聚醚醚酮笼（一级，n = 31；二级，n = 65；三级，n = 71；四级，n = 23）。收集并分析年龄和吸烟状况等人口统计信息以及术后结果。在使用零轮廓独立笼进行 ACDF 手术的 190 名患者中，没有人出现任何状况或感染，术后再次入院的患者为零。尽管传统的板笼系统在 ACDF 手术中具有较高的融合率，但具有集成固定装置的零轮廓系统在单层和多层手术中都展示了令人印象深刻的临床和放射学结果。
This study aimed to assess clinical and radiological outcomes associated with zero-profile stand-alone cages with instrumentation used for single- and multilevel anterior cervical discectomy and fusion (ACDF) operations. Many plate-cage ACDF systems have proven to be successful in producing high fusion rates and positive clinical outcomes. However, the anterior plating in traditional systems has been associated with complications such as dysphagia and mechanical accidents. A total of 190 patients underwent single- or multilevel ACDF surgeries with zero-profile polyetheretherketone cages containing integrated titanium instrumentation and screw fixation (one-level, n=31; two-level, n=65; three-level, n=71; four-level, n=23). Demographic information such as age and smoking status as well as postoperative outcomes were collected and analysed. Out of the 190 patients who underwent ACDF surgeries with a zero-profile stand-alone cage, none experienced any conditions or infections, and zero were readmitted postoperatively. Although traditional plate-cage systems yield high fusion rates in ACDF surgeries, zero-profile systems with integrated fixation have showcased impressive clinical and radiographic results in both single- and multilevel operations.
登录
查看更多内容
DOI：
10.1016/j.esas.2009.12.001
发表时间：
2010
期刊：
SAS journal
影响因子：
--
作者：
Segebarth B;Datta JC;Darden B;Janssen ME;Murrey DB;Rhyne A;Beckham R;Ponce C
通讯作者：
Ponce C
影响因子：
2
作者：
Fisahn, Christian;Schmidt, Cameron;Chapman, Jens R.
通讯作者：
Chapman, Jens R.
影响因子：
3
作者：
Fountas, Kostas N.;Kapsalaki, Eftychia Z.;Robinson, Joe S.
通讯作者：
Robinson, Joe S.
影响因子：
2.8
作者：
Fraser, Jusun F.;Haertl, Roger
通讯作者：
Haertl, Roger
影响因子：
2.3
作者：
Ng, Eugene Pak-Lin;Yip, Andrew Siu-Leung;Wong, Wing-Cheung
通讯作者：
Wong, Wing-Cheung