Krause Katie L, Obayashi James T, Bridges Kelly J, Raslan Ahmed M, Than Khoi D
J Neurosurg Spine. 2018 Oct 30;30(1):46-51. doi: 10.3171/2018.7.SPINE18531. Print 2019 Jan 1.
In BriefThe authors examined fusion rates after single-level anterior cervical discectomy and fusion, comparing use of a structural allograft with use of polyetheretherketone (PEEK) interbody devices packed with bone graft. The results demonstrate superior results of structural allograft in terms of arthrodesis rates and reoperation rates. Currently, reimbursement rates substantially favor the use of PEEK and other synthetic devices, which the authors believe should be changed based on the results of this study.
简而言之,作者研究了单节段颈椎前路椎间盘切除融合术后的融合率,比较了结构性同种异体骨移植与填充骨移植的聚醚醚酮(PEEK)椎间融合器的使用情况。结果表明,在融合率和再次手术率方面,结构性同种异体骨移植效果更佳。目前,报销率大幅倾向于使用PEEK和其他合成装置,作者认为应根据本研究结果对此进行改变。