Mostofi Keyvan, Moghaddam Babak Gharaei, Peyravi Morad, Khouzani Reza Karimi
Department of Neurosurgery, Center Clinical, Chirurgie de Rachis, Soyaux, France.
Department of Neursurgery, Neurosurgical Clinic of Dr. Gharaei, Tehran, Iran.
J Craniovertebr Junction Spine. 2018 Oct-Dec;9(4):223-226. doi: 10.4103/jcvjs.JCVJS_95_18.
Anterior cervical arthroplasty (ACA) is the gold standard surgery in severe or unresponsive cases of cervical disc herniation, uncarthrosis, and foraminal stenosis. The aim of this study is to establish the impact and outcome evaluations of managing the patients operated for cervical arthroplasty by the intersomatic porous alumina ceramic cervical cages (PACC). The authors describe their experience in the area to allow the comparison of effectiveness of ceramic cages versus other interbody fusion cages.
Between April 2015 and September 2018, we operated 118 for ACA by using PACC. Among them, 52 were female and 66 were male, with an average age of 46.78 years.
The mean symptoms duration was 14.1 months. The most frequent level of the disorder was C5-C6 followed by C6-C7 level. Mean follow-up was 3.3 years. The Neck Disability Index (NDI) and the visual analog scale (VAS) were used to evaluate the patients status. No significant differences were observed between our results and literature data regarding operative time, duration of hospitalization, and NDI; however, we observed a shorter period and higher rate of bony fusion.
The results from the present study corroborate that implementing of PACC is a good alternative treatment for the patient operated by ACA for cervical disc herniation or foraminal cervical stenosis.
颈椎前路置换术（ACA）是治疗严重或难治性颈椎间盘突出症、钩椎关节病和椎间孔狭窄的金标准手术。本研究的目的是评估采用椎间多孔氧化铝陶瓷颈椎融合器（PACC）对接受颈椎置换术患者的治疗效果及预后。作者介绍他们在该领域的经验，以便比较陶瓷融合器与其他椎间融合器的有效性。
2015年4月至2018年9月，我们采用PACC对118例患者实施了ACA手术。其中，女性52例，男性66例，平均年龄46.78岁。
平均症状持续时间为14.1个月。最常见的病变节段是C5-C6，其次是C6-C7节段。平均随访时间为3.3年。采用颈部功能障碍指数（NDI）和视觉模拟量表（VAS）评估患者状况。在手术时间、住院时间和NDI方面，我们的结果与文献数据之间未观察到显著差异；然而，我们观察到骨融合时间更短，融合率更高。
本研究结果证实，对于接受ACA治疗颈椎间盘突出症或颈椎椎间孔狭窄的患者，采用PACC是一种很好的替代治疗方法。
