Khalifeh Kareem, Faulkner Jordan E, Hara Junko, Ozgur Burak
Neurosurgery, ONE Brain and Spine Center, Newport Beach, USA.
Neurosurgery, Hoag Memorial Hospital, Newport Beach, USA.
Cureus. 2021 Apr 3;13(4):e14283. doi: 10.7759/cureus.14283.
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.
本研究旨在评估用于单节段和多节段颈椎前路椎间盘切除融合术（ACDF）的零切迹独立融合器联合内固定的临床和影像学结果。许多钢板-融合器ACDF系统已被证明能成功实现高融合率并取得良好的临床效果。然而，传统系统中的前路钢板与吞咽困难和机械事故等并发症相关。共有190例患者接受了使用含一体式钛制内固定和螺钉固定的零切迹聚醚醚酮融合器的单节段或多节段ACDF手术（单节段，n = 31；双节段，n = 65；三节段，n = 71；四节段，n = 23）。收集并分析了年龄、吸烟状况等人口统计学信息以及术后结果。在190例接受零切迹独立融合器ACDF手术的患者中，无人出现任何病症或感染，术后零人再次入院。尽管传统的钢板-融合器系统在ACDF手术中融合率较高，但具有一体式固定的零切迹系统在单节段和多节段手术中均展现出了令人印象深刻的临床和影像学结果。
