Song Dawei, Deng Zicheng, Feng Tao, Wang Jinning, Liu Yijie, Wang Heng, Yang Huilin, Niu Junjie
Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou, China.
Front Surg. 2023 Jan 6;9:1055317. doi: 10.3389/fsurg.2022.1055317. eCollection 2022.
To assess the efficacy and complications of anterior cervical discectomy and fusion (ACDF) with ROI-C device vs. conventional anterior plate and cage system (APCS) in managing traumatic central cord syndrome (TCCS).
A total of 37 patients diagnosed with TCCS who underwent ACDF with ROI-C implant and APCS were recruited in this retrospective study from June 2012 to February 2020. Radiological parameters and clinical results were recorded and compared through follow-up time. Characteristics of patients and complications were also recorded.
All patients tolerated the procedure well. The average follow-up time was 25.00 ± 7.99 months in the ROI-C group, and 21.29 ± 7.41 months in the APCS group. The blood loss and operation time were significantly lower in the ROI-C group than in the APCS group. Radiological parameters and clinical results were all improved postoperatively and maintained at the final follow-up. Fusion was achieved in all patients. ROI-C group had a lower incidence of postoperative dysphagia than the APCS group. Only 1 case of ALD was observed at the final follow-up in the APCS group.
Both ROI-C device and APCS demonstrated satisfactory clinical effects and safety in managing symptomatic single-level traumatic central cord syndrome with underlying instability. Both techniques could improve and maintain cervical lordosis and disc height. ROI-C device was related to a lower incidence of postoperative dysphagia, shorter operation time, and less blood loss.
评估采用ROI-C装置的颈椎前路椎间盘切除融合术（ACDF）与传统前路钢板加椎间融合器系统（APCS）治疗创伤性中央脊髓综合征（TCCS）的疗效及并发症。
本回顾性研究纳入了2012年6月至2020年2月期间共37例诊断为TCCS并接受了ROI-C植入物和APCS的ACDF治疗的患者。记录并比较随访期间的影像学参数和临床结果。还记录了患者特征及并发症情况。
所有患者对手术耐受性良好。ROI-C组平均随访时间为25.00±7.99个月，APCS组为21.29±7.41个月。ROI-C组的失血量和手术时间显著低于APCS组。术后影像学参数和临床结果均有改善，并在末次随访时得以维持。所有患者均实现融合。ROI-C组术后吞咽困难发生率低于APCS组。APCS组在末次随访时仅观察到1例相邻节段退变（ALD）。
ROI-C装置和APCS在治疗有症状的单节段创伤性中央脊髓综合征伴潜在不稳定方面均显示出令人满意的临床效果和安全性。两种技术均可改善并维持颈椎前凸和椎间盘高度。ROI-C装置与术后吞咽困难发生率较低、手术时间较短及失血量较少相关。
