Mobi-C人工颈椎间盘置换术与ROI-C辅助的颈椎前路减压融合术治疗单节段颈椎病的临床研究

Abstract
Figure/Table
References (0)
Related Citation (4)

Download: PDF (2954 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the clinical efficacy of Mobi-C artificial disc replacementand anterior cervical discectomyand fusion with ROI-C in treatingsingle-level cervical spondylosis.Methods From March 2016 to September 2017，a total of 35 patients with the cervical spondylosis was treated with Mobi-C artificial disc replacementand anterior cervical discectomyand fusion with ROI-C in our department.they were divided into Mobi-C artificial disc replacement (groupA，15 cases)and anterior cervical discectomyand fusion with ROI-C (groupB，20 cases).The patients were followed up for more than 12 months after operation.Recording operation time，intraoperative blood loss and surgical-related complications.The Japanese Orthopedic Association (JOA)score、cervical disability function index (Neck Disability Index，NDI)and visual analogue scale(VAS)were used to evaluate the clinical efficacy.The lateral X-ray of the cervical spine was used to measure the Cobb angle of the local lordosis and the overall lordosis(C_2～7)of the cervical intervertebral disc.The ROM(range of motion)of the cervical spinewas measured by the dynamic X-ray and the data were compared before and after the follow-up.Results All 35 patients were followed up.JOA、NDI and VAS at the last time were further improved than those at preoperative.There was no significant difference in the preoperative between the two groups in the JOA、NDI and VAS(P＞0.05).There was no significant difference in the final follow-up between the two groups in the JOA、NDI and VAS(P＞0.05).There was no significant difference between preoperative and final follow-up in the Cobb angle of the local lordosis，the overall lordosis(C_2～7)of the cervical intervertebral disc and the range of motion of cervical spine of the Mobi-C artificial disc replacement(P＞0.05)；there was no significant difference between preoperative and final follow-up in the Cobb angle of the local lordosis and the overall lordosis(C_2～7)of the cervical intervertebral disc of anterior cervical discectomyand fusion with ROI-C(P＞0.05).The difference was statistically significant of the range of motion of cervical spine in final follow-up(P＜0.05).There was no significant difference in thepreoperative between the two groups in the Cobb angle of the local lordosis，the overall lordosis(C_2～7)of the cervical intervertebral disc and the range of motion of the cervical spine(P＞0.05).There was significant difference in the final follow-up between the two groups in the Cobb angle of the local lordosis，the overall lordosis(C_2～7)of the cervical intervertebral disc and the range of motion of the cervical spine(P＜0.05).Conclusion Compared with the anterior cervical discectomyand fusion with ROI-C，Mobi-C artificial disc replacement has similar effective treatments in treatingsingle-level cervical spondylosis，and better maintain cervical mobility，which can be used as an effective treatment for cervical spondylosis.

Key words： Mobi-C artificial cervical disc replacement ROI-C anterior cervical decompression and fusion

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I6/481

［1］Smith GW，Robinson RA.The treatment of certain cervicalspine disorders by anterior removal of the intervertebral disc and interbody fusion［J］.J Bone Joint Surg (Am)，1958，40 (3)：607-624.
［2］Kasimatis GB，Panagiotopoulos E，Gliatis J，et al.Complications of anterior surgery in cervical spine trauma：an overview ［J］.Clin Neurol Neurosurg，2009，111(1)：18-27.
［3］Song HP，Guo QF，Zhang XW，et al.Anterior cervical decompression and fusion by microscope for the treatment of cervicalspondylotic myelopathy ［J］.J Bone Joint Surg (Am)，2012，25(9)：708-710.
［4］Yue WM，BrodnerW，HighlandTR，et al.Persistent swallowing and voice problems after anterior cervical discectomy and fusion with allograft and plating：a 5 to 11 year follow-up study［J］.Eur Spine J，2005，14(7)：677-682.
［5］Tortolani PJ，Cunningham BW，Vigna F，et al.A comparison of retraction pressure during anterior cervical plate surgery and cervical disc replacement：a cadaveric study［J］.J spinal Disord Tech，2006，19(5)：312-317.
［6］Hofstetter CP，Kesavabhotla K，Boockvar JA.Zero-profile anchored spacer reduces rate of dysphagia compared with ACDF with anterior plating［J］.J Spinal Disord Tech，2015，28(5)：284-290.
［7］Shi S，Zheng S，Li XF，et al.Comparison of 2 zero-profile implants in the treatment of single-level cervical spondyloticmyelopathy：a preliminary clinical study of cervical disc arthroplasty versus fusion［J］.PLoS One，2016，11(7)：e0159761.
［8］Li Z，ZhaoY，Tang J，et al.A comparison of a new zero-profile，stand-alone Fidji cervical cage and anterior cervical plate for single and multilevel ACDF：a minimum 2-year follow-up study［J］.Eur Spine J，2017，26(4)：1129-1139.
［9］Seng C，Tow BP，Siddiqui MA，et al.Surgically treated cervical myelopathy：a functional outcome comparison study between multilevel anterior cervical decompression fusion with instrumentation and posterior laminoplasty［J］.Spine J，2013，13(7)：723-731.
［10］Grasso G，Giambartino F，Tomasello G，et al.Anterior cervical discectomy and fusion with ROI-C PEEK cage：cervical alignment and patient outcomes［J］.Eur Spine J，2014，23(Suppl 6)：650-657.
［11］Sun Y，Li L，Zhao J，et al.Comparison between anterior approaches and posterior approaches for the treatment of multilevel cervical spondyloticmyelopathy：a meta-analysis［J］.Clin Neurol Neurosurg，2015，134(4)：28-36.
［12］Liu Y，Wang H，LiX，et al.Comparison of a zero-profile anchored spacer(ROI-C)and the polyetheretherketone(PEEK)cages with an anterior plate in anterior cervical discectomy and fusion for multilevel cervical spondylotic myelopathy［J］.Eur Spine J，2016，25(6)：1881-1890.
［13］BurkusJK，Traynelis VC.Clinical and radiographic analysis of an artificial cervical disc：7-year follow-up from the Prestige prospective randomized controlled clinical trial：Clinical article［J］.J Neurosurg Spine，2014，21(4)：516-528.
［14］Janssen ME，Zigler JE，Spivak JM，et al.ProDisc-C total disc replacement versus anterior cervical discectomy and fusion for single-level symptomatic cervical disc disease：seven-year follow-up of the prospective randomized U.S.Food and drug administration investigational device exemption study［J］.J Bone Joint Surg(Am)，2015，97(21)：1738-1747.
［15］Tian W，Yan K，Han X，et al.Comparison of the clinical and radiographic results between cervical artificial disk replacement and anterior cervical fusion：a 6-year prospective nonrandomized comparative study［J］.Clin Spine Surg，2017，30(5)：578-586.
［16］Tian W，Wang H，Yan K，et al.Analysis of the factors that could predict segmental range of motion after cervical artificial disc replacement：a 7-years follow-up study［J］.Clin Spine Surg，2017，30(5)：603-608.
［17］田伟，韩骁.颈椎人工间盘置换术［J］.中华骨科杂志，2010，30(11)：1161-1164.
［18］郝定均，贺宝荣，许正伟，等.Bryan人工颈椎间盘置换术与椎间融合术治疗颈椎病的中期疗效比较［J］.中华骨科杂志，2011，3l(1)：18-23.
［19］Mehren C，Heider F，Siepe CJ，et al.Clinical and radiological outcome at 10years of follow-up after total cervical disc replacement ［J］.Eur Spine J，2017，26(9)：2441-2449.
［20］Fountas KN，Kapsalaki EZ，Nikolakakos LG，et al.Anterior cervical discectomy and fusion associated complications［J］.Spine，2007，32(21)：2310-2317.
［21］Njoku I Jr，Alimi M，Leng LZ，et al.Anterior cervical discectomy and fusion with a zero-profile integrated plate and spacer device：a clinical and radiological study.Clinical article ［J］.J Neurosurg Spine，2014，21(4)：529-537.
［22］Lee MJ，Bazaz R，Furey CG，et al.Influence of anterior cervical plate design on Dysphagia：a 2-year prospective longitudinal follow-up study［J］.J Spinal Disord Tech，2005，18(5)：406-409.
［23］Sahjpaul RL.Esophageal perforation from anterior cervical screw migration ［J］.Surg Neurol，2007，68(2)：209-210.
［24］Daubs MD.Early failures following cervical corpectomy reconstruction with titanium mesh cages and anterior plating ［J］.Spine (PhilaPa 1976)，2005，30(12)：1402-1406.
［25］Yang JY，Song HS，Lee M，et al.Adjacent level ossification development after anterior cervical fusion without plate fixation［J］.Spine(Phila Pa 1976)，2009，34(1)：30-33.
［26］Matsumoto M，Okada E，Ichihara D，et al.Anterior cervical decompression and fusion accelerates adjacent segment degeneration：comparison with asymptomatic volunteers in a tenyear magnetic resonance imaging follow-up study［J］.Spine (Phila Pa 1976)，2010，35(1)：36-43.
［27］Blumenthal SL，Ohnmeiss DD，Guyer RD，et al.Re-operations in cervical total disc replacement compared with anterior cervical fusion：Results compiled from multiple prospective FDA IDE trials conducted at a single site［J］.Spine，2013，38(9)：1177-1182.
［28］Delamarter RB，ZiglerJ.Five-year reoperation rates，cervical total disc replacement versus fusion，results of a prospective randomized clinical trial［J］.Spine，2013，38(9)：711-717.
［29］Wang ZW，Jiang WM，Li XF，et al.The application of zero-profile anchored spacer in anterior cervical discectomy and fusion ［J］.Eur Spine J，2015，24(1)：148-154.
［30］管华清，杨惠林，姜为民，等.新型零切迹桥形锁定融合器治疗脊髓型颈椎病的早期疗效［J］.中国矫形外科杂志，2015，23(9)：794-799.
［31］Wang Z，Zhu R，Yang H，et al.Zero-profile implant(Zero-P)versus plate cage benezech implant(PCB)in the treatment of single-level cervical spondylotic myelopathy ［J］.BMC Musculoskelet Disord，2015，16(1)；290-297.
［32］汪智文，姜为民，张宗余，等.椎间桥形固定颈部融合器与传统融合器联合钛板治疗脊髓型颈椎病的临床疗效比较［J］.中华外科杂志，2014，52(6)：425-430.
［33］赵理平，沙卫平，王黎明，等.前路颈椎桥形锁定融合器在颈椎间盘切除融合术治疗退变性颈椎病中的应用［J］.实用骨科杂志，2018，24(6)：481-485.
［34］Smucker JD.Increased swelling complications associated with off-label usage of rhBMP-2 in the anterior cervical spine.［J］.Spine，2006，31(24)：2813-2819.
［35］Buttermann GR.Prospective nonrandomized comparison of an allograft with bonemorphogenic protein versus an iliac-crest autograft in anterior cervical discectomy and fusion.［J］.Spine J，2008，8(3)：426-435.
［36］Rong YL，Luo YJ.Clinical effects of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis［J］.Clin Interv Aging，2018，13(6)：2543-2551.
［37］王琦，鲍达，李大伟，等.锚定式椎间融合器治疗下颈椎不稳症临床疗效评价［J］.实用骨科杂志，2014，20(11)：1012-1015.
［38］Auerbach JD，Jones KJ，Fras CI，et al.The prevalence of indicationsand contraindications to cervical total disc replacement［J］.Spine J，2008，8(5)：711-716.
［39］SuchomelP，JurakL，Benes V，et al.Clinical results and development of heterotopic ossification in total cervical disc replacement during a 4-year follow-up［J］.Eur Spine J，2010，19(2)：307-315.
［40］Chen J，WangX，BaiW，et al.Prevalence of heterotopic ossification after cervical total disc arthroplasty：A metaanalysis［J］.Eur Spine J，2012，21(4)：674-680.
［41］Alvin MD，Mroz TE.TheMobi-C cervical disc for one-level and two-level cervical disc replacement；a review of the literature［J］.Med Devices(Auckl)，2014，7(11)：397-403.
［42］Davis RJ，Nunley PD，Kim KD，et al.Two-level total disc replacement with Mobi-C cervical artificial disc versus anterior discectomy and fusion：aprospective，randomized，controlled multicenter clinical trial with 4-year follow-up results［J］.J Neurosurg Spine，2015，22(1)：15-25.