Publications

Detailed Information

Comparative analysis of three different construct systems for single-level anterior cervical discectomy and fusion: stand-alone cage, iliac graft plus plate Augmentation, and cage plus plating.

Cited 0 time in Web of Science Cited 0 time in Scopus
Authors

Lee, Chang-Hyun; Hyun, Seung-Jae; Kim, Min Jeong; Yeom, Jin S.; Kim, Wook Ha; Kim, Ki-Jeong; Jahng, Tae-Ahn; Kim, Hyun-Jib; Yoon, Sang Hoon

Issue Date
2013-04
Publisher
Lippincott Williams & Wilkins, Inc.
Citation
Journal of Spinal Disorders & Techniques Vol.26 No.2, pp. 112-118
Keywords
의약학cageplateiliaccervicalfusioncomparisonanterior
Abstract
STUDY DESIGN:: A retrospective cohort-nested longitudinal study.OBJECTIVE:: To evaluate radiologic and clinically functional outcomes after single-level anterior cervical discectomy and fusion (ACDF) using 3 different fusion construct systems applying an accurate and reliable methodology.SUMMARY OF BACKGROUND DATA:: ACDF is an established procedure that uses 3 different fusion construct systems: cage alone (CA), iliac tricortical bone block with plate (IP), and cage with plate construct (CP). The outcome of a previous study is quite different and did not correlate with experimental studies.METHODS:: ACDF was performed on 158 patients (90 male and 68 female), who were followed up for >12 months. The patients were divided into the following 3 treatment groups: CA, IP, and CP. Factors related to outcome were also evaluated. Fusion rate, subsidence rate, and cervical angles were used to measure radiologic outcome. The Odom criteria and the visual analog scale were used to evaluate the clinical outcome.RESULTS:: The fusion rate was higher for patients in the IP (87.1%) and CP (79.5%) groups than for those in the CA group (63.2%) after 12 months of follow-up (P=0.019). The subsidence rate was lower for patients in the IP (28.1%) and CP (38.5%) groups than for those in the CA group (58.6%) (P=0.010). Subsidence occurred for the anterior height regardless of constructs. Radiating arm pain showed greater relief in the CP group than in the CA group (P=0.015). It improved more in the CP group than in the IP group, but the differences were not statistically significant (P=0.388). Other clinical outcomes did not show significant differences.CONCLUSIONS:: The trend of excellent radiologic outcome was observed for IP≥CP>CA. Plating may play a key role in the support of anterior height. As a result, plating prevents segmental kyphosis and subsidence and promotes bone fusion. Although the overall clinical outcomes were not different among the 3 groups, except for arm pain, more favorable trends regarding clinical outcome were observed for CP≥IP>CA.
ISSN
1536-0652
1539-2465(online)
Language
English
URI
https://hdl.handle.net/10371/83039
Files in This Item:
There are no files associated with this item.
Appears in Collections:

Altmetrics

Item View & Download Count

  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Share