Anterior Cervical Discectomy and Fusion with Zero-Profile Anchored Spacer Versus Plate and Cage for 3-Level Contiguous Cervical Degenerative Disease: A Systematic Review and Meta-Analysis

被引:0
作者
Chen, Li [1 ]
Liu, Dan [1 ]
Wang, Mingjiao [2 ]
Huang, Yong [3 ]
Chen, Zhen [3 ]
机构
[1] Sichuan Univ, West China Hosp, Outpatient Blood Collect Ctr, Chengdu, Peoples R China
[2] Sichuan Univ, West China Hosp, Dept Lab Med, Chengdu, Peoples R China
[3] Hosp Chengdu Univ Tradit Chinese Med, Dept Orthoped, Chengdu, Sichuan, Peoples R China
关键词
Anterior cervical discectomy and fusion; Meta-analysis; Plate and cage; Three-level contiguous cervical degenerative disease; Zero-profile anchored spacer; LEVEL OSSIFICATION DEVELOPMENT; SPONDYLOTIC MYELOPATHY; CLINICAL-OUTCOMES; DISC; SUBSIDENCE; CONSTRUCT; FIXATION; SINGLE; DEVICE; ACDF;
D O I
10.1016/J.wNEu.2024.07.102
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
OBJECTIVE: To compare the safety, clinical outcomes, and radiological results of anterior cervical discectomy and fusion (ACDF) with zero-profile anchored spacer (ZPAS) versus plate and cage (PC) for 3-level contiguous cervical degenerative disease. METHODS: The study was registered at PROSPERO (CRD42024512706). The Web of Science core collection, PubMed, and Embase were searched up to February 12, 2024. Review Manager 5.3 was used. The relative risk (RR) and 95% confidence interval were evaluated for dichotomous data. Continuous data were assessed using the mean difference and 95% confidence interval. RESULTS: Nine studies comparing ACDF with ZPAS versus PC for 3-level contiguous cervical degenerative disease were included. The intraoperative blood loss and operation time in ZPAS were significantly less than those in PC. The subsidence rate, loss of cervical alignment, fusion segmental height, and intervertebral disc height were significantly greater in ZPAS than in PC. The cervical alignment and dysphagia rate within 6 months were significantly lower in ZPAS than in PC. The ASD of ZPAS was significantly lower than that of PC according to the sensitivity analysis when 1 study was excluded. No significant differences were identified in the other aspects. CONCLUSIONS: Both ACDF with ZPAS and PC were safe and effective procedures. PC was associated with increased surgical trauma. The ZPAS could better decrease the incidence of ASD and dysphagia. ZPAS was also accompanied by high subsidence rate and poor cervical alignment.
引用
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页码:228 / 239
页数:12
相关论文
共 51 条
[1]   Multilevel Anterior Cervical Diskectomy and Fusion with Zero-Profile Devices: Analysis of Safety and Feasibility, with Focus on Sagittal Alignment and Impact on Clinical Outcome: Single-Institution Experience and Review of Literature [J].
Albanese, Vincenzo ;
Certo, Francesco ;
Visocchi, Massimiliano ;
Barbagallo, Giuseppe M. V. .
WORLD NEUROSURGERY, 2017, 106 :724-735
[2]   Locking Stand-Alone Cage Constructs for the Treatment of Cervical Spine Degenerative Disease [J].
Alfonso De Leo-Vargas, Roberto ;
Munoz-Romero, Ildefonso ;
Gustavo Mondragon-Soto, Michel ;
Jesus Martinez-Anda, Jaime .
ASIAN SPINE JOURNAL, 2019, 13 (04) :630-637
[3]   A pragmatic single centre retrospective comparative review of complication profile between PEEK cages and Zero-P cage screw constructs [J].
Balakumar, Balasubramanian ;
Raju, Sivashanmugam ;
Marconi, Sam David ;
Hassan, Md Faizul .
BRITISH JOURNAL OF NEUROSURGERY, 2024, 38 (04) :904-910
[4]   Factors affecting sagittal malalignment due to cage subsidence in standalone cage assisted anterior cervical fusion [J].
Barsa, Pavel ;
Suchomel, Petr .
EUROPEAN SPINE JOURNAL, 2007, 16 (09) :1395-1400
[5]   Incidence of dysphagia after anterior cervical spine surgery - A prospective study [J].
Bazaz, R ;
Lee, MJ ;
Yoo, JU .
SPINE, 2002, 27 (22) :2453-2458
[6]   Comparative analysis of clinical outcomes between zero-profile implant and cages with plate fixation in treating multilevel cervical spondilotic myelopathy: A three-year follow-up [J].
Chen, Yu ;
Chen, Huajiang ;
Wu, Xiaodong ;
Wang, Xinwei ;
Lin, Wenbo ;
Yuan, Wen .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2016, 144 :72-76
[7]   Comparison of Curvature Between the Zero-P Spacer and Traditional Cage and Plate After 3-Level Anterior Cervical Discectomy and Fusion Mid-term Results [J].
Chen, Yuanyuan ;
Liu, Yang ;
Chen, Huajiang ;
Cao, Peng ;
Yuan, Wen .
CLINICAL SPINE SURGERY, 2017, 30 (08) :E1111-E1116
[8]   A comparison of anterior cervical discectomy and fusion (ACDF) using self-locking stand-alone polyetheretherketone (PEEK) cage with ACDF using cage and plate in the treatment of three-level cervical degenerative spondylopathy: a retrospective study with 2-year follow-up [J].
Chen, Yuqiao ;
Lu, Guohua ;
Wang, Bing ;
Li, Lei ;
Kuang, Lei .
EUROPEAN SPINE JOURNAL, 2016, 25 (07) :2255-2262
[9]   Use of zero-profile device for contiguous three-level anterior cervical discectomy and fusion: comparison with cage and plate construct [J].
Chen, Zhipeng ;
Cen, Shuizhong ;
Wu, Jionglin ;
Guo, Rui ;
Liu, Zhenhua ;
Gao, Liangbin .
JOURNAL OF NEUROSURGERY-SPINE, 2021, 35 (02) :219-226
[10]   Clinical adjacent-segment pathology after anterior cervical discectomy and fusion: results after a minimum of 10-year follow-up [J].
Chung, Jae-Yoon ;
Kim, Sung-Kyu ;
Jung, Sung-Taek ;
Lee, Keun-Bae .
SPINE JOURNAL, 2014, 14 (10) :2290-2298