Anterior Cervical Corpectomy with Fusion versus Anterior Hybrid Fusion Surgery for Patients with Severe Ossification of the Posterior Longitudinal Ligament Involving Three or More Levels: A Retrospective Comparative Study

被引:12
作者
Hirai, Takashi [1 ]
Yoshii, Toshitaka [1 ]
Sakai, Kenichiro [2 ]
Inose, Hiroyuki [1 ]
Yuasa, Masato [1 ]
Yamada, Tsuyoshi [1 ]
Matsukura, Yu [1 ]
Ushio, Shuta [1 ]
Morishita, Shingo [1 ]
Egawa, Satoru [1 ]
Onuma, Hiroaki [1 ]
Kobayashi, Yutaka [1 ]
Utagawa, Kurando [1 ]
Hashimoto, Jun [1 ]
Kawabata, Atsuyuki [1 ]
Tanaka, Tomoyuki [1 ]
Motoyoshi, Takayuki [1 ]
Takahashi, Takuya [1 ]
Hashimoto, Motonori [1 ]
Sakaeda, Kentaro [1 ]
Kato, Tsuyoshi [1 ]
Arai, Yoshiyasu [2 ]
Kawabata, Shigenori [1 ]
Okawa, Atsushi [1 ]
机构
[1] Tokyo Med & Dent Univ, Dept Orthoped Surg, Bunkyo Ku, 1-5-45 Yushima, Tokyo 1138510, Japan
[2] Saitamaken Saiseikai Kawaguchi Gen Hosp, Dept Orthoped Surg, 5-11-5 Nishikawaguchu, Kawaguchi, Saitama 3328558, Japan
关键词
anterior cervical corpectomy and fusion; hybrid fusion; ossification of the posterior longitudinal ligament; implant failure; graft subsidence; complications; perioperative outcomes; fusion rate; segmental paralysis; mechanical stability; RECONSTRUCTIVE TECHNIQUES; SPONDYLOTIC MYELOPATHY; SURGICAL STRATEGY; OCCUPYING RATIO; SPINAL-CORD; DECOMPRESSION; LAMINOPLASTY; FIXATION; MANAGEMENT; PREDICTOR;
D O I
10.3390/jcm10225315
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Various studies have found a high incidence of early graft dislodgement after multilevel corpectomy. Although a hybrid fusion technique was developed to resolve implant failure, the hybrid and conventional techniques have not been clearly compared in terms of perioperative complications in patients with severe ossification of the posterior longitudinal ligament (OPLL) involving three or more levels. The purpose of this study was to compare clinical and radiologic outcomes between anterior cervical corpectomy with fusion (ACCF) and anterior hybrid fusion for the treatment of multilevel cervical OPLL. We therefore retrospectively reviewed the clinical and radiologic data of 53 consecutive patients who underwent anterior fusion to treat cervical OPLL: 30 underwent ACCF and 23 underwent anterior hybrid fusion. All patients completed 2 years of follow-ups. Implant migration was defined as subsidence > 3 mm. There were no significant differences in demographics or clinical characteristics between the ACCF and hybrid groups. Early implant failure occurred significantly more frequently in the ACCF group (5 cases, 16.7%) compared with the hybrid group (0 cases, 0%). The fusion rate was 80% in the ACCF group and 100% in the hybrid group. Although both procedures can achieve satisfactory neurologic outcomes for multilevel OPLL patients, hybrid fusion likely provides better biomechanical stability than the conventional ACCF technique.
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页数:14
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共 39 条
  • [1] Anterior pedicle screw fixation for multilevel cervical corpectomy and spinal fusion
    Aramomi, M.
    Masaki, Y.
    Koshizuka, S.
    Kadota, R.
    Okawa, A.
    Koda, M.
    Yamazaki, M.
    [J]. ACTA NEUROCHIRURGICA, 2008, 150 (06) : 575 - 582
  • [2] Anterior decompression combined with corpectomies and discectomies in the management of multilevel cervical myelopathy: a hybrid decompression and fixation technique
    Ashkenazi, E
    Smorgick, Y
    Rand, N
    Millgram, MA
    Mirovsky, Y
    Floman, Y
    [J]. JOURNAL OF NEUROSURGERY-SPINE, 2005, 3 (03) : 205 - 209
  • [3] A comparison of the perioperative outcomes of anterior surgical techniques for the treatment of multilevel degenerative cervical myelopathy
    Badhiwala, Jetan H.
    Leung, Sean N.
    Ellenbogen, Yosef
    Akbar, Muhammad A.
    Martin, Allan R.
    Jiang, Fan
    Wilson, Jamie R. F.
    Nassiri, Farshad
    Witiw, Christopher D.
    Wilson, Jefferson R.
    Fehlings, Michael G.
    [J]. JOURNAL OF NEUROSURGERY-SPINE, 2020, 33 (04) : 433 - 440
  • [4] Anterior cervical plating for the treatment of neoplasms in the cervical vertebrae
    Caspar, W
    Pitzen, T
    Papavero, L
    Geisler, FH
    Johnson, TA
    [J]. JOURNAL OF NEUROSURGERY, 1999, 90 (01) : 27 - 34
  • [5] A New Concept for Making Decisions Regarding the Surgical Approach for Cervical Ossification of the Posterior Longitudinal Ligament The K-Line
    Fujiyoshi, Takayuki
    Yamazaki, Masashi
    Kawabe, Junko
    Endo, Tomonori
    Furuya, Takeo
    Koda, Masao
    Okawa, Akihiko
    Takahashi, Kazuhisa
    Konishi, Hiroaki
    [J]. SPINE, 2008, 33 (26) : E990 - E993
  • [6] Hirai T., 2020, SPINE SURG RELAT RES
  • [7] Associations between Clinical Findings and Severity of Diffuse Idiopathic Skeletal Hyperostosis in Patients with Ossification of the Posterior Longitudinal Ligament
    Hirai, Takashi
    Nishimura, Soraya
    Yoshii, Toshitaka
    Nagoshi, Narihito
    Hashimoto, Jun
    Mori, Kanji
    Maki, Satoshi
    Katsumi, Keiichi
    Takeuchi, Kazuhiro
    Ushio, Shuta
    Furuya, Takeo
    Watanabe, Kei
    Nishida, Norihiro
    Watanabe, Kota
    Kaito, Takashi
    Kato, Satoshi
    Nagashima, Katsuya
    Koda, Masao
    Nakashima, Hiroaki
    Imagama, Shiro
    Murata, Kazuma
    Matsuoka, Yuji
    Wada, Kanichiro
    Kimura, Atsushi
    Ohba, Tetsuro
    Katoh, Hiroyuki
    Watanabe, Masahiko
    Matsuyama, Yukihiro
    Ozawa, Hiroshi
    Haro, Hirotaka
    Takeshita, Katsushi
    Matsumoto, Morio
    Nakamura, Masaya
    Yamazaki, Masashi
    Matsukura, Yu
    Inose, Hiroyuki
    Okawa, Atsushi
    Kawaguchi, Yoshiharu
    [J]. JOURNAL OF CLINICAL MEDICINE, 2021, 10 (18)
  • [8] Prevalence and Distribution of Ossified Lesions in the Whole Spine of Patients with Cervical Ossification of the Posterior Longitudinal Ligament A Multicenter Study (JOSL CT study)
    Hirai, Takashi
    Yoshii, Toshitaka
    Iwanami, Akio
    Takeuchi, Kazuhiro
    Mori, Kanji
    Yamada, Tsuyoshi
    Wada, Kanichiro
    Koda, Masao
    Matsuyama, Yukihiro
    Takeshita, Katsushi
    Abematsu, Masahiko
    Haro, Hirotaka
    Watanabe, Masahiko
    Watanabe, Kei
    Ozawa, Hiroshi
    Kanno, Haruo
    Imagama, Shiro
    Fujibayashi, Shunsuke
    Yamazaki, Masashi
    Matsumoto, Morio
    Nakamura, Masaya
    Okawa, Atsushi
    Kawaguchi, Yoshiharu
    [J]. PLOS ONE, 2016, 11 (08):
  • [9] Presence of Anterior Compression of the Spinal Cord After Laminoplasty Inhibits Upper Extremity Motor Recovery in Patients With Cervical Spondylotic Myelopathy
    Hirai, Takashi
    Kawabata, Shigenori
    Enomoto, Mitsuhiro
    Kato, Tsuyoshi
    Tomizawa, Shoji
    Sakai, Kenichiro
    Yoshii, Toshitaka
    Sakaki, Kyohei
    Takahashi, Makoto
    Shinomiya, Kenichi
    Okawa, Atsushi
    [J]. SPINE, 2012, 37 (05) : 377 - 384
  • [10] Middle-Term Results of a Prospective Comparative Study of Anterior Decompression With Fusion and Posterior Decompression With Laminoplasty for the Treatment of Cervical Spondylotic Myelopathy
    Hirai, Takashi
    Okawa, Atsushi
    Arai, Yoshiyasu
    Takahashi, Makoto
    Kawabata, Shigenori
    Kato, Tsuyoshi
    Enomoto, Mitsuhiro
    Tomizawa, Shoji
    Sakai, Kenichiro
    Torigoe, Ichiro
    Shinomiya, Kenichi
    [J]. SPINE, 2011, 36 (23) : 1940 - 1947