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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  • [11] Comparing effects of cervical anterior approach and laminoplasty in surgical management of cervical ossification of posterior longitudinal ligament by a prospective nonrandomized controlled study
    Hou, Y.
    Liang, L.
    Shi, G. D.
    Xu, P.
    Xu, G. H.
    Shi, J. G.
    Yuan, W.
    [J]. ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2017, 103 (05) : 733 - 740
  • [12] Surgical strategy for cervical myelopathy due to ossification of the posterior longitudinal ligament part 2: Advantages of anterior decompression and fusion over laminoplasty
    Iwasaki, Motoki
    Okuda, Shin'ya
    Miyauchi, Akira
    Sakaura, Hironobu
    Mukai, Yoshihiro
    Yonenobu, Kazuo
    Yoshikawa, Hideki
    [J]. SPINE, 2007, 32 (06) : 654 - 660
  • [13] Surgical strategy for cervical myelopathy due to ossification of the posterior longitudinal ligament part 1: Clinical results and limitations of laminoplasty
    Iwasaki, Motoki
    Okuda, Shin'ya
    Miyauchi, Akira
    Sakaura, Hironobu
    Mukai, Yoshihiro
    Yonenobu, Kazuo
    Yoshikawa, Hideki
    [J]. SPINE, 2007, 32 (06) : 647 - 653
  • [14] Comparative and Predictor Analysis of 30-day Readmission, Reoperation, and Morbidity in Patients Undergoing Multilevel ACDF Versus Single and Multilevel ACCF Using the ACS-NSQIP Dataset
    Katz, Austen David
    Mancini, Nickolas
    Karukonda, Teja
    Cote, Mark
    Moss, Isaac L.
    [J]. SPINE, 2019, 44 (23) : E1379 - E1387
  • [15] Radiographic Comparison of Four Anterior Fusion Methods in Two Level Cervical Disc Diseases: Autograft Plate Fixation versus Cage Plate Fixation versus Stand-Alone Cage Fusion versus Corpectomy and Plate Fixation
    Kim, Min-Ki
    Kim, Sung-Min
    Jeon, Kwang-Mo
    Kim, Tae-Sung
    [J]. JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, 2012, 51 (03) : 135 - 140
  • [16] T1 Slope as a Predictor of Kyphotic Alignment Change After Laminoplasty in Patients With Cervical Myelopathy
    Kim, Tae-Hwan
    Lee, Seung Yeop
    Kim, Yong Chan
    Park, Moon Soo
    Kim, Seok Woo
    [J]. SPINE, 2013, 38 (16) : E992 - E997
  • [17] Cervical curvature, spinal cord MRIT2 signal, and occupying ratio impact surgical approach selection in patients with ossification of the posterior longitudinal ligament
    Liu, Haichun
    Li, Yi
    Chen, Yunzhen
    Wu, Wenliang
    Zou, Debo
    [J]. EUROPEAN SPINE JOURNAL, 2013, 22 (07) : 1480 - 1488
  • [18] Hybrid Decompression Technique Versus Anterior Cervical Corpectomy and Fusion for Treating Multilevel Cervical Spondylotic Myelopathy: Which One Is Better?
    Liu, Jia-Ming
    Peng, Hong-Wei
    Liu, Zhi-Li
    Long, Xin-Hua
    Yu, Yan-Qing
    Huang, Shan-Hu
    [J]. WORLD NEUROSURGERY, 2015, 84 (06) : 2022 - 2029
  • [19] Comparative analysis of complications of different reconstructive techniques following anterior decompression for multilevel cervical spondylotic myelopathy
    Liu, Yang
    Qi, Min
    Chen, Huajiang
    Yang, Lili
    Wang, Xinwei
    Shi, Guodong
    Gao, Rui
    Wang, Ce
    Yuan, Wen
    [J]. EUROPEAN SPINE JOURNAL, 2012, 21 (12) : 2428 - 2435
  • [20] Pathogenesis of myelopathy in patients with ossification of the posterior longitudinal ligament
    Matsunaga, S
    Kukita, M
    Hayashi, K
    Shinkura, R
    Koriyama, C
    Sakou, T
    Komiya, S
    [J]. JOURNAL OF NEUROSURGERY, 2002, 96 (02) : 168 - 172