A prospective study of interbody fusion with cage versus corpectomy and fusion with plate in treating adjacent two-level cervical spondylosis
- VernacularTitle:两种减压融合方式治疗相邻两节段颈椎病的前瞻性研究
- Author:
Tao ZHANG
;
Pei WANG
;
Shiqing FENG
- Publication Type:Journal Article
- Keywords:
cervical vertebrae;
anterior decompression;
interbody fusion;
corpectomy;
cage
- From:
Orthopedic Journal of China
2006;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective] To compare the efficacy of interbody fusion with cage versus corpectomy and fusion with plate in treating adjacent two-level cervical spondylosis.[Method] Sixty patients were included in this study.All patients were randomly assigned to anterior interbody fusion with cage (AIFC) group or anterior corpectomy and fusion with plate (ACFP) group. The average follow-up period was 28 months for AIFC group,and 25 months for ACFP group. [Result] The average loss of lordosis angle, the lost correction of segmental height and the scores on the criteria of 40-score method were not statistically significant between these 2 groups. The lordosis correction, operative estimated blood loss, and operative time were statistically better in the AIFC group significantly . [Conclusion] The short-term results of AIFC and ACFP in treating adjacent two-level cervical spondylosis were satisfactory. The advantages of AIFC are the elimination of donor site complications, increasing more segmental lordosis, and reducing blood loss and operative time.