Clinical observation on the treatment of cervical degenerative diseases with Hybrid surgery.
10.12200/j.issn.1003-0034.2021.01.015
- Author:
Ying-Na QI
1
;
Chun-Gen LI
1
;
Gen-Zhe LIU
1
;
Xin-Cheng YIN
1
;
Ya PENG
1
;
Pei-Yu SUN
1
;
Chao CHEN
1
;
Hao-Yun ZHENG
1
;
Yong-Gang ZHU
1
;
Yu-Xia GUO
1
Author Information
1. Department of Orthopaedics, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China.
- Publication Type:Journal Article
- Keywords:
Cervical degenerative diseases;
Heterotopic ossification;
Hybrid surgery
- MeSH:
Adult;
Aged;
Cervical Vertebrae/surgery*;
Female;
Follow-Up Studies;
Humans;
Intervertebral Disc Degeneration/surgery*;
Male;
Middle Aged;
Range of Motion, Articular;
Retrospective Studies;
Total Disc Replacement;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2021;34(1):80-85
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the clinical effect of anterior cervical Hybrid surgery in the treatment of cervical degenerative diseases (CDD) and observe the incidence of heterotopic ossification of disc replacement segment at 1 year after surgery.
METHODS:From January 2015 to April 2018, 35 patients who received anterior cervical hybrid surgery met the inclusion and exclusion criteria and the complete clinical follow up data were analyzed retrospectively. Complete imaging follow-up data were obtained from 24 patients. There were 15 males and 20 females, aged from 39 to 70(55.57±7.73) years old. The amount of bleeding was for 20 to 100 (40.29±18.39) ml, and the hospitalstay was for 4 to 28(11.03±4.63) days, and the follow-up time was(12.97±1.36) months. Clinical outcomes were assessed by the Tanaka Yasushi cervical spondylitis symptom scale 20 score (YT20), and Japanese Orthopaedic Association (JOA) score. The occurrence of heterotopic ossification after Hybrid surgery was evaluated by X-ray according to McAfee standard one year after operation. Patients with or without heterotopic ossificationwere divided into two groups and their clinical effects were compared.
RESULTS:At the final follow up, the mean YT20 score and JOA score were significantly higher than those before operation (P <0.05), and the average improvement rate of JOA was (70.66 ±0.44)%. One year after operation, the heterotopic ossification occurred in 10 of 24 segments, with incidence of 41.70%(10/24), including 29.20% in gradeⅠand 12.50% in gradeⅡ. The results of clinical efficacy comparison between patients with and without heterotopic ossification were as follows:there was no significant difference in JOA score before and after operation (
CONCLUSION:The short-term clinical effect of Hybrid surgery is satisfactory for cervical degenerative diseases, and the cause of heterotopic ossification still needs tobe further explored.
