Mehrsegmentale interkorporelle Fusion vs. Wirbelk?rperersatz

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• 作者：PD Dr. D. Daentzer Ph.D. ; M.D. (1)
  N. Bianchi (2)
  D.-K. B?ker (3)
  W. Deinsberger (4)
  
• 关键词：?Anterior cervical discectomy and fusion-(ACDF) ; ?Anterior cervical corpectomy and fusion-(ACCF) ; Interkorporelle Fusion ; Fusionsgrad ; Klinisches Ergebnis ; Anterior cervical discectomy and fusion (ACDF) ; Anterior cervical corpectomy and fusion (ACCF) ; Interbody fusion ; Fusion grade ; Clinical result
• 刊名：Der Orthop?de
• 出版年：2014
• 出版时间：February 2014
• 年：2014
• 卷：43
• 期：2
• 页码：156-164
• 全文大小：775 KB
• 作者单位：PD Dr. D. Daentzer Ph.D., M.D. (1)
  N. Bianchi (2)
  D.-K. B?ker (3)
  W. Deinsberger (4)
  
  1. Orthop?dische Klinik, Diakoniekrankenhaus Annastift gGmbH, Medizinische Hochschule Hannover, Anna-von-Borries-Str. 1-, 30625, Hannover, Deutschland
  2. Gesundheits-Zentrum Bischofszell, Bischofszell, Schweiz
  3. MVZ Niebüll, Niebüll, Deutschland
  4. Klinik für Neurochirurgie, Klinikum Kassel GmbH, Kassel, Deutschland
  
• ISSN：1433-0431

文摘

Background The surgical techniques of interbody fusion and vertebral body replacement represent two concurrent options for multilevel anterior decompression and arthrodesis of the cervical spine. Patients and methods In a retrospective study the data from 61 patients who received either interbody fusion (n--8) as anterior cervical discectomy and fusion (ACDF) or vertebral body replacement (n--3) (as anterior cervical corpectomy and fusion (ACCF) because of degenerative disc disease of the cervical spine were collected. Results The clinical outcome was better at all time points in the patient group with ACDF than in those with ACCF but with no statistically significant differences. The operated segments showed a more rapid fusion progress after ACDF during the time course in comparison to ACCF; however, there was no relationship between the grade of fusion and the clinical result. Conclusion In direct comparison multisegmental interbody fusion showed better results with respect to the clinical outcome and bony fusion with a lower rate of complications than vertebral body replacement. However, the differences did not reach statistical significance.