Anterior cervical discectomy and fusion may be more effective than anterior cervical corpectomy and fusion for the treatment of cervical spondylotic myelopathy

详细信息    查看全文

• 作者：Li Guan ; Yong Hai ; Jin-Cai Yang ; Li-Jin Zhou…
• 关键词：Anterior cervical corpectomy and fusion ; Anterior cervical discectomy and fusion ; Cervical spondylotic myelopathy ; Meta ; analysis
• 刊名：BMC Musculoskeletal Disorders
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：16
• 期：1
• 全文大小：629 KB
• 参考文献：1. Fang, M, Lu, J, Wei, Y, Yu, W, Wang, X, Ouyang, J (2013) Early outcome of using Zero-profile implant system in treatment of cervical spondylosis. Chin J Reparative Reconstructive Surg 27: pp. 1206-1209
  2. Toledano, M, Bartleson, JD (2013) Cervical spondylotic myelopathy. Neurol Clin 31: pp. 287-305 CrossRef
  3. Yarbrough, CK, Murphy, RK, Ray, WZ, Stewart, TJ (2012) The natural history and clinical presentation of cervical spondylotic myelopathy. Adv Orthop 2012: pp. 480643
  4. Wu, JC, Ko, CC, Yen, YS, Huang, WC, Chen, YC, Liu, L (2013) Epidemiology of cervical spondylotic myelopathy and its risk of causing spinal cord injury: a national cohort study. Neurosurg Focus 35: pp. E10 CrossRef
  5. Arvin, B, Kalsi-Ryan, S, Mercier, D, Furlan, JC, Massicotte, EM, Fehlings, MG (2013) Preoperative magnetic resonance imaging is associated with baseline neurological status and can predict postoperative recovery in patients with cervical spondylotic myelopathy. Spine (Phila Pa 1976) 38: pp. 1170-1176 CrossRef
  6. Takahashi, K, Ozawa, H, Sakamoto, N, Minegishi, Y, Sato, M, Itoi, E (2013) Influence of intramedullary stress on cervical spondylotic myelopathy. Spinal Cord 51: pp. 761-764 CrossRef
  7. Yu, WR, Liu, T, Kiehl, TR, Fehlings, MG (2011) Human neuropathological and animal model evidence supporting a role for Fas-mediated apoptosis and inflammation in cervical spondylotic myelopathy. Brain 134: pp. 1277-1292 CrossRef
  8. Zhu, B, Xu, Y, Liu, X, Liu, Z, Dang, G (2013) Anterior approach versus posterior approach for the treatment of multilevel cervical spondylotic myelopathy: a systemic review and meta-analysis. Eur Spine J 22: pp. 1583-1593 CrossRef
  9. Jiang, SD, Jiang, LS, Dai, LY (2012) Anterior cervical discectomy and fusion versus anterior cervical corpectomy and fusion for multilevel cervical spondylosis: a systematic review. Arch Orthop Trauma Surg 132: pp. 155-161 CrossRef
  10. Nanda A, Sharma M, Sonig A, Ambekar S, Bollam P: Surgical complications of Anterior Cervical Discectomy and Fusion for cervical degenerative disc disease: A Single Surgeon Experience of 1576 patients. / World Neurosurg 2013.
  11. Fang Z, Tian R, Sun TW, Yadav SK, Hu W, Xie SQ: Expansion Open-door Laminoplasty with Foraminotomy versus Anterior Cervical Discectomy and Fusion for Coexisting Multilevel Cervical Myelopathy and Unilateral Radiculopathy. / J Spinal Disord Tech 2013.
  12. Gao, R, Yang, L, Chen, H, Liu, Y, Liang, L, Yuan, W (2012) Long term results of anterior corpectomy and fusion for cervical spondylotic myelopathy. PLoS One 7: pp. e34811 CrossRef
  13. Burkhardt, JK, Mannion, AF, Marbacher, S, Dolp, PA, Fekete, TF, Jeszenszky, D (2013) A comparative effectiveness study of patient-rated and radiographic outcome after 2 types of decompression with fusion for spondylotic myelopathy: anterior cervical discectomy versus corpectomy. Neurosurg Focus 35: pp. E4 CrossRef
  14. Hessler, C, Boysen, K, Westphal, M, Regelsberger, J (2011) Functional and radiological outcome after ACDF in 67 cases. Z Orthop Unfall 149: pp. 683-687
  15. Kong, CG, Kim, YY, Ahn, CY, Park, JB (2013) Diagnostic usefulness of white blood cell and absolute neutrophil count for postoperative infection after anterior cervical discectomy and fusion using allograft and demineralized bone matrix. Asian Spine J 7: pp. 173-177 CrossRef
  16. Liu, X, Min, S, Zhang, H, Zhou, Z, Wang, H, Jin, A (2014) Anterior corpectomy versus posterior laminoplasty for multilevel cervical myelopathy: a systematic review and meta-analysis. Eur Spine J 23: pp. 362-372 CrossRef
  17. Chibbaro, S, Benvenuti, L, Carnesecch
• 刊物主题：Orthopedics; Rehabilitation; Rheumatology; Sports Medicine; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2474

文摘

Background This meta-analysis explored the efficacy and safety of anterior cervical corpectomy and fusion (ACCF) comparing to anterior cervical discectomy and fusion (ACDF) in treating cervical spondylotic myelopathy (CSM) patients. Methods Several electronic databases were searched combined with manually searching. Thirteen randomized controlled studies were enrolled with 1,062 CSM patients, including 468 patients and 594 patients in the in the ACCF and ACDF group, respectively. The meta-analysis was then performed using the STATA 12.0 software. Crude standard mean difference (SMD) or odds ratio (OR) with their 95% confidence intervals (CI) were calculated. Results Our meta-analysis results revealed that CSM patients in ACDF group showed less blood loss than those in ACCF group (SMD--.21, 95% CI--.03?~-.39, P--.001). The operation time of CSM patients in the ACDF group was also obviously shorter than those in ACCF group (SMD--.40, 95% CI--.23?~-.57, P--.001). Furthermore, CSM patients in ACDF group had shorter hospital time than those in ACCF group (SMD--.45, 95% CI--.21?~-.69, P--.001). Conclusion Our findings provide empirical evidence that ACDF may be more effective than ACCF for CSM treatment.