Early Effect of Zero-P VA In Cervical Spondylotic Myelopathy

Liang Yue Wei; Zhang Fan; Li Quan; Zhao Xue Ling

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Liang Yue Wei , Zhang Fan , Li Quan , Zhao Xue Ling . Early Effect of Zero-P VA In Cervical Spondylotic Myelopathy[J]. Journal of Kunming Medical University, 2017, 38(06): 113-117.

Citation:

Liang Yue Wei , Zhang Fan , Li Quan , Zhao Xue Ling . Early Effect of Zero-P VA In Cervical Spondylotic Myelopathy[J]. Journal of Kunming Medical University, 2017, 38(06): 113-117.

Liang Yue Wei , Zhang Fan , Li Quan , Zhao Xue Ling . Early Effect of Zero-P VA In Cervical Spondylotic Myelopathy[J]. Journal of Kunming Medical University, 2017, 38(06): 113-117.

Citation:

Liang Yue Wei , Zhang Fan , Li Quan , Zhao Xue Ling . Early Effect of Zero-P VA In Cervical Spondylotic Myelopathy[J]. Journal of Kunming Medical University, 2017, 38(06): 113-117.

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Early Effect of Zero-P VA In Cervical Spondylotic Myelopathy

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基金：国家自然科学基金资助项目 (81601939);

Received Date: 2017-04-17

Abstract

Abstract

Objective To analyze the early clinical outcome of Zero-P VA during the operation of anterior cervical discectomy and fusion ( ACDF) in the treatment of cervical spondylotic myelopathy retrospectively.Me thods A total of 29 patients (33 Zero-P VA has been placed) with cervical spondylotic myelopathy were treated with ACDF with the Zero-P VA from June 2013 to June 2015. The clinical results were evaluated with operation time and bleeding volume, the Bazaz score, the cervical curvature (Cobb angle) , the Visual Analogue Scale ( VAS) , the Japanese Orthopaedic Association ( JOA) scores and the Neck Disability Index (NDI) .Re s ults All patients were followed up for 12 to 24 (average 14.48 ±3.51) months. During the follow-up, no patient was lost to follow-up and no data was lost. The mean operating time was (84.59 ±12.14) minutes. The intra-operative bleeding volume was (19.76 ±6.53) ml, and no postoperative patients developed complications like dysphagia. At the last follow-up, the Cobb angles were improved (P <0.05) , the VAS scales decreased (P<0.05) , average JOA scores significantly increased (P<0.05) , and the NDI scores decreased (P<0.05) .Conclus ion The Zero-P VA has satisfactory short-term clinical result for the treatment of cervical spondylotic myelopathy.
- Cervical spondylotic myelopathy,
- Zero profile,
- Spinal cord compression,
- Internal fixator,
- Zero-P VA

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References(18)

References

[1]	[1]MICHEL T, BARTLESON J D.Cervical spondylotic myelopathy[J].Neurologic Clinics, 2013, 31 (1) :287-305.
[2]	[2]IYER A, AZAD T D, THARIN S.Cervical Spondylotic Myelopathy[J].Clinical Spine Surgery, 2016, 16 (3) :176-187.
[3]	[3]FRANSEN P.Laminoplasty for cervical spondylotic myelopathy[J].Neuro-Chirurgie, 2014, 60 (5) :234-8.
[4]	[4]ZHU R, YANG H, WANG Z, et al.Comparisons of three anterior cervical surgeries in treating cervical spondylotic myelopathy[J].Bmc Musculoskeletal Disorders, 2014, 15 (1) :1515-1521.
[5]	[5]AGRILLO U, MASTRONARDI L, PUZZILLI F.Anterior cervical fusion with carbon fiber cage containing coralline hydroxyapatite:preliminary observations in 45 consecutive cases of soft-disc herniation[J].Journal of Neurosurgery, 2002, 96 (3 Suppl) :273-276.
[6]	[6]BAZAZ R, LEE MJ, YOO J U.Incidence of dysphagia after anterior cervical spine surgery:a prospective study[J].Spine, 2002, 27 (27) :2453-2458.
[7]	[7] TORTOLANI P J, CUNNINGHAM B W, VIGNA F, et al.Tortolani PJ, Cunningham BW, Vigna F, et al.A comparison of retraction pressure during anterior cervical plate surgery and cervical disc replacement:a cadaveric study[J].Journal of Spinal Disorders&Techniques, 2006, 19 (5) :312-317.
[8]	[8]PITZEN T R, CHROBOK J, STULIK J, et al.Implant complications, fusion, loss of lordosis, and outcome after anterior cervical plating with dynamic or rigid plates:Twoyear results of a multi-centric, randomized, controlled study[J].Spine, 2009, 34 (7) :641-646.
[9]	[9]ALIMI M, NJOKU I, HOFSTETTER C P, et al.Anterior Cervical Discectomy and Fusion (ACDF) :Comparison Between Zero Profile Implants and Anterior Cervical Plate and Spacer[J].Cureus, 2016, 8 (4) :573.
[10]	[10]LI L.RE:YANG JY, SONG HS, LEE M, et al.Adjacent level ossification development after anterior cervical fusion without plate fixation[J].Spine, 2009, 34 (15) :30-33.
[11]	[11]MIAO J, SHEN Y, KUANG Y, et al.Early follow-up outcomes of a new zero-profile implant used in anterior cervical discectomy and fusion[J].Journal of Spinal Disorders&Techniques, 2013, 26 (5) :E193-E197.
[12]	[12]TORTOLANI P J, CUNNINGHAM B W, VIGNA F, et al.Tortolani PJ, Cunningham BW, Vigna F, et al.A comparison of retraction pressure during anterior cervical plate surgery and cervical disc replacement:A cadaveric study[J].Journal of Spinal Disorders&Techniques, 2006, 19 (5) :312-317.
[13]	[13]LEE MJ, BAZAZ R, FUREY C G, et al.Influence of anterior cervical plate design on Dysphagia:A 2-year prospective longitudinal follow-up study[J].Journal of Spinal Disorders&Techniques, 2005, 18 (5) :406-409.
[14]	[14]YUE W M, BRODNER W, HIGHLAND T R.Persistent swallowing and voice problems after anterior cervical discectomy and fusion with allograft and plating:A 5-to11-year follow-up study[J].European Spine Journal, 2005, 14 (7) :677-682.
[15]	[15]TORTOLANI P J, CUNNINGHAM B W, VIGNA F, et al.A comparison of retraction pressure during anterior cervical plate surgery and cervical disc replacement:a cadaveric study.[M]//Feudal assessments and the political community under Henry II and his sons/.University of California Press, 1983:319-323.
[16]	[16]SCHOLZ M, REYES P M, SCHLEICHER P, et al.Scholz M, Reyes PM, Schleicher P, et al.A new stand-alone cervical anterior interbody fusion device:Biomechanical comparison with established anterior cervical fixation devices[J].Spine, 2009, 34 (2) :156-160.
[17]	[17]A KATZER, H MARQUARDT, J WESTENDORF, et al.Polyetheretherketone-cytotoxicity and mutagenicity in vitro[J].Biomaterials, 2002, 23:1749-1759.
[18]	[18]TOTH J M, WANG M, ESTES B T, et al.Polyetheretherketone as a biomaterial for spinal applications[J].Biomaterials, 2006, 27 (3) :324-334.

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