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Erschienen in: European Spine Journal 6/2014

01.10.2014 | Original Article

Anterior cervical discectomy and fusion with ROI-C peek cage: cervical alignment and patient outcomes

verfasst von: Giovanni Grasso, Filippo Giambartino, Giovanni Tomasello, Gerardo Iacopino

Erschienen in: European Spine Journal | Sonderheft 6/2014

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Abstract

Objective

The intersomatic cage ROI-C one is a new promising system in anterior cervical discectomy with subsequent fusion.

Methods

Patients were studied prospectively. ROI-C cages were used in consecutive 32 patients. Intraoperative parameters, clinical features and dysphagia scores were recorded. Radiographs evaluated the height of intervertebral space, the cervical Cobb angle and implant positioning. Data were collected on the last day of hospital stay, at 6 weeks, at 3, 6, 12 and 24 months.

Results

A total of 32 cages were implanted. One patient had transient dysphagia. The intervertebral height and the cervical Cobb angle were significantly improved at 24 months follow-up (P < 0.05). Compared to pre-operatively, visual analog scale pain score and neck pain and disability scale were reduced at 1-month follow-up without change during subsequent follow-up.

Conclusions

This is the first prospective study on ROI-C cages. Although this is a preliminary assessment, the ROI-C cage may represent an excellent alternative to other devices or simple bone graft.
Literatur
1.
Zurück zum Zitat Zaveri GR, Ford M (2001) Cervical spondylosis: the role of anterior instrumentation after decompression and fusion. J Spinal Disord 14:10–16PubMedCrossRef Zaveri GR, Ford M (2001) Cervical spondylosis: the role of anterior instrumentation after decompression and fusion. J Spinal Disord 14:10–16PubMedCrossRef
2.
Zurück zum Zitat Bijur PE, Silver W, Gallagher EJ (2001) Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med 8:1153–1157PubMedCrossRef Bijur PE, Silver W, Gallagher EJ (2001) Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med 8:1153–1157PubMedCrossRef
3.
Zurück zum Zitat Carlsson A (1983) Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain 16:87–101PubMedCrossRef Carlsson A (1983) Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain 16:87–101PubMedCrossRef
4.
Zurück zum Zitat Goolkasian P, Wheeler A, Gretz S (2002) The neck pain and disability scale: test-retest reliability and construct validity. Clin J Pain 18:245–250PubMedCrossRef Goolkasian P, Wheeler A, Gretz S (2002) The neck pain and disability scale: test-retest reliability and construct validity. Clin J Pain 18:245–250PubMedCrossRef
5.
Zurück zum Zitat Scherer M, Blozik E, Himmel W, Laptinskaya D, Kochen MM, Herrmann-Lingen C (2008) Psychometric properties of a German version of the neck pain and disability scale. Eur Spine J 17:922–929PubMedCrossRefPubMedCentral Scherer M, Blozik E, Himmel W, Laptinskaya D, Kochen MM, Herrmann-Lingen C (2008) Psychometric properties of a German version of the neck pain and disability scale. Eur Spine J 17:922–929PubMedCrossRefPubMedCentral
6.
Zurück zum Zitat Bazaz R, Lee MJ, Yoo JU (2002) Incidence of dysphagia after anterior cervical spine surgery: a prospective study. Spine 27:2453–2458PubMedCrossRef Bazaz R, Lee MJ, Yoo JU (2002) Incidence of dysphagia after anterior cervical spine surgery: a prospective study. Spine 27:2453–2458PubMedCrossRef
7.
Zurück zum Zitat Zdeblick TA, Ducker TB (1991) The use of freeze-dried allograft bone for anterior cervical fusions. Spine 16:726–729PubMedCrossRef Zdeblick TA, Ducker TB (1991) The use of freeze-dried allograft bone for anterior cervical fusions. Spine 16:726–729PubMedCrossRef
8.
Zurück zum Zitat Pitzen TR, Chrobok J, Stulik J, Ruffing S, Drumm J, Sova L, Kucera R, Vyskocil T, Steudel WI (2009) Implant complications, fusion, loss of lordosis, and outcome after anterior cervical plating with dynamic or rigid plates: two-year results of a multi-centric, randomized, controlled study. Spine 34:641–646PubMedCrossRef Pitzen TR, Chrobok J, Stulik J, Ruffing S, Drumm J, Sova L, Kucera R, Vyskocil T, Steudel WI (2009) Implant complications, fusion, loss of lordosis, and outcome after anterior cervical plating with dynamic or rigid plates: two-year results of a multi-centric, randomized, controlled study. Spine 34:641–646PubMedCrossRef
9.
Zurück zum Zitat Arrington ED, Smith WJ, Chambers HG, Bucknell AL, Davino NA (1996) Complications of iliac crest bone graft harvesting. Clin Orthop 329:300–309PubMedCrossRef Arrington ED, Smith WJ, Chambers HG, Bucknell AL, Davino NA (1996) Complications of iliac crest bone graft harvesting. Clin Orthop 329:300–309PubMedCrossRef
10.
Zurück zum Zitat Goulet JA, Senunas LE, DeSilva GL, Greenfield ML (1997) Autogenous iliac crest bone graft. Complications and functional assessment. Clin Orthop 339:76–81PubMedCrossRef Goulet JA, Senunas LE, DeSilva GL, Greenfield ML (1997) Autogenous iliac crest bone graft. Complications and functional assessment. Clin Orthop 339:76–81PubMedCrossRef
11.
Zurück zum Zitat Niu CC, Chen LH, Lai PL, Fu TS, Chen WJ (2005) Trapezoidal titanium cage in anterior cervical interbody fusion: a clinical experience. Chang Gung Med J 28:212–221PubMed Niu CC, Chen LH, Lai PL, Fu TS, Chen WJ (2005) Trapezoidal titanium cage in anterior cervical interbody fusion: a clinical experience. Chang Gung Med J 28:212–221PubMed
12.
Zurück zum Zitat van der Haven I, van Loon PJ, Bartels RH, van Susante JL (2005) Anterior cervical interbody fusion with radiolucent carbon fiber cages: clinical and radiological results. Acta Orthop Belg 71:604–609PubMed van der Haven I, van Loon PJ, Bartels RH, van Susante JL (2005) Anterior cervical interbody fusion with radiolucent carbon fiber cages: clinical and radiological results. Acta Orthop Belg 71:604–609PubMed
13.
Zurück zum Zitat Cho DY, Lee WY, Sheu PC, Chen CC (2005) Cage containing a biphasic calcium phosphate ceramic (Triosite) for the treatment of cervical spondylosis. Surg Neurol 63:497–503 (discussion 503–494)PubMedCrossRef Cho DY, Lee WY, Sheu PC, Chen CC (2005) Cage containing a biphasic calcium phosphate ceramic (Triosite) for the treatment of cervical spondylosis. Surg Neurol 63:497–503 (discussion 503–494)PubMedCrossRef
14.
Zurück zum Zitat Nabhan A, Ahlhelm F, Pitzen T, Steudel WI, Jung J, Shariat K, Steimer O, Bachelier F, Pape D (2007) Disc replacement using Pro-disc C versus fusion: a prospective randomised and controlled radiographic and clinical study. Eur Spine J 16:423–430PubMedCrossRefPubMedCentral Nabhan A, Ahlhelm F, Pitzen T, Steudel WI, Jung J, Shariat K, Steimer O, Bachelier F, Pape D (2007) Disc replacement using Pro-disc C versus fusion: a prospective randomised and controlled radiographic and clinical study. Eur Spine J 16:423–430PubMedCrossRefPubMedCentral
15.
Zurück zum Zitat Sasso RC, Smucker JD, Hacker RJ, Heller JG (2007) Clinical outcomes of BRYAN cervical disc arthroplasty: a prospective, randomized, controlled, multicenter trial with 24-month follow-up. J Spinal Disord Tech 20:481–491PubMedCrossRef Sasso RC, Smucker JD, Hacker RJ, Heller JG (2007) Clinical outcomes of BRYAN cervical disc arthroplasty: a prospective, randomized, controlled, multicenter trial with 24-month follow-up. J Spinal Disord Tech 20:481–491PubMedCrossRef
16.
Zurück zum Zitat Wang Y, Cai B, Zhang XS, Xiao SH, Wang Z, Lu N, Chai W, Zheng GQ (2008) Clinical outcomes of single level Bryan cervical disc arthroplasty: a prospective controlled study. Zhonghua Wai Ke Za Zhi 46:328–332PubMed Wang Y, Cai B, Zhang XS, Xiao SH, Wang Z, Lu N, Chai W, Zheng GQ (2008) Clinical outcomes of single level Bryan cervical disc arthroplasty: a prospective controlled study. Zhonghua Wai Ke Za Zhi 46:328–332PubMed
17.
Zurück zum Zitat Auerbach JD, Jones KJ, Fras CI, Balderston JR, Rushton SA, Chin KR (2008) The prevalence of indications and contraindications to cervical total disc replacement. Spine J 8:711–716PubMedCrossRef Auerbach JD, Jones KJ, Fras CI, Balderston JR, Rushton SA, Chin KR (2008) The prevalence of indications and contraindications to cervical total disc replacement. Spine J 8:711–716PubMedCrossRef
18.
Zurück zum Zitat Riley LH 3rd, Skolasky RL, Albert TJ, Vaccaro AR, Heller JG (2005) Dysphagia after anterior cervical decompression and fusion: prevalence and risk factors from a longitudinal cohort study. Spine 30:2564–2569PubMedCrossRef Riley LH 3rd, Skolasky RL, Albert TJ, Vaccaro AR, Heller JG (2005) Dysphagia after anterior cervical decompression and fusion: prevalence and risk factors from a longitudinal cohort study. Spine 30:2564–2569PubMedCrossRef
19.
Zurück zum Zitat Yue WM, Brodner W, Highland TR (2005) Persistent swallowing and voice problems after anterior cervical discectomy and fusion with allograft and plating: a 5- to 11-year follow-up study. Eur Spine J 14:677–682PubMedCrossRefPubMedCentral Yue WM, Brodner W, Highland TR (2005) Persistent swallowing and voice problems after anterior cervical discectomy and fusion with allograft and plating: a 5- to 11-year follow-up study. Eur Spine J 14:677–682PubMedCrossRefPubMedCentral
20.
Zurück zum Zitat Fountas KN (2005) Anterior cervical fusion using dense cancellous allografts and dynamic plating. Neurosurgery 56:E1166 (author reply E1166) Fountas KN (2005) Anterior cervical fusion using dense cancellous allografts and dynamic plating. Neurosurgery 56:E1166 (author reply E1166)
21.
Zurück zum Zitat Lee M, Bazaz R, Furey C, Yoo J (2005) Influence of anterior cervical plate design on dysphagia: a 2-year prospective longitudinal follow-up study. J Spinal Disord Tech 18:406–409PubMedCrossRef Lee M, Bazaz R, Furey C, Yoo J (2005) Influence of anterior cervical plate design on dysphagia: a 2-year prospective longitudinal follow-up study. J Spinal Disord Tech 18:406–409PubMedCrossRef
22.
Zurück zum Zitat Gore DR (2001) The arthrodesis rate in multilevel anterior cervical fusions using autogenous fibula. Spine 26:1259–1263PubMedCrossRef Gore DR (2001) The arthrodesis rate in multilevel anterior cervical fusions using autogenous fibula. Spine 26:1259–1263PubMedCrossRef
23.
Zurück zum Zitat Resnick DK, Trost GR (2007) Use of ventral plates for cervical arthrodesis. Neurosurgery 60:S112–S117PubMedCrossRef Resnick DK, Trost GR (2007) Use of ventral plates for cervical arthrodesis. Neurosurgery 60:S112–S117PubMedCrossRef
24.
Zurück zum Zitat Shin DA, Yi S, Yoon do H, Kim KN, Shin HC (2009) Artificial disc replacement combined with fusion versus two-level fusion in cervical two-level disc disease. Spine 34:1153–1159 (discussion 1160-1151)PubMedCrossRef Shin DA, Yi S, Yoon do H, Kim KN, Shin HC (2009) Artificial disc replacement combined with fusion versus two-level fusion in cervical two-level disc disease. Spine 34:1153–1159 (discussion 1160-1151)PubMedCrossRef
25.
Zurück zum Zitat Hilibrand AS, Carlson GD, Palumbo MA, Jones PK, Bohlman HH (1999) Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis. J Bone Jt Surg 81:519–528 Hilibrand AS, Carlson GD, Palumbo MA, Jones PK, Bohlman HH (1999) Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis. J Bone Jt Surg 81:519–528
Metadaten
Titel
Anterior cervical discectomy and fusion with ROI-C peek cage: cervical alignment and patient outcomes
verfasst von
Giovanni Grasso
Filippo Giambartino
Giovanni Tomasello
Gerardo Iacopino
Publikationsdatum
01.10.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
European Spine Journal / Ausgabe Sonderheft 6/2014
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-014-3553-y

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