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European Spine Journal

Erschienen in:

21.12.2016 | Review Article

Zero-profile anchored cage reduces risk of postoperative dysphagia compared with cage with plate fixation after anterior cervical discectomy and fusion

verfasst von: ShanWen Xiao, ZhuDe Liang, Wu Wei, JinPei Ning

Erschienen in: European Spine Journal | Ausgabe 4/2017

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Abstract

Purpose

To compare the rate of postoperative dysphagia between zero-profile anchored cage fixation (ZPC group) and cage with plate fixation (CP group) after anterior cervical discectomy and fusion (ACDF).

Methods

A meta-analysis of cohort studies between zero-profile anchored cage and conventional cage with plate fixation after ACDF for the treatment of cervical diseases from 2008 to May 2016. An extensive search of studies was performed in PubMed, Medline, Embase, Cochrane library and Google Scholar. Dysphagia rate was extracted. Data analysis was conducted with RevMan 5.2.

Results

Sixteen trials involving 1066 patients were included in this meta-analysis. The results suggested that the ZPC group were associated with lower incidences of dysphagia than the CP group at postoperative immediately, 2 weeks, 2, 3, 6 and 12 months. In subgroup analysis, although significant differences were only found in the mild dysphagia at 3 and 6 months postoperatively and in the moderate dysphagia at 2 weeks after surgery; the ZPC group had a lower rate of postoperative dysphagia than the CCP group in short, medium and long term follow-up periods.

Conclusions

Zero-profile anchored cage had a lower risk of postoperative dysphagia than cage with plate.

Smith GW, Robinson RA (1958) The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone Joint Surg Am 40-A:607–624CrossRefPubMed

Cloward RB (1958) The anterior approach for removal of ruptured cervical disks. J Neurosurg 15:602–617. doi:10.3171/jns.1958.15.6.0602 CrossRefPubMed

Yue W, Brodner W, Highland TR (2005) Long-term results after anterior cervical discectomy and fusion with allograft and plating: a 5-to 11-year radiologic and clinical follow-up study. Spine 30:2138–2144CrossRefPubMed

Goffin J, Geusens E, Vantomme N, Quintens E, Waerzeggers Y, Depreitere B, Van Calenbergh F, van Loon J (2004) Long-term follow-up after interbody fusion of the cervical spine. J Spinal Disord Tech 17:79–85CrossRefPubMed

Song KJ, Yoon SJ, Lee KB (2012) Three- and four-level anterior cervical discectomy and fusion with a PEEK cage and plate construct. Eur Spine J 21:2492–2497. doi:10.1007/s00586-012-2447-0 CrossRefPubMedPubMedCentral

Xiao SW, Jiang H, Yang LJ, Xiao ZM (2015) Anterior cervical discectomy versus corpectomy for multilevel cervical spondylotic myelopathy: a meta-analysis. Eur Spine J 24:31–39. doi:10.1007/s00586-014-3607-1 CrossRefPubMed

Frempong-Boadu A, Houten JK, Osborn B, Opulencia J, Kells L, Guida DD, Le Roux PD (2002) Swallowing and speech dysfunction in patients undergoing anterior cervical discectomy and fusion: a prospective, objective preoperative and postoperative assessment. J Spinal Disord Tech 15:362–368CrossRefPubMed

Tervonen H, Niemela M, Lauri ER, Back L, Juvas A, Rasanen P, Roine RP, Sintonen H, Salmi T, Vilkman SE, Aaltonen LM (2007) Dysphonia and dysphagia after anterior cervical decompression. J Neurosurg Spine 7:124–130. doi:10.3171/SPI-07/08/124 CrossRefPubMed

Rihn JA, Kane J, Albert TJ, Vaccaro AR, Hilibrand AS (2011) What is the incidence and severity of dysphagia after anterior cervical surgery? Clin Orthop Relat Res 469:658–665. doi:10.1007/s11999-010-1731-8 CrossRefPubMed

10.

Cho SK, Lu Y, Lee DH (2013) Dysphagia following anterior cervical spinal surgery: a systematic review. Bone Joint J 95-B:868–873. doi:10.1302/0301-620X.95B7.31029 CrossRefPubMed

11.

Bazaz R, Lee MJ, Yoo JU (2002) Incidence of dysphagia after anterior cervical spine surgery: a prospective study. Spine (Phila Pa 1976) 27:2453–2458. doi:10.1097/01.BRS.0000031407.52778.4B CrossRef

12.

Qi M, Chen H, Liu Y, Zhang Y, Liang L, Yuan W (2013) The use of a zero-profile device compared with an anterior plate and cage in the treatment of patients with symptomatic cervical spondylosis: a preliminary clinical investigation. Bone Joint J 95-B:543–547. doi:10.1302/0301-620X.95B4.30992 CrossRefPubMed

13.

Hofstetter CP, Kesavabhotla K, Boockvar JA (2015) Zero-profile anchored spacer reduces rate of dysphagia compared with ACDF with anterior plating. J Spinal Disord Tech 28:E284–E290. doi:10.1097/BSD.0b013e31828873ed CrossRefPubMed

14.

Miao J, Shen Y, Kuang Y, Yang L, Wang X, Chen Y, Chen D (2013) Early follow-up outcomes of a new zero-profile implant used in anterior cervical discectomy and fusion. J Spinal Disord Tech 26:E193–E197. doi:10.1097/BSD.0b013e31827a2812 CrossRefPubMed

15.

Yang L, Gu Y, Liang L, Gao R, Shi S, Shi J, Yuan W (2012) Stand-alone anchored spacer versus anterior plate for multilevel anterior cervical diskectomy and fusion. Orthopedics 35:e1503–e1510. doi:10.3928/01477447-20120919-20 CrossRefPubMed

16.

Liu W, Hu L, Wang J, Liu M, Wang X (2015) Comparison of zero-profile anchored spacer versus plate-cage construct in treatment of cervical spondylosis with regard to clinical outcomes and incidence of major complications: a meta-analysis. Ther Clin Risk Manag 11:1437–1447. doi:10.2147/TCRM.S92511 CrossRefPubMedPubMedCentral

17.

Scholz M, Reyes PM, Schleicher P, Sawa AG, Baek S, Kandziora F, Marciano FF, Crawford NR (2009) A new stand-alone cervical anterior interbody fusion device: biomechanical comparison with established anterior cervical fixation devices. Spine (Phila Pa 1976) 34:156–160. doi:10.1097/BRS.0b013e31818ff9c4 CrossRef

18.

Chong E, Pelletier MH, Mobbs RJ, Walsh WR (2015) The design evolution of interbody cages in anterior cervical discectomy and fusion: a systematic review. BMC Musculoskelet Disord 16:99. doi:10.1186/s12891-015-0546-x CrossRefPubMedPubMedCentral

19.

Vanek P, Bradac O, Delacy P, Lacman J, Benes V (2013) Anterior interbody fusion of the cervical spine with Zero-P spacer: prospective comparative study-clinical and radiological results at a minimum 2 years after surgery. Spine (Phila Pa 1976) 38:E792–E797. doi:10.1097/BRS.0b013e3182913400 CrossRef

20.

Wang Z, Jiang W, Li X, Wang H, Shi J, Chen J, Meng B, Yang H (2015) The application of zero-profile anchored spacer in anterior cervical discectomy and fusion. Eur Spine J 24:148–154. doi:10.1007/s00586-014-3628-9 CrossRefPubMed

21.

Furlan AD, Pennick V, Bombardier C, van Tulder M (2009) 2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group. Spine 34:1929–1941CrossRefPubMed

22.

Wang C, Zhang Y, Yuan W (2016) Early clinical outcomes and radiographic features after treatment of cervical degenerative disk disease with the new zero-profile implant: a 1-year follow-up retrospective study. Clin Spine Surg 29:E73–E79. doi:10.1097/BSD.0000000000000101 PubMed

23.

Li Y, Hao D, He B, Wang X, Yan L (2015) The efficiency of zero-profile implant in anterior cervical discectomy fusion: a prospective controlled long-term follow-up study. J Spinal Disord Tech 28:398–403. doi:10.1097/BSD.0000000000000032 CrossRefPubMed

24.

Lee YS, Kim YB, Park SW (2015) Does a zero-profile anchored cage offer additional stabilization as anterior cervical plate? Spine (Phila Pa 1976) 40:E563–E570. doi:10.1097/BRS.0000000000000864 CrossRef

25.

Son DK, Son DW, Kim HS, Sung SK, Lee SW, Song GS (2014) Comparative study of clinical and radiological outcomes of a zero-profile device concerning reduced postoperative dysphagia after single level anterior cervical discectomy and fusion. J Korean Neurosurg Soc 56:103–107. doi:10.3340/jkns.2014.56.2.103 CrossRefPubMedPubMedCentral

26.

Wang ZD, Zhu RF, Yang HL, Gan MF, Zhang SK, Shen MJ, Chen C, Yuan Q (2014) The application of a zero-profile implant in anterior cervical discectomy and fusion. J Clin Neurosci 21:462–466. doi:10.1016/j.jocn.2013.05.019 CrossRefPubMed

27.

Yang H, Chen D, Wang X, Yang L, He H, Yuan W (2015) Zero-profile integrated plate and spacer device reduces rate of adjacent-level ossification development and dysphagia compared to ACDF with plating and cage system. Arch Orthop Trauma Surg 135:781–787. doi:10.1007/s00402-015-2212-z CrossRefPubMed

28.

Shi S, Liu ZD, Li XF, Qian L, Zhong GB, Chen FJ (2015) Comparison of plate-cage construct and stand-alone anchored spacer in the surgical treatment of three-level cervical spondylotic myelopathy: a preliminary clinical study. Spine J 15:1973–1980. doi:10.1016/j.spinee.2015.04.024 CrossRefPubMed

29.

Yan B, Nie L (2015) Clinical comparison of Zero-profile interbody fusion device and anterior cervical plate interbody fusion in treating cervical spondylosis. Int J Clin Exp Med 8:13854–13858PubMedPubMedCentral

30.

Alimi M, Njoku I, Hofstetter CP, Tsiouris AJ, Kesavabhotla K, Boockvar J, Navarro-Ramirez R, Hartl R (2016) Anterior cervical discectomy and fusion (ACDF): comparison between zero profile implants and anterior cervical plate and spacer. Cureus 8:e573. doi:10.7759/cureus.573 PubMedPubMedCentral

31.

Shi S, Zheng S, Li XF, Yang LL, Liu ZD, Yuan W (2016) Comparison of a stand-alone anchored spacer versus plate-cage construct in the treatment of two noncontiguous levels of cervical spondylosis: a preliminary investigation. World Neurosurg 89:285–292. doi:10.1016/j.wneu.2016.02.009 CrossRefPubMed

32.

Chen Y, Lu G, Wang B, Li L, Kuang L (2016) A comparison of anterior cervical discectomy and fusion (ACDF) using self-locking stand-alone polyetheretherketone (PEEK) cage with ACDF using cage and plate in the treatment of three-level cervical degenerative spondylopathy: a retrospective study with 2-year follow-up. Eur Spine J 25:2255–2262. doi:10.1007/s00586-016-4391-x CrossRefPubMed

33.

Liu Y, Wang H, Li X, Chen J, Sun H, Wang G, Yang H, Jiang W (2016) Comparison of a zero-profile anchored spacer (ROI-C) and the polyetheretherketone (PEEK) cages with an anterior plate in anterior cervical discectomy and fusion for multilevel cervical spondylotic myelopathy. Eur Spine J 25:1881–1890. doi:10.1007/s00586-016-4500-x CrossRefPubMed

34.

Zhang L, Wang J, Tao Y, Feng X, Yang J, Zhang S (2016) Outcome evaluation of zero-profile implant compared with an anterior plate and cage used in anterior cervical discectomy and fusion: a two-year follow-up study. Turk Neurosurg 26:416–422. doi:10.5137/1019-5149.JTN.12017-14.1 PubMed

35.

Tabaraee E, Ahn J, Bohl DD, Collins MJ, Massel DH, Aboushaala K, Singh K (2015) Comparison of surgical outcomes, narcotics utilization, and costs after an anterior cervical discectomy and fusion: stand-alone cage versus anterior plating. J Spinal Disord Tech. doi:10.1097/BSD.0000000000000341

36.

Chen Y, Chen H, Wu X, Wang X, Lin W, Yuan W (2016) Comparative analysis of clinical outcomes between zero-profile implant and cages with plate fixation in treating multilevel cervical spondylotic myelopathy: a three-year follow-up. Clin Neurol Neurosurg 144:72–76. doi:10.1016/j.clineuro.2016.03.010 CrossRefPubMed

37.

Nemoto O, Kitada A, Naitou S, Tachibana A, Ito Y, Fujikawa A (2015) Stand-alone anchored cage versus cage with plating for single-level anterior cervical discectomy and fusion: a prospective, randomized, controlled study with a 2-year follow-up. Eur J Orthop Surg Traumatol 25(Suppl 1):S127–S134. doi:10.1007/s00590-014-1547-4 CrossRefPubMed

38.

Fountas KN, Kapsalaki EZ, Nikolakakos LG, Smisson HF, Johnston KW, Grigorian AA, Lee GP, Robinson JJ (2007) Anterior cervical discectomy and fusion associated complications. Spine (Phila Pa 1976) 32:2310–2317. doi:10.1097/BRS.0b013e318154c57e CrossRef

39.

Song KJ, Taghavi CE, Hsu MS, Lee KB, Kim GH, Song JH (2010) Plate augmentation in anterior cervical discectomy and fusion with cage for degenerative cervical spinal disorders. Eur Spine J 19:1677–1683. doi:10.1007/s00586-010-1283-3 CrossRefPubMedPubMedCentral

40.

Dai LY, Jiang LS (2008) Anterior cervical fusion with interbody cage containing beta-tricalcium phosphate augmented with plate fixation: a prospective randomized study with 2-year follow-up. Eur Spine J 17:698–705. doi:10.1007/s00586-008-0643-8 CrossRefPubMedPubMedCentral

41.

Mobbs RJ, Rao P, Chandran NK (2007) Anterior cervical discectomy and fusion: analysis of surgical outcome with and without plating. J Clin Neurosci 14:639–642. doi:10.1016/j.jocn.2006.04.003 CrossRefPubMed

42.

Tortolani PJ, Cunningham BW, Vigna F, Hu N, Zorn CM, McAfee PC (2006) A comparison of retraction pressure during anterior cervical plate surgery and cervical disc replacement: a cadaveric study. J Spinal Disord Tech 19:312–317. doi:10.1097/01.bsd.0000210117.01897.ca CrossRefPubMed

43.

Stein MI, Nayak AN, Gaskins RR, Cabezas AF, Santoni BG, Castellvi AE (2014) Biomechanics of an integrated interbody device versus ACDF anterior locking plate in a single-level cervical spine fusion construct. Spine J 14:128–136. doi:10.1016/j.spinee.2013.06.088 CrossRefPubMed

44.

Nayak AN, Stein MI, James CR, Gaskins RR, Cabezas AF, Adu-Lartey M, Castellvi AE, Santoni BG (2014) Biomechanical analysis of an interbody cage with three integrated cancellous lag screws in a two-level cervical spine fusion construct: an in vitro study. Spine J 14:3002–3010. doi:10.1016/j.spinee.2014.06.011 CrossRefPubMed

45.

Scholz M, Schleicher P, Pabst S, Kandziora F (2015) A zero-profile anchored spacer in multilevel cervical anterior interbody fusion: biomechanical comparison to established fixation techniques. Spine (Phila Pa 1976) 40:E375–E380. doi:10.1097/BRS.0000000000000768 CrossRef

46.

Barbagallo GM, Romano D, Certo F, Milone P, Albanese V (2013) Zero-P: a new zero-profile cage-plate device for single and multilevel ACDF. A single institution series with four years maximum follow-up and review of the literature on zero-profile devices. Eur Spine J 22(Suppl 6):S868–S878. doi:10.1007/s00586-013-3005-0 CrossRefPubMed

47.

Dong J, Lu M, Lu T, Liang B, Xu J, Zhou J, Lv H, Qin J, Cai X, Huang S, Li H, Wang D, He X (2015) Meta-analysis comparing zero-profile spacer and anterior plate in anterior cervical fusion. PLoS One 10:e130223. doi:10.1371/journal.pone.0130223

48.

Yang Y, Ma L, Liu H, Xu M (2016) A meta-analysis of the incidence of patient-reported dysphagia after anterior cervical decompression and fusion with the zero-profile implant system. Dysphagia 31:134–145. doi:10.1007/s00455-015-9681-7 CrossRefPubMed

49.

Shao H, Chen J, Ru B, Yan F, Zhang J, Xu S, Huang Y (2015) Zero-profile implant versus conventional cage-plate implant in anterior cervical discectomy and fusion for the treatment of degenerative cervical spondylosis: a meta-analysis. J Orthop Surg Res 10:148. doi:10.1186/s13018-015-0290-9 CrossRefPubMedPubMedCentral

Titel: Zero-profile anchored cage reduces risk of postoperative dysphagia compared with cage with plate fixation after anterior cervical discectomy and fusion
verfasst von: ShanWen Xiao
ZhuDe Liang
Wu Wei
JinPei Ning
Publikationsdatum: 21.12.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 4/2017
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-016-4914-5

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Zero-profile anchored cage reduces risk of postoperative dysphagia compared with cage with plate fixation after anterior cervical discectomy and fusion

Abstract

Purpose

Methods

Results

Conclusions

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Abstract

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