Evaluation of a new type of titanium mesh cage versus the traditional titanium mesh cage for single-level, anterior cervical corpectomy and fusion

Study design A retrospective review of prospectively collected data in an academic institution. Objective To evaluate the safety and efficacy of a new type of titanium mesh cage (TMC) in single-level, anterior cervical corpectomy and fusion (ACCF). Methods Fifty-eight patients consecutive with cervi...

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Bibliographic Details
Published in:European spine journal 2013-12, Vol.22 (12), p.2891-2896
Main Authors: Fengbin, Yu, Jinhao, Miao, Xinyuan, Liao, Xinwei, Wang, Yu, Chen, Deyu, Chen
Format: Article
Language:English
Subjects:
Aged
Bone surgery
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - surgery
Equipment Design
Female
Humans
Longitudinal Studies
Male
Medicine
Medicine & Public Health
Middle Aged
Neck Pain - diagnosis
Neck Pain - etiology
Neck Pain - surgery
Neurosurgery
Original
Original Article
Pain Measurement
Radiography
Retrospective Studies
Spinal Cord Compression - diagnostic imaging
Spinal Cord Compression - etiology
Spinal Cord Compression - surgery
Spinal Fusion - instrumentation
Spinal Fusion - methods
Spondylosis - complications
Spondylosis - diagnostic imaging
Spondylosis - surgery
Surgical Orthopedics
Titanium
Treatment Outcome
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Summary:Study design A retrospective review of prospectively collected data in an academic institution. Objective To evaluate the safety and efficacy of a new type of titanium mesh cage (TMC) in single-level, anterior cervical corpectomy and fusion (ACCF). Methods Fifty-eight patients consecutive with cervical spondylotic myelopathy (CSM) from cervical degenerative spondylosis and isolated ossification of the posterior longitudinal ligament were treated with a single-level ACCF using either a new type of TMC (28 patients, group A) or the traditional TMC (30 patients, group B). We evaluated the patients for TMC subsidence, cervical lordosis (C2–C7 Cobb and Cobb of fused segments) and fusion status for a minimum of 30 months postoperatively based on spine radiographs. In addition, neurologic outcomes were evaluated using the Japanese Orthopedic Association (JOA) scores. Neck pain was evaluated using a 10-point visual analog scale (VAS). Results The loss of height of the fused segments was less for group A than for group B (0.8 ± 0.3 vs. 2.8 ± 0.4 mm) ( p  
ISSN:0940-6719
1432-0932
DOI:10.1007/s00586-013-2976-1