Using Piezosurgery in Anterior Cervical Discectomy and Fusion to Treat Complex Cervical Spondylotic Myelopathy Is Safe and Effective.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-12-21 eCollection Date: 2023-01-01 DOI:10.1155/2023/5306445

Yu-Wei Li, Hao-Jie Chen, Shi-Xin Zhao, Xiu-Zhi Li, Hai-Jiao Wang, Peng Zhou, Wei Cui, Wei Xiao, Fan Li, Bingtao Hu

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引用次数: 0

Abstract

Objective: To investigate the safety and efficacy of piezosurgery in anterior cervical discectomy and fusion (ACDF) for cervical spondylotic myelopathy (CSM).

Methods: 47 patients with complex CSM (cCSM) underwent ACDF surgery from 2014 to 2017. Among these patients, 26 underwent ACDF using piezosurgery (group A) and 21 underwent ACDF by using traditional tools such as high-speed air drill, bone curette, and Kerrison bone punch (group B). Average surgical time, intraoperative blood loss, surgical complications, preoperative and postoperative Japanese Orthopaedic Association (JOA) scores, and improvement rate were measured.

Results: Average surgical time and intraoperative blood loss were significantly lower in group A than those in group B (P < 0.01). The incidences of surgical complications were 3.8% and 23.8% in the A and B groups (P < 0.05), respectively. There were no significant differences in JOA scores and improvement rates between data collection periods at preoperative, 3-day postoperative, and 1-year postoperative follow-ups (P > 0.05).

Conclusion: For treating cCSM, both the piezosurgery and traditional tools led to significant neurological improvement. However, the piezosurgery was superior to the traditional tools in terms of surgical time, blood loss, and complication rate. Hence, piezosurgery was a safe and effective adjunct for ACDF treating cCSM.

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在前路颈椎椎间盘切除和融合术中使用压电手术治疗复杂性颈椎病是安全有效的。

目的研究压电手术在颈椎病前路椎间盘切除和融合术（ACDF）中的安全性和有效性。方法：2014年至2017年，47例复杂性颈椎病（cCSM）患者接受了ACDF手术。在这些患者中，26 人接受了压电手术 ACDF（A 组），21 人接受了高速气钻、骨刮刀和 Kerrison 骨冲等传统工具 ACDF（B 组）。对平均手术时间、术中失血量、手术并发症、术前和术后日本骨科协会（JOA）评分以及好转率进行了测量：结果：A 组的平均手术时间和术中失血量明显低于 B 组（P < 0.01）。A组和B组的手术并发症发生率分别为3.8%和23.8%（P < 0.05）。在术前、术后 3 天和术后 1 年随访中，各数据收集期的 JOA 评分和改善率无明显差异（P > 0.05）：结论：对于治疗慢性颅内压增高症，压迫手术和传统工具都能显著改善神经功能。结论：压电手术和传统工具都能明显改善神经功能，但在手术时间、失血量和并发症发生率方面，压电手术优于传统工具。因此，压电手术是 ACDF 治疗 cCSM 的一种安全有效的辅助方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.