Clinical application of 3D-printed fusion cage implantation in treating cervical spondylotic myelopathy.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Yue Ma, De-Bao Zhang, Fan Li, Yang Song
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引用次数: 0

Abstract

Objective: To investigate the clinical efficacy of 3D-printed fusion cage implantation in treating cervical spondylotic myelopathy.

Methods: A retrospective analysis was performed on 52 patients with single-segment cervical spondylotic myelopathy who received anterior cervical discectomy and fusion in Affiliated Hospital of Beihua University from July 2019 to July 2022. They were divided into the 3D group and the control group. Afterward, the perioperative indicators were compared between the two groups. Meanwhile, the Japanese Orthopaedic Association (JOA) scores, Visual analogue scale (VAS) and neck disability index (NDI) were recorded pre-operation and one-year post-operation. Evaluate the fusion rate of two group of intervertebral fusion cages.

Results: The JOA score and NDI of the two groups of patients were significantly improved compared to pre-operation(P<0.05), and the JOA score, JOA score improvement rate, and NDI of the 3D group were better than the control group (P<0.05), the VAS scores were significantly improved compared to pre-operation(P<0.05), but there was no statistically significant difference between the groups (p >0.05). The intervertebral height, angle, and cervical Cobb angle of the two groups of patients were significantly improved compared to pre-operation (P<0.05), and the improvement of intervertebral height, angle, and cervical Cobb angle in the 3D group was better than the control group(P<0.05).

Conclusion: The clinical efficacy of 3D printed intervertebral fusion cage placement in the treatment of cervical spondylotic myelopathy may be reliable, and it would be better than traditional intervertebral fusion cages in maintaining the height, angle, cervical Cobb angle, and fusion rate of the intervertebral space.

三维打印融合笼植入治疗颈椎病的临床应用。
目的研究3D打印融合笼植入治疗颈椎病的临床疗效:对2019年7月至2022年7月在北华大学附属医院接受前路颈椎椎间盘切除融合术的52例单节段颈椎病患者进行回顾性分析。他们被分为三维组和对照组。之后,对两组围手术期指标进行比较。同时,记录术前和术后一年的日本骨科协会(JOA)评分、视觉模拟量表(VAS)和颈部残疾指数(NDI)。评估两组椎间融合器的融合率:两组患者的 JOA 评分和 NDI 与术前相比均有明显改善(P0.05)。两组患者的椎间高度、角度和颈椎 Cobb 角与手术前相比均有明显改善(P0.05):3D打印椎间融合器笼置入治疗颈椎病的临床疗效可能是可靠的,在保持椎间隙高度、角度、颈椎Cobb角和融合率方面优于传统的椎间融合器笼。
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
Pakistan Journal of Medical Sciences
Pakistan Journal of Medical Sciences 医学-医学:内科
CiteScore
4.10
自引率
9.10%
发文量
363
审稿时长
3-6 weeks
期刊介绍: It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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