Is the zero-profile anchored cage sufficient and safe for Microscope-assisted anterior cervical discectomy and fusion with oblique resection of posterior endplate in the treatment of degenerative cervical disease? A preliminary study.

IF 3.2 3区医学 Q2 CLINICAL NEUROLOGY

European Spine Journal Pub Date : 2026-10-01 Epub Date: 2026-03-04 DOI:10.1007/s00586-026-09770-y

Zi-Quan Shen, Sheng Shi, Dian-Bo Chai, Guang-Bin Ma, Zhao-Qun Gao, Jing-De Xu

引用次数: 0

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在显微镜辅助下颈椎前路椎间盘切除术和后终板斜切融合治疗退行性颈椎疾病时，零侧位固定椎架是否足够和安全？初步研究。

目的：本研究旨在评估改良的显微镜辅助颈椎前路椎间盘切除术融合（ACDF）技术合并后终板斜切除术（ORPE）治疗由骨赘或后纵韧带骨化（OPLL）引起的颈椎退行性疾病的疗效和安全性。此外，我们比较了钢板-笼结构（PCC）和Zero-P一体化笼的临床和影像学结果，并探讨了影响终板切除程度和角度的因素。方法：共纳入62例ACDF合并ORPE患者（PCC组：30例；Zero-P组：32例）。系统评估临床结果、影像学参数、斜位切除指标和并发症。进一步分析了影响斜切几何形状的因素。结果：两组患者的基线人口学及临床特征比较，差异均无统计学意义（P < 0.05）。术后随访两组患者VAS、JOA、NDI评分均有显著改善（P < 0.05）。进一步分析发现，从C3/4到C6/7，切除比和角度逐渐增加。观察到这些切除参数与尾侧椎体上终板斜率之间存在显著的线性相关

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

European Spine Journal 医学-临床神经学

CiteScore

4.80

自引率

10.70%

发文量

373

审稿时长

2-4 weeks

期刊介绍： "European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts. Official publication of EUROSPINE, The Spine Society of Europe