三维打印人工椎间盘置换术治疗单级颈椎病：一项队列研究。

IF 2 3区医学 Q2 ORTHOPEDICS

International Orthopaedics Pub Date : 2025-01-01 Epub Date: 2024-10-10 DOI:10.1007/s00264-024-06328-9

Xiao-Bo Zhang, Zilin Gao, Xin Yao, Zheng-Wei Xu, Ding-Jun Hao

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引用次数: 0

摘要

目的：比较3D打印人工椎间盘与ACDF治疗颈椎病的临床疗效：回顾性分析 2020 年 1 月至 2022 年 12 月期间 XX 医院符合纳入标准的 73 例单水平颈椎病患者。患者被分为两组：ACDF 组 38 例，CADR 组 35 例。收集患者的一般信息，包括手术时间和术中失血量。联合疗法的临床效果通过 VAS、JOA 和 NDI 进行评估。放射学效果通过 ROM 测试进行评估。结果：ACDF 组和 CADR 组的平均随访时间分别为（28.24 ± 4.65）和（29.11 ± 5.06）个月（P = 0.443）。ACDF 组和 CADR 组的临床症状（通过 VAS、NDI 和 JOA 评估）均有明显改善，疗效相似。ACDF 组的术前 ROM 为 40.03 ± 8.79，而 CADR 组为 42.11 ± 7.98（P = 0.293）。然而，ACDF组的术后ROM为（35.29 ± 7.23），低于CADR组（40.43 ± 6.98）（P = 0.003）。此外，ACDF 组仅有一名患者在术后出现轻度吞咽困难，该患者在三天内康复。ACDF 组有 9 名患者发生 ASD，CADR 组有 2 名患者发生 ASD（Χ²=4.597，P = 0.032）：结论：与 ACDF 相比，3D 打印人工椎间盘治疗单水平颈椎病的临床疗效更佳；失血更少，ASD 发生率更低，并能保持更好的颈椎活动度。

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Three dimensional-printed artificial disc replacement for single-level cervical spondylosis: a cohort study.

Purpose: To compare the clinical efficacy of 3D-printed artificial discs with that of ACDF for treating cervical spondylosis.

Methods: This was a retrospective analysis of 73 patients with single-level cervical spondylosis who met the inclusion criteria between January 2020 and December 2022 at XX Hospital. The patients were divided: 38 patients in the ACDF group and 35 patients in the CADR group. Patient general information, including operation time and intraoperative blood loss, was collected. The clinical effect of the combination therapy was evaluated by the VAS, JOA, and NDI. The radiological effect was evaluated using the ROM test. Ethics No. 201,606,009.

Results: The average follow-up times in the ACDF and CADR groups were 28.24 ± 4.65 and 29.11 ± 5.06 months, respectively (P = 0.443). Clinical symptoms (evaluated by VAS, NDI, and JOA) are significantly improved in both the ACDF and CADR groups with similar efficacy. The preoperative ROM of the ACDF group was 40.03 ± 8.79, while that of the CADR group was 42.11 ± 7.98 (P = 0.293). However, the postoperative ROM in the ACDF group was 35.29 ± 7.23, which was lower than that in the CADR group (40.43 ± 6.98) (P = 0.003). Furthermore, only one patient in the ACDF group experienced mild dysphagia after surgery, and the patient recovered within three days. ASD occurred in nine patients in the ACDF group and in two patients in the CADR group (Χ²=4.597, P = 0.032).

Conclusions: Compared with ACDF, 3D-printed artificial discs for treating single-level cervical spondylosis have proven to be clinically effective; it associated with less blood loss and a lower incidence of ASD, and maintain a better cervical ROM.

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来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.