Abstract: ?ObjectiveTo investigate the effect of double-plate self-locking interbody fusion device (ROI-C) on the treatment of traumatic cervical disc herniation (TCDH) without vertebral instability, fracture or dislocation，and to evaluate the effect of surgery.MethodsA total of 120 patients with TCDH who were treated in our hospital from January 2008 to January 2016 were retrospectively analyzed. The pre- and post-operative Japanese Orthopedic Association score (JOA) and visual analogue score (VAS) were observed and compared. The neck disability index (NDI), total cervical curvature changes and intervertebral heights, Vaccraro criteria for bone graft fusion assessment, and Odom criteria were used to evaluate the surgical effects.ResultsAll patients were followed up for 13 to 34 months with an average of 19.5 months. The JOA score increased from 4.4±3.9 to 13.9±2.7 by the end of the follow-up. The VAS decreased from 6.4±2.1 to 1.1±0.8 (P<0.05); The NDI decreased from 38.3%±11.8% to 8.8%±3.3%(P<0.05). The intervertebral height increased from (5.3±1.6) mm to (7.9±0.7) mm(P<0.05); The curvature of the cervical spine increased from 5.2°±7.4 ° to 10.6°±5.2 °(P<0.05). The symptoms of hoarseness disappeared 2 months later. The symptoms of dysphagia disappeared 3 months later. All the segments got bony fusion 6 months later. There was no ROI-C sinking, displacement or fracture phenomenon occurred. According to the Odom criteria, the excellent rate was 76.7%(92/120).ConclusionsThe treatment of TCDH without vertebral instability, fracture or dislocation by the ROI-C anterior approach alone does have the advantages of good therapeutic effect, high fusion rate and less complication. ROI-C anterior fusion therapy is a reliable minimally invasive surgical method, which is worthy of clinical promotion.
Joaquim AF, Patel AA, Vaccaro AR. Cervical injuries scored according to the Subaxial Injury Classification system: An analysis of the literature[J]. J Craniovertebr Junction Spine， 2014 ，5(2):65-70. doi: 10.4103/0974-8237.139200.|
Njoku I Jr, Alimi M, Leng LZ, et al. Anterior cervical discectomy and fusion with a zero-profile integrated plate and spacer device: a clinical and radiological study: Clinical article[J]. J Neurosurg Spine, 2014,21(4):529-537. doi: 10.3171/2014.6.SPINE12951. |
Wojewnik B, Ghanayem AJ, Tsitsopoulos PP, et al. Biomechanical evaluation of a low profile, anchored cervical interbody spacer device in the setting of progressive flexion-distraction injury of the cervical spine[J]. Eur Spine J, 2013,22(1):135-141. doi: 10.1007/s00586-012-2446-1. |
Brembilla C, Lanterna LA, Gritti P, et al. The use of a stand-alone interbody fusion cage in subaxial cervical spine trauma: a preliminaryreport[J]. J Neurol Surg A Cent Eur Neurosurg, 2015,76(1):13-19. doi: 10.1055/s-0034-1368092. |
[13]
Matthew I, Aniruddh N, Roger B, et al. Biomechanics of an integrated interbody device versus ACDF anteriorlocking plate in a single -level cervical spine fusion construct [J]. Spine J, 2014, 14(1): 128-136. |
[14]
Stein MI, Nayak AN, Gaskins RB 3rd,et al.Biomechanics of an integrated interbody device versus ACDF anterior locking plate in a single-level cervical spine fusion construct [J]. Spine J, 2014,14(1):128-36. doi: 10.1016/j.spinee.2013.06.088. |
[15]
Grasso G, Giambartino F, Tomasello G,et al.Anterior cervical discectomy and fusion with ROI-C peek cage: cervical alignment and patientoutcomes[J]. Eur Spine J, 2014,23 Suppl 6:S650-S657. doi: 10.1007/s00586-014-3553-y. |
Kim CH, Chung CK, Hahn S. Autologous iliac bone graft with anterior plating is advantageous over the stand-alone cage for segmental lordosis in single-level cervical disc disease[J]. Neurosurgery, 2013,72(2):257-265. |
[20]
Nayak AN, Stein MI, James CR, et al. Biomechanical analysis of an interbody cage with three integrated cancellous lag screws in a two-level cervical spine fusion construct: an in vitro study[J]. Spine J, 2014,14(12):3002-3010. doi: 10.1016/j.spinee.2014.06.011.
2017, Vol. 21 
