Clinical effects of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis

Yuluo Rong,* Yongjun Luo,* Wei Liu, Fangyi Gong, Pengyu Tang, Weihua Cai Department of Orthopaedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu, China *These authors contributed equally to this work Objective: To investigate the early and mid-term efficac...

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Autores principales:	Rong Y, Luo Y, Liu W, Gong F, Tang P, Cai W
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	cervical spondylosis ROI-C osteoporosis imaging parameters dysphagia Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/51a8742b33594fccb6becd31c9cbae18
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spelling	oai:doaj.org-article:51a8742b33594fccb6becd31c9cbae182021-12-02T08:03:05ZClinical effects of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis1178-1998https://doaj.org/article/51a8742b33594fccb6becd31c9cbae182018-12-01T00:00:00Zhttps://www.dovepress.com/clinical-effects-of-the-bridge-type-roi-c-interbody-fusion-cage-system-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Yuluo Rong,* Yongjun Luo,* Wei Liu, Fangyi Gong, Pengyu Tang, Weihua Cai Department of Orthopaedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu, China *These authors contributed equally to this work Objective: To investigate the early and mid-term efficacy and safety of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis during anterior cervical discectomy and fusion (ACDF). Patients and methods: The clinical data from 24 cervical spondylosis patients with osteoporosis treated with ACDF were retrospectively analyzed. All patients were treated with ROI-C cage. Double-energy X-ray absorptiometry (DEXA) was used to measure the bone mineral density (BMD). The cervical sagittal radiographic parameters were measured and compared using X-ray including C2–C7 Cobb angle, segmental angle (SA), cervical vertebral bow depth, and height of operation segment (HOS). Postoperative dysphagia was recorded according to the Bazaz score. The Japanese Orthopedic Association (JOA) scores and Neck Disability Index (NDI) scores were used to evaluate the clinical outcomes at different time points. Odom and Vaccaro criteria were used to assess the surgical effects and to evaluate the fusion of the bone graft. Results: The mean duration of the postoperative follow-up was 27.4±5.7 months (ranging from 21 to 36 months). The JOA scores and NDI scores at 3 months post operation and at the time of final follow-up were significantly different from those before surgery (P<0.05). Two patients had mild dysphagia after surgery, but it disappeared after symptomatic treatment for 3–5 days. Sagittal radiographic outcomes were significantly improved at 3 months post operation (P<0.05). At the time of final follow-up, the radiographic parameters were well maintained and were not significantly different compared with 3 months post operation (P>0.05). Conclusion: The ROI-C cage system is safe and effective for use in patients undergoing anterior cervical spondylosis surgery for osteoporosis treatment. It results in a positive effect on bone graft fusion, is able to effectively improve cervical curvature, restores intervertebral height, and reduces the incidence of postoperative dysphagia. The clinical effects were positive at the early and middle postoperative stages. Keywords: cervical spondylosis, ROI-C, osteoporosis, imaging parameters, dysphagiaRong YLuo YLiu WGong FTang PCai WDove Medical Pressarticlecervical spondylosisROI-Costeoporosisimaging parametersdysphagiaGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 2543-2551 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	cervical spondylosis ROI-C osteoporosis imaging parameters dysphagia Geriatrics RC952-954.6
spellingShingle	cervical spondylosis ROI-C osteoporosis imaging parameters dysphagia Geriatrics RC952-954.6 Rong Y Luo Y Liu W Gong F Tang P Cai W Clinical effects of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis
description	Yuluo Rong,* Yongjun Luo,* Wei Liu, Fangyi Gong, Pengyu Tang, Weihua Cai Department of Orthopaedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu, China *These authors contributed equally to this work Objective: To investigate the early and mid-term efficacy and safety of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis during anterior cervical discectomy and fusion (ACDF). Patients and methods: The clinical data from 24 cervical spondylosis patients with osteoporosis treated with ACDF were retrospectively analyzed. All patients were treated with ROI-C cage. Double-energy X-ray absorptiometry (DEXA) was used to measure the bone mineral density (BMD). The cervical sagittal radiographic parameters were measured and compared using X-ray including C2–C7 Cobb angle, segmental angle (SA), cervical vertebral bow depth, and height of operation segment (HOS). Postoperative dysphagia was recorded according to the Bazaz score. The Japanese Orthopedic Association (JOA) scores and Neck Disability Index (NDI) scores were used to evaluate the clinical outcomes at different time points. Odom and Vaccaro criteria were used to assess the surgical effects and to evaluate the fusion of the bone graft. Results: The mean duration of the postoperative follow-up was 27.4±5.7 months (ranging from 21 to 36 months). The JOA scores and NDI scores at 3 months post operation and at the time of final follow-up were significantly different from those before surgery (P<0.05). Two patients had mild dysphagia after surgery, but it disappeared after symptomatic treatment for 3–5 days. Sagittal radiographic outcomes were significantly improved at 3 months post operation (P<0.05). At the time of final follow-up, the radiographic parameters were well maintained and were not significantly different compared with 3 months post operation (P>0.05). Conclusion: The ROI-C cage system is safe and effective for use in patients undergoing anterior cervical spondylosis surgery for osteoporosis treatment. It results in a positive effect on bone graft fusion, is able to effectively improve cervical curvature, restores intervertebral height, and reduces the incidence of postoperative dysphagia. The clinical effects were positive at the early and middle postoperative stages. Keywords: cervical spondylosis, ROI-C, osteoporosis, imaging parameters, dysphagia
format	article
author	Rong Y Luo Y Liu W Gong F Tang P Cai W
author_facet	Rong Y Luo Y Liu W Gong F Tang P Cai W
author_sort	Rong Y
title	Clinical effects of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis
title_short	Clinical effects of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis
title_full	Clinical effects of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis
title_fullStr	Clinical effects of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis
title_full_unstemmed	Clinical effects of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis
title_sort	clinical effects of the bridge-type roi-c interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/51a8742b33594fccb6becd31c9cbae18
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Clinical effects of the bridge-type ROI-C interbody fusion cage system in the treatment of cervical spondylosis with osteoporosis

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