Anterior Cervical Corpectomy with Fusion versus Anterior Hybrid Fusion Surgery for Patients with Severe Ossification of the Posterior Longitudinal Ligament Involving Three or More Levels: A Retrospective Comparative Study
Various studies have found a high incidence of early graft dislodgement after multilevel corpectomy. Although a hybrid fusion technique was developed to resolve implant failure, the hybrid and conventional techniques have not been clearly compared in terms of perioperative complications in patients...
Guardado en:
| Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
MDPI AG
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/c4be791919ff49d4835fed270b66279b |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:c4be791919ff49d4835fed270b66279b |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:c4be791919ff49d4835fed270b66279b2021-11-25T18:01:43ZAnterior Cervical Corpectomy with Fusion versus Anterior Hybrid Fusion Surgery for Patients with Severe Ossification of the Posterior Longitudinal Ligament Involving Three or More Levels: A Retrospective Comparative Study10.3390/jcm102253152077-0383https://doaj.org/article/c4be791919ff49d4835fed270b66279b2021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5315https://doaj.org/toc/2077-0383Various studies have found a high incidence of early graft dislodgement after multilevel corpectomy. Although a hybrid fusion technique was developed to resolve implant failure, the hybrid and conventional techniques have not been clearly compared in terms of perioperative complications in patients with severe ossification of the posterior longitudinal ligament (OPLL) involving three or more levels. The purpose of this study was to compare clinical and radiologic outcomes between anterior cervical corpectomy with fusion (ACCF) and anterior hybrid fusion for the treatment of multilevel cervical OPLL. We therefore retrospectively reviewed the clinical and radiologic data of 53 consecutive patients who underwent anterior fusion to treat cervical OPLL: 30 underwent ACCF and 23 underwent anterior hybrid fusion. All patients completed 2 years of follow-ups. Implant migration was defined as subsidence > 3 mm. There were no significant differences in demographics or clinical characteristics between the ACCF and hybrid groups. Early implant failure occurred significantly more frequently in the ACCF group (5 cases, 16.7%) compared with the hybrid group (0 cases, 0%). The fusion rate was 80% in the ACCF group and 100% in the hybrid group. Although both procedures can achieve satisfactory neurologic outcomes for multilevel OPLL patients, hybrid fusion likely provides better biomechanical stability than the conventional ACCF technique.Takashi HiraiToshitaka YoshiiKenichiro SakaiHiroyuki InoseMasato YuasaTsuyoshi YamadaYu MatsukuraShuta UshioShingo MorishitaSatoru EgawaHiroaki OnumaYutaka KobayashiKurando UtagawaJun HashimotoAtsuyuki KawabataTomoyuki TanakaTakayuki MotoyoshiTakuya TakahashiMotonori HashimotoKentaro SakaedaTsuyoshi KatoYoshiyasu AraiShigenori KawabataAtsushi OkawaMDPI AGarticleanterior cervical corpectomy and fusionhybrid fusionossification of the posterior longitudinal ligamentimplant failuregraft subsidencecomplicationsMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5315, p 5315 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
anterior cervical corpectomy and fusion hybrid fusion ossification of the posterior longitudinal ligament implant failure graft subsidence complications Medicine R |
| spellingShingle |
anterior cervical corpectomy and fusion hybrid fusion ossification of the posterior longitudinal ligament implant failure graft subsidence complications Medicine R Takashi Hirai Toshitaka Yoshii Kenichiro Sakai Hiroyuki Inose Masato Yuasa Tsuyoshi Yamada Yu Matsukura Shuta Ushio Shingo Morishita Satoru Egawa Hiroaki Onuma Yutaka Kobayashi Kurando Utagawa Jun Hashimoto Atsuyuki Kawabata Tomoyuki Tanaka Takayuki Motoyoshi Takuya Takahashi Motonori Hashimoto Kentaro Sakaeda Tsuyoshi Kato Yoshiyasu Arai Shigenori Kawabata Atsushi Okawa Anterior Cervical Corpectomy with Fusion versus Anterior Hybrid Fusion Surgery for Patients with Severe Ossification of the Posterior Longitudinal Ligament Involving Three or More Levels: A Retrospective Comparative Study |
| description |
Various studies have found a high incidence of early graft dislodgement after multilevel corpectomy. Although a hybrid fusion technique was developed to resolve implant failure, the hybrid and conventional techniques have not been clearly compared in terms of perioperative complications in patients with severe ossification of the posterior longitudinal ligament (OPLL) involving three or more levels. The purpose of this study was to compare clinical and radiologic outcomes between anterior cervical corpectomy with fusion (ACCF) and anterior hybrid fusion for the treatment of multilevel cervical OPLL. We therefore retrospectively reviewed the clinical and radiologic data of 53 consecutive patients who underwent anterior fusion to treat cervical OPLL: 30 underwent ACCF and 23 underwent anterior hybrid fusion. All patients completed 2 years of follow-ups. Implant migration was defined as subsidence > 3 mm. There were no significant differences in demographics or clinical characteristics between the ACCF and hybrid groups. Early implant failure occurred significantly more frequently in the ACCF group (5 cases, 16.7%) compared with the hybrid group (0 cases, 0%). The fusion rate was 80% in the ACCF group and 100% in the hybrid group. Although both procedures can achieve satisfactory neurologic outcomes for multilevel OPLL patients, hybrid fusion likely provides better biomechanical stability than the conventional ACCF technique. |
| format |
article |
| author |
Takashi Hirai Toshitaka Yoshii Kenichiro Sakai Hiroyuki Inose Masato Yuasa Tsuyoshi Yamada Yu Matsukura Shuta Ushio Shingo Morishita Satoru Egawa Hiroaki Onuma Yutaka Kobayashi Kurando Utagawa Jun Hashimoto Atsuyuki Kawabata Tomoyuki Tanaka Takayuki Motoyoshi Takuya Takahashi Motonori Hashimoto Kentaro Sakaeda Tsuyoshi Kato Yoshiyasu Arai Shigenori Kawabata Atsushi Okawa |
| author_facet |
Takashi Hirai Toshitaka Yoshii Kenichiro Sakai Hiroyuki Inose Masato Yuasa Tsuyoshi Yamada Yu Matsukura Shuta Ushio Shingo Morishita Satoru Egawa Hiroaki Onuma Yutaka Kobayashi Kurando Utagawa Jun Hashimoto Atsuyuki Kawabata Tomoyuki Tanaka Takayuki Motoyoshi Takuya Takahashi Motonori Hashimoto Kentaro Sakaeda Tsuyoshi Kato Yoshiyasu Arai Shigenori Kawabata Atsushi Okawa |
| author_sort |
Takashi Hirai |
| title |
Anterior Cervical Corpectomy with Fusion versus Anterior Hybrid Fusion Surgery for Patients with Severe Ossification of the Posterior Longitudinal Ligament Involving Three or More Levels: A Retrospective Comparative Study |
| title_short |
Anterior Cervical Corpectomy with Fusion versus Anterior Hybrid Fusion Surgery for Patients with Severe Ossification of the Posterior Longitudinal Ligament Involving Three or More Levels: A Retrospective Comparative Study |
| title_full |
Anterior Cervical Corpectomy with Fusion versus Anterior Hybrid Fusion Surgery for Patients with Severe Ossification of the Posterior Longitudinal Ligament Involving Three or More Levels: A Retrospective Comparative Study |
| title_fullStr |
Anterior Cervical Corpectomy with Fusion versus Anterior Hybrid Fusion Surgery for Patients with Severe Ossification of the Posterior Longitudinal Ligament Involving Three or More Levels: A Retrospective Comparative Study |
| title_full_unstemmed |
Anterior Cervical Corpectomy with Fusion versus Anterior Hybrid Fusion Surgery for Patients with Severe Ossification of the Posterior Longitudinal Ligament Involving Three or More Levels: A Retrospective Comparative Study |
| title_sort |
anterior cervical corpectomy with fusion versus anterior hybrid fusion surgery for patients with severe ossification of the posterior longitudinal ligament involving three or more levels: a retrospective comparative study |
| publisher |
MDPI AG |
| publishDate |
2021 |
| url |
https://doaj.org/article/c4be791919ff49d4835fed270b66279b |
| work_keys_str_mv |
AT takashihirai anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT toshitakayoshii anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT kenichirosakai anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT hiroyukiinose anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT masatoyuasa anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT tsuyoshiyamada anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT yumatsukura anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT shutaushio anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT shingomorishita anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT satoruegawa anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT hiroakionuma anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT yutakakobayashi anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT kurandoutagawa anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT junhashimoto anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT atsuyukikawabata anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT tomoyukitanaka anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT takayukimotoyoshi anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT takuyatakahashi anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT motonorihashimoto anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT kentarosakaeda anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT tsuyoshikato anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT yoshiyasuarai anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT shigenorikawabata anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy AT atsushiokawa anteriorcervicalcorpectomywithfusionversusanteriorhybridfusionsurgeryforpatientswithsevereossificationoftheposteriorlongitudinalligamentinvolvingthreeormorelevelsaretrospectivecomparativestudy |
| _version_ |
1718411768699551744 |