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Archives of Orthopaedic and Trauma Surgery

Published in:

01-05-2011 | Original Article

Anterior hybrid decompression and segmental fixation for adjacent three-level cervical spondylosis

Authors: Qunfeng Guo, Bin Ni, Fengjin Zhou, Xuhua Lu, Jian Yang, Jinshui Chen, Yang Yu, Liang Zhu

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 5/2011

Abstract

Objective

To evaluate the outcomes of anterior hybrid decompression and segmental fixation for adjacent three-level cervical spondylosis.

Methods

53 patients with adjacent three-level cervical spondylosis underwent anterior hybrid decompression and segmental fixation. Titanium mesh and PEEK cage were used to span the defects due to decompression and anterior locking plate was placed over the entire construct. Japanese Orthopedic Association (JOA) scores, segmental and C2–C7 angles before and after operation were analyzed.

Results

The average follow up was 37.3 ± 7.0 months. Bone fusions were observed in all patients at follow-up intervals. JOA scores improved from preoperative 8.1 ± 2.2 (range 4–13) to 13.1 ± 2.3 (range 7–16) at final follow-up (P = 0.000). Meanwhile, surgical segmental angle was significantly improved from preoperative 6.9 ± 8.3° (range −10.4° to 27.6°) to postoperative 16.3 ± 7.2° (range −2.0° to 37.6°)(P = 0.000), and C2–C7 angle from 9.7 ± 8.6° (range −9.9° to 27.4°) to 17.8 ± 7.7° (range −1.2° to 34.3°) (P = 0.000). Postoperative complications included C5 palsy, cerebrospinal fluid leakage, hematoma, and titanium mesh subsidence.

Conclusion

Anterior hybrid decompression and segmental fixation is a safe and effective procedure for adjacent three-level cervical spondylosis.

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Title: Anterior hybrid decompression and segmental fixation for adjacent three-level cervical spondylosis
Authors: Qunfeng Guo
Bin Ni
Fengjin Zhou
Xuhua Lu
Jian Yang
Jinshui Chen
Yang Yu
Liang Zhu
Publication date: 01-05-2011
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 5/2011
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-010-1181-5

At a glance: The STEP trials

Springer Medicine

Anterior hybrid decompression and segmental fixation for adjacent three-level cervical spondylosis

Abstract

Objective

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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