A new zero-profile, stand-alone Fidji cervical cage for the treatment of the single and multilevel cervical degenerative disc disease

作者：Li, Zhonghai^*; Wang, Huadong; Li, Li; Tang, Jiaguang; Ren, Dongfeng; Hou, Shuxun

来源：Journal of Clinical Neuroscience, 2017, 41: 115-122.

DOI：10.1016/j.jocn.2017.02.043

• Cervical degenerative disc disease
• Anterior cervical discectomy and fusion
• Stand-alone zero-profile interbody fusion system
• Adjacent segment degeneration
• Outcome
• Complications

To investigate the clinical and radiological results of the new zero-profile, stand-alone Fidji cervical cage to treat single- and multiple-level cervical DDD, and evaluate the safety and efficiency. Between October 2011 and July 2014, 72 consecutive patients (41 males and 31 females; mean age 50.9 years [range, 3368 years]) with cervical DDD who underwent surgery and were followed for more than 2 years were enrolled in this study (mean 31.1 months, range 24-47 months). The study compared clinical outcomes, radiologic parameters and complication rates. The SF-36, VAS, NDI, and JOA scores of all patients were improved significantly after surgery at any time point. (all p < 0.05). The C2-C7 Cobb angle and the disc height index (DHI) of all patients were improved significantly after surgery at any time point (all p < 0.05). From 3 months after surgery to final follow-up the DHI showed a significant reduction comparing 1 week after surgery (all p < 0.05). The fusion rates were 91.7% (66/72) and the radiologic mean fusion time was 9.9 months. Radiological evidence of adjacent segment degeneration (ASD) was observed in 4/41 patients (9.8%). Postoperative complications included epidural hematoma, hoarseness, dysphagia, axial neck pain, and subsidence. The zero-profile, stand-alone Fidji cervical cage for ACDF can be considered an effective, reliable and safe alternative procedure in the treatment of cervical DDD.

• 出版日期2017-7
• 单位大连医科大学; 中国人民解放军总医院