Zero-profile anchored cage reduces threat of postoperative dysphagia in contrast with cage with plate fixation after anterior cervical discectomy and fusion.
Eur Backbone J. 2017 Apr;26(four):975-984
Authors: Xiao S, Liang Z, Wei W, Ning J
PURPOSE: To check the speed of postoperative dysphagia between zero-profile anchored cage fixation (ZPC group) and cage with plate fixation (CP group) after anterior cervical discectomy and fusion (ACDF).
METHODS: A meta-analysis of cohort research between zero-profile anchored cage and standard cage with plate fixation after ACDF for the remedy of cervical ailments from 2008 to Could 2016. An intensive search of research was carried out in PubMed, Medline, Embase, Cochrane library and Google Scholar. Dysphagia price was extracted. Information evaluation was carried out with RevMan 5.2.
RESULTS: Sixteen trials involving 1066 sufferers had been included on this meta-analysis. The outcomes advised that the ZPC group had been related to decrease incidences of dysphagia than the CP group at postoperative instantly, 2 weeks, 2, three, 6 and 12 months. In subgroup evaluation, though vital variations had been solely discovered within the gentle dysphagia at three and 6 months postoperatively and within the reasonable dysphagia at 2 weeks after surgical procedure; the ZPC group had a decrease price of postoperative dysphagia than the CCP group briefly, medium and long run follow-up durations.
CONCLUSIONS: Zero-profile anchored cage had a decrease threat of postoperative dysphagia than cage with plate.
PMID: 28004243 [PubMed – indexed for MEDLINE]