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钛笼与聚醚醚酮椎间融合器在颈前路减压椎间融合中的应用

段文 孔荣 黄威 周冉

中国组织工程研究Issue(4):625-630,6.
中国组织工程研究Issue(4):625-630,6.DOI:10.3969/j.issn.2095-4344.2014.04.023

钛笼与聚醚醚酮椎间融合器在颈前路减压椎间融合中的应用

Application of titanium cages and poly(ether-ether-ketone) cages in anterior cervical discectomy and fusion surgery

段文 1孔荣 1黄威 1周冉2

作者信息

  • 1. 安徽省立医院骨1科,安徽省合肥市 230001
  • 2. 安徽省循证医学中心,安徽省合肥市 230001
  • 折叠

摘要

Abstract

BACKGROUND:The two main cages used in anterior cervical surgery are titanium cages and poly(ether-ether-ketone) cages, but it is stil controversial in imaging performances and clinical outcomes. <br> OBJECTIVE:To systematical y evaluate imaging performances and clinical outcomes between titanium cages and poly(ether-ether-ketone) cages in anterior cervical discectomy and fusion surgery. <br> METHODS:The Cochrane library (issue 5, 2013), Medline database, EMBASE, CNKI and Wanfang database were retrieved by computer. The deadline of al the retrieves concerning control study of uses of titanium cages and poly(ether-ether-ketone) cages was June 1st, 2013. Two reviewers assessed literatures independently, and the meta-analysis was conducted by RevMan 5.2 software. <br> RESULTS AND CONCLUSION:A total of four literatures including 235 patients, 128 of titanium cages and 107 of poly(ether-ether-ketone) cages, were included. Meta-analysis results showed that there was no statistical y significant difference between the groups in fusion rates, subsidence and dislocation rates of short-term fol ow-up and clinical outcomes (al P>0.05). There were statistical y significant differences between the groups in subsidence and dislocation rates of long-term fol ow-up (P<0.05). Poly(ether-ether-ketone) cage group was superior to titanium cages group in maintenance of cervical curvature and intervertebral height. This meta-analysis showed that poly(ether-ether-ketone) cages had good fusion rates and clinical outcomes, less subsidence and dislocation rates, and can better maintain cervical curvature and intervertebral height compared with titanium cages.

关键词

植入物/脊柱植入物/钛笼/聚醚醚酮椎间融合器/颈前路减压椎间融合术/颈椎病/髂骨/融合/颈椎曲度/下沉/移位/系统评价

Key words

cervical vertebrae/spinal fusion/titanium/evidence-based medicine

分类

医药卫生

引用本文复制引用

段文,孔荣,黄威,周冉..钛笼与聚醚醚酮椎间融合器在颈前路减压椎间融合中的应用[J].中国组织工程研究,2014,(4):625-630,6.

中国组织工程研究

OA北大核心CSTPCD

2095-4344

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