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| A Prospective Study on the Near and Long Term Effect of Zero Incisor Cervical Interspace Fusion Fixator in the Treatment of Cervical Spondylosis |
| SHEN Honglei, XU Hongjun, HUA Lei, et al |
| The People's Hospital of Wuxi, Jiangsu Wuxi 214023, China |
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Abstract Objective: To investigate the short-term and long-term difference in the treatment of cervical spondylosis with the fixed fusion of zero notch cervical intervertebral space fusion cage. Methods: 94 cases of patients with cervical spondylosis in our hospital were randomly divided into observation group and control group of 47 cases. The observation group was treated with fixed fusion with zero incisor cervical intervertebral space fusion cage, and the control group was treated with the traditional anterior titanium plate combined with Cage fusion system. The two groups of surgical related indexes, the Japanese Department of orthopedics (JOA) score, the interbody height, the fusion rate of bone graft and the incidence of complications were compared. Results: The operation time of the observation group was shorter than that of the control group (P<0.05). The amount of bleeding and the flow rate of the two groups were not statistically significant (P>0.05). 3 months, 6 months, 12 months and 36 months after operation, the JOA scores in the two groups were all higher than those before the operation (P<0.05). There was no significant difference in JOA scores at each time point between the two groups (P>0.05). The fusion rate of bone graft in the observation group was higher than that of the control group at 3 months after the operation (P<0.05). All the two groups had bone graft fusion at 6 months after operation. The intervertebral height at all time points in the two groups was higher than that before the operation (P<0.05), but there was no significant difference between the groups (P>0.05). The incidence of complications in the observation group was lower than that of the control group (P<0.05). Conclusion: Compared with the traditional anterior titanium plate combined with Cage fusion system for the treatment of cervical intervertebral fusion device, zero notch fixation and fusion in treatment of cervical vertebra disease curative effect is similar, but the shorter operation time, early bone graft fusion rate is higher, and the incidence of postoperative complications is low, more clinical value.
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2018, Vol. 24 
