BMC musculoskeletal disorders · 2016
Comparison of the PEEK cage and an autologous cage made from the lumbar spinous process and laminae in posterior lumbar interbody fusion.
Сравнительное исследованиеСтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Lin Bin, Yu Hui, Chen Zhida, Huang Zhuanzhi, Zhang Wenbin
Аннотация
BACKGROUND: A prospective cohort study was performed to evaluate the clinical and radiological outcomes following posterior lumbar interbody fusion (PLIF) in patients treated with a PEEK cage compared to those treated with an autologous cage using the lumbar spinous process and laminae (ACSP).
METHODS: Sixty-nine consecutive patients with lumbar degenerative disc disease were randomly assigned to either a PEEK cage (group A, n = 34) or an ACSP (group B, n = 35). Monosegmental PLIF was performed in all patients. Mean lumbar lordosis, mean disc height, visual analog scale (VAS) scores, functional outcomes, fusion rates and complication rates were recorded and compared. The patients were followed postoperatively for a minimum of 2 years.
RESULTS: Successful radiographic fusion was documented in all patients. No flexion-extension hypermobility or pedicle screw loosening or breakage occurred during the follow-up period. No significant difference existed between the 2 groups when comparing the mean lumbar lordosis, mean disc height, visual analog scale (VAS) scores, functional outcomes, fusion rates or complication rates. Overall satisfactory results were achieved in both groups.
CONCLUSIONS: The results suggest that the ACSP appears to be equally as safe and effective as the PEEK cage.
TRIAL REGISTRATION: ISRCTN25558534 . Retrospectively registered 16/02/2016.
METHODS: Sixty-nine consecutive patients with lumbar degenerative disc disease were randomly assigned to either a PEEK cage (group A, n = 34) or an ACSP (group B, n = 35). Monosegmental PLIF was performed in all patients. Mean lumbar lordosis, mean disc height, visual analog scale (VAS) scores, functional outcomes, fusion rates and complication rates were recorded and compared. The patients were followed postoperatively for a minimum of 2 years.
RESULTS: Successful radiographic fusion was documented in all patients. No flexion-extension hypermobility or pedicle screw loosening or breakage occurred during the follow-up period. No significant difference existed between the 2 groups when comparing the mean lumbar lordosis, mean disc height, visual analog scale (VAS) scores, functional outcomes, fusion rates or complication rates. Overall satisfactory results were achieved in both groups.
CONCLUSIONS: The results suggest that the ACSP appears to be equally as safe and effective as the PEEK cage.
TRIAL REGISTRATION: ISRCTN25558534 . Retrospectively registered 16/02/2016.
Предметные рубрики MeSH
AdultBenzophenonesBiocompatible MaterialsBone TransplantationFemaleFollow-Up StudiesHumansIntervertebral Disc DegenerationKetonesLordosisLumbar VertebraeLumbosacral RegionMagnetic Resonance ImagingMaleMiddle AgedPain MeasurementPedicle ScrewsPolyethylene GlycolsPolymersProspective StudiesRadiographySpinal FusionTomography, X-Ray ComputedTransplantation, AutologousTreatment Outcome