The Effect of Dynamic Versus Static Plating Systems on Fusion Rates and Complications in 1-Level and/or 2-Level Anterior Cervical Discectomy and Fusion: A Systematic Review.
| Autor: | Schroeder GD; The Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA †Department of Orthopaedics, Centro Hospitalar do Porto-Hospital de Santo António, Porto, Portugal ‡Thomas Jefferson University, Philadelphia, PA., Kepler CK, Hollern DA, Rodrigues-Pinto R, Kurd MF, Wilson JR, Maltenfort MG, Paul JT, Fleischman AN, Dwight K, Millhouse PW, Vaccaro AR |
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| Jazyk: | angličtina |
| Zdroj: | Clinical spine surgery [Clin Spine Surg] 2017 Feb; Vol. 30 (1), pp. 20-26. |
| DOI: | 10.1097/BSD.0000000000000453 |
| Abstrakt: | Study Design: A systematic review. Objective: To determine the effect of plate design on fusion rates in patients undergoing a 1- and 2-level anterior cervical discectomy and fusion (ACDF). Methods: Articles published between January 1, 2002 and January 1, 2015 were systematically reviewed to determine the fusion rate of 1- and 2-level ACDFs using either a fully constrained or semiconstrained locking plate. Additional variables that were collected included the number of levels, the type of graft/cage used, the study design, the method for determining fusion, and complications. Results: Fifty-two articles and 3053 patients were included. No significant difference in the fusion rate for 1- and 2-level ACDF using a fully constrained plate (96.1%) and a semiconstrained plate (95.29%) was identified (P=0.84). No difference (P=0.85) in the total complication rate between fully constrained plates (3.20%) and semiconstrained plates (3.66%), or the rate of complications that required a revision (2.17% vs. 2.41%, P=0.82) was identified. However, semiconstrained plates had a nonsignificant increase in total dysphagia rates (odds ratio=1.660, P=0.28) and short-term dysphagia rates (odds ratio=2.349, P=0.10). Conclusions: In patients undergoing a 1- or 2-level ACDF, there is no significant difference in the fusion or complication rate between fully constrained plates and semiconstrained plates. Level of Evidence: Level II-systematic review. |
| Databáze: | MEDLINE |
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