Risk Factors for Adjacent-level Ossification after Aterior Cervical Decompression and Fusion
Chen Kun
Liu Aigang
Cai Huimin
Abstract：Objective To analyze the risk factors for adjacent-level ossificationskin after anterior cervical decompres-sion and fusion.Methods The clinical data of 105 patients with cervical intervertebral disc herniation who underwent anterior cervical discectomy and fusion(ACDF)by Zero-P implant(n=51 )or traditional titanium plate with cage(n=54)between June 2009 and August 2013 were retrospectively analyzed.The Bazaz dysphagia grading、the Neck Disabili-ty Index(NDI)、Japanese Orthopaedic Association (JOA)scoring、ameliorative rate of symptom in both groups were measured and compared.The radiographs of the cervical spine were made to assess plate-to-dis distance and adjacent-level ossification development.Results Surgical method,age,gender,blood loss,ameliorative rate of symptom,plate-to-dis distance and Osteoporosis were risk factors of calcaneal incision complications.Conclusion It is helpful for avoiding adjacent-level ossification after nterior cervical decompression and fusion by using Zero-P,anti-osteoporosis treatment before operation,reducing blood loss,suitable plate and find-out the suitable position for the plate.
Keywords：anterior cervical decompression and fusionZero-Padjacent-levelossificationrisk factors
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 198-202,216 )