Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (21): 3293-3298.doi: 10.3969/j.issn.2095-4344.2014.21.003

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Anterior cervical discectomy and fusion by cervical cage with bioactive glass

Li Hong, Li Chun-de, Yi Xiao-dong, Liu Hong   

  1. Department of Orthopedics, Peking University First Hospital, Beijing 100034, China
  • Online:2014-05-21 Published:2014-05-21
  • Contact: Li Chun-de, Chief physician, Doctoral supervisor, Department of Orthopedics, Peking University First Hospital, Beijing 100034, China
  • About author:Li Hong, M.D., Associate chief physician, Department of Orthopedics, Peking University First Hospital, Beijing 100034, China

Abstract:

BACKGROUND: Bioactive glass has been largely reported to have perfect clinical results in the bone nonunion and fracture healing, but its effect during spinal fusion progress is rarely reported.
OBJECTIVE: To explore the safety and effectiveness of anterior cervical discectomy and fusion by cervical cage with bioactive glass
METHODS: A total of 68 cases of cervical spondylosis myelopathy were treated with single level anterior cervical discectomy and fusion. Their clinical data were retrospectively analyzed. All the cases underwent polyetheretherketone cervical cage with autogenous bone (n=32, control group) or bioactive glass (n=32, experimental group). The bone fusion, neurological functional recovery, intervertebral height, change of cervical curve and wound complications in the two groups was recorded and analyzed.
RESULTS AND CONCLUSION: Neurological improvement had no difference between the two groups and there was no complication about wound, such as infection and delayed healing. The average rate of bone fusion was 97% in the control group while 94% in the experiment group 3 months after operation which had no significant differences. Six months after operation, all cases gained bone fusion. The intervertebral height and change of cervical curve both maintained well in the two groups within 3, 6, 12 months after operation which had no significant differences between the two groups. So, anterior cervical discectomy and fusion by cervical cage with bioactive glass is safe and effective.


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


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Key words: glass, cervical vertebrae, spinal fusion

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