Using Piezosurgery in Anterior Cervical Discectomy and Fusion to Treat Complex Cervical Spondylotic Myelopathy Is Safe and Effective

Objective. To investigate the safety and efficacy of piezosurgery in anterior cervical discectomy and fusion (ACDF) for cervical spondylotic myelopathy (CSM). Methods. 47 patients with complex CSM (cCSM) underwent ACDF surgery from 2014 to 2017. Among these patients, 26 underwent ACDF using piezosur...

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Main Authors: Yu-Wei Li, Hao-Jie Chen, Shi-Xin Zhao, Xiu-Zhi Li, Hai-Jiao Wang, Peng Zhou, Wei Cui, Wei Xiao, Fan Li, Bingtao Hu
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2023/5306445
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author Yu-Wei Li
Hao-Jie Chen
Shi-Xin Zhao
Xiu-Zhi Li
Hai-Jiao Wang
Peng Zhou
Wei Cui
Wei Xiao
Fan Li
Bingtao Hu
author_facet Yu-Wei Li
Hao-Jie Chen
Shi-Xin Zhao
Xiu-Zhi Li
Hai-Jiao Wang
Peng Zhou
Wei Cui
Wei Xiao
Fan Li
Bingtao Hu
author_sort Yu-Wei Li
collection DOAJ
description Objective. To investigate the safety and efficacy of piezosurgery in anterior cervical discectomy and fusion (ACDF) for cervical spondylotic myelopathy (CSM). Methods. 47 patients with complex CSM (cCSM) underwent ACDF surgery from 2014 to 2017. Among these patients, 26 underwent ACDF using piezosurgery (group A) and 21 underwent ACDF by using traditional tools such as high-speed air drill, bone curette, and Kerrison bone punch (group B). Average surgical time, intraoperative blood loss, surgical complications, preoperative and postoperative Japanese Orthopaedic Association (JOA) scores, and improvement rate were measured. Results. Average surgical time and intraoperative blood loss were significantly lower in group A than those in group B (P<0.01). The incidences of surgical complications were 3.8% and 23.8% in the A and B groups (P<0.05), respectively. There were no significant differences in JOA scores and improvement rates between data collection periods at preoperative, 3-day postoperative, and 1-year postoperative follow-ups (P>0.05). Conclusion. For treating cCSM, both the piezosurgery and traditional tools led to significant neurological improvement. However, the piezosurgery was superior to the traditional tools in terms of surgical time, blood loss, and complication rate. Hence, piezosurgery was a safe and effective adjunct for ACDF treating cCSM.
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spelling doaj-art-53660235cce84b8dbdc4c04d014e08d52025-02-03T06:47:33ZengWileyAdvances in Orthopedics2090-34722023-01-01202310.1155/2023/5306445Using Piezosurgery in Anterior Cervical Discectomy and Fusion to Treat Complex Cervical Spondylotic Myelopathy Is Safe and EffectiveYu-Wei Li0Hao-Jie Chen1Shi-Xin Zhao2Xiu-Zhi Li3Hai-Jiao Wang4Peng Zhou5Wei Cui6Wei Xiao7Fan Li8Bingtao Hu9Department of OrthopedicsDepartment of OrthopedicsDepartment of OrthopedicsMedical CollegeDepartment of OrthopedicsDepartment of OrthopedicsDepartment of OrthopedicsDepartment of OrthopedicsDepartment of OrthopedicsDepartment of OrthopedicsObjective. To investigate the safety and efficacy of piezosurgery in anterior cervical discectomy and fusion (ACDF) for cervical spondylotic myelopathy (CSM). Methods. 47 patients with complex CSM (cCSM) underwent ACDF surgery from 2014 to 2017. Among these patients, 26 underwent ACDF using piezosurgery (group A) and 21 underwent ACDF by using traditional tools such as high-speed air drill, bone curette, and Kerrison bone punch (group B). Average surgical time, intraoperative blood loss, surgical complications, preoperative and postoperative Japanese Orthopaedic Association (JOA) scores, and improvement rate were measured. Results. Average surgical time and intraoperative blood loss were significantly lower in group A than those in group B (P<0.01). The incidences of surgical complications were 3.8% and 23.8% in the A and B groups (P<0.05), respectively. There were no significant differences in JOA scores and improvement rates between data collection periods at preoperative, 3-day postoperative, and 1-year postoperative follow-ups (P>0.05). Conclusion. For treating cCSM, both the piezosurgery and traditional tools led to significant neurological improvement. However, the piezosurgery was superior to the traditional tools in terms of surgical time, blood loss, and complication rate. Hence, piezosurgery was a safe and effective adjunct for ACDF treating cCSM.http://dx.doi.org/10.1155/2023/5306445
spellingShingle Yu-Wei Li
Hao-Jie Chen
Shi-Xin Zhao
Xiu-Zhi Li
Hai-Jiao Wang
Peng Zhou
Wei Cui
Wei Xiao
Fan Li
Bingtao Hu
Using Piezosurgery in Anterior Cervical Discectomy and Fusion to Treat Complex Cervical Spondylotic Myelopathy Is Safe and Effective
Advances in Orthopedics
title Using Piezosurgery in Anterior Cervical Discectomy and Fusion to Treat Complex Cervical Spondylotic Myelopathy Is Safe and Effective
title_full Using Piezosurgery in Anterior Cervical Discectomy and Fusion to Treat Complex Cervical Spondylotic Myelopathy Is Safe and Effective
title_fullStr Using Piezosurgery in Anterior Cervical Discectomy and Fusion to Treat Complex Cervical Spondylotic Myelopathy Is Safe and Effective
title_full_unstemmed Using Piezosurgery in Anterior Cervical Discectomy and Fusion to Treat Complex Cervical Spondylotic Myelopathy Is Safe and Effective
title_short Using Piezosurgery in Anterior Cervical Discectomy and Fusion to Treat Complex Cervical Spondylotic Myelopathy Is Safe and Effective
title_sort using piezosurgery in anterior cervical discectomy and fusion to treat complex cervical spondylotic myelopathy is safe and effective
url http://dx.doi.org/10.1155/2023/5306445
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