The new Zero-P implant can effectively reduce the risk of postoperative dysphagia and complications compared with the traditional anterior cage and plate: a systematic review and meta-analysis

BMC Musculoskeletal Disorders

Research Article

Jun Tao¹  Chenglong Zhao¹  Jianru Xiao¹  Quan Huang¹  Junming Ma²  Qixing Shen²  Ni Chen²  Ye Xia²  Wen Mo²  Zhingxing Yu²  Jie Ye²  Mengchen Yin³ 

[1] Department of Bone Tumor Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People’s Republic of China;Department of Orthopaedics, LongHua hospital, Shanghai university of Traditional Chinese Medicine, Shanghai, People’s Republic of China;Department of Orthopaedics, LongHua hospital, Shanghai university of Traditional Chinese Medicine, Shanghai, People’s Republic of China;Department of Bone Tumor Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People’s Republic of China;

关键词: Systematic review;    Cervical spine;    Cervical spondylosis;    Cage;    Zero-P plate;   

DOI  :  10.1186/s12891-016-1274-6

 received in 2015-08-04, accepted in 2016-09-29,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe low-profile angle-stable spacer Zero-P is a new kind of cervical fusion system that is claimed to limit the potential drawbacks and complications. The purpose of this meta-analysis was to compare the clinical and radiological results of the new Zero-P implant with those of the traditional anterior cage and plate in the treatment of symptomatic cervical spondylosis, and provides clinicians with evidence on which to base their clinical decision making.MethodsThe following electronic databases were searched: PMedline, PubMed, EMBASE, the Cochrane Central Register of Controlled Trials, Evidence Based Medicine Reviews, VIP, and CNKI. Conference posters and abstracts were also electronically searched. The efficacy was evaluated in intraoperative time, intraoperative blood loss, fusion rate and dysphagia.ResultsFor intraoperative time and intraoperative blood loss, the meta-analysis revealed that the Zero-P surgical technique is not superior to the cage and plate technique . For fusion rate, the two techniques both had good bone fusion, however, this difference is not statistically significant. For decrease of JOA and dysphagia, the pooled data showed that the Zero-P surgical technique is superior to the cage and plate technique.ConclusionsZero-P interbody fusion can attain good clinical efficacy and a satisfactory fusion rate in the treatment of symptomatic cervical spondylosis. It also can effectively reduce the risk of postoperative dysphagia and its complications. However, owing to the lack of long-term follow-up, its long-term efficacy remains unknown.

【 授权许可】

CC BY   
© The Author(s). 2016