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Comparison of radiological and clinical outcomes of 3D-printed artificial vertebral body with Titanium mesh cage in single-level anterior cervical corpectomy and fusion: A meta-analysis

PROPOSE: This meta-analysis aimed to determine whether 3D-printed artificial vertebral body have superior clinical and radiographic outcome than Titanium Mesh Cage(TMC) in single-level anterior cervical corpectomy and fusion. METHODS: A comprehensive search of the PubMed, Embase, Cochrane Library, W...

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Autores principales: Cheng, Haiyang, Luo, Gan, Xu, Dan, Li, Yuqiao, Wang, Ziqi, Yang, Houzhi, Liu, Yang, Jia, Yutao, Sun, Tianwei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9875138/
https://www.ncbi.nlm.nih.gov/pubmed/36713662
http://dx.doi.org/10.3389/fsurg.2022.1077551
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author Cheng, Haiyang
Luo, Gan
Xu, Dan
Li, Yuqiao
Wang, Ziqi
Yang, Houzhi
Liu, Yang
Jia, Yutao
Sun, Tianwei
author_facet Cheng, Haiyang
Luo, Gan
Xu, Dan
Li, Yuqiao
Wang, Ziqi
Yang, Houzhi
Liu, Yang
Jia, Yutao
Sun, Tianwei
author_sort Cheng, Haiyang
collection PubMed
description PROPOSE: This meta-analysis aimed to determine whether 3D-printed artificial vertebral body have superior clinical and radiographic outcome than Titanium Mesh Cage(TMC) in single-level anterior cervical corpectomy and fusion. METHODS: A comprehensive search of the PubMed, Embase, Cochrane Library, Web of Science, and CNKI (China National Knowledge Infrastructure) databases was conducted to find randomized control trials (RCTs) or cohort studies that compared 3D-printed artificial vertebral body with conventional Titanium Mesh Cage (TMC) in single-level anterior cervical corpectomy and fusion (SL-ACCF). Operation time; intraoperative blood loss; subsidence of vertebral body; preoperative, and final follow-up C2–C7 Cobb angle, Japanese Orthopedic Association (JOA) scores, and Visual Analog Scale(VAS) scores were collected from eligible studies for meta-analysis. RESULTS: We included 6 cohort studies with 341 patients. The results of the meta-analysis showed that the 3D group has a shorter operation time than the traditional TMC group(p = 0.04) and the TMC group had more severe subsidence(≥3 mm) of vertebral body than the 3D group(p < 0.0001). And the cervical C2–C7 Cobb angle in the 3D group was larger than that in the TMC group at the final follow-up. CONCLUSION: This meta-analysis demonstrates that 3D-printed artificial vertebral body is superior to traditional TMC in reducing the operation time and maintaining the postoperative vertebral height and restoring sagittal balance to the cervical spine in single-level anterior cervical corpectomy and fusion.
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spelling pubmed-98751382023-01-26 Comparison of radiological and clinical outcomes of 3D-printed artificial vertebral body with Titanium mesh cage in single-level anterior cervical corpectomy and fusion: A meta-analysis Cheng, Haiyang Luo, Gan Xu, Dan Li, Yuqiao Wang, Ziqi Yang, Houzhi Liu, Yang Jia, Yutao Sun, Tianwei Front Surg Surgery PROPOSE: This meta-analysis aimed to determine whether 3D-printed artificial vertebral body have superior clinical and radiographic outcome than Titanium Mesh Cage(TMC) in single-level anterior cervical corpectomy and fusion. METHODS: A comprehensive search of the PubMed, Embase, Cochrane Library, Web of Science, and CNKI (China National Knowledge Infrastructure) databases was conducted to find randomized control trials (RCTs) or cohort studies that compared 3D-printed artificial vertebral body with conventional Titanium Mesh Cage (TMC) in single-level anterior cervical corpectomy and fusion (SL-ACCF). Operation time; intraoperative blood loss; subsidence of vertebral body; preoperative, and final follow-up C2–C7 Cobb angle, Japanese Orthopedic Association (JOA) scores, and Visual Analog Scale(VAS) scores were collected from eligible studies for meta-analysis. RESULTS: We included 6 cohort studies with 341 patients. The results of the meta-analysis showed that the 3D group has a shorter operation time than the traditional TMC group(p = 0.04) and the TMC group had more severe subsidence(≥3 mm) of vertebral body than the 3D group(p < 0.0001). And the cervical C2–C7 Cobb angle in the 3D group was larger than that in the TMC group at the final follow-up. CONCLUSION: This meta-analysis demonstrates that 3D-printed artificial vertebral body is superior to traditional TMC in reducing the operation time and maintaining the postoperative vertebral height and restoring sagittal balance to the cervical spine in single-level anterior cervical corpectomy and fusion. Frontiers Media S.A. 2023-01-11 /pmc/articles/PMC9875138/ /pubmed/36713662 http://dx.doi.org/10.3389/fsurg.2022.1077551 Text en © 2023 Cheng, Luo, Xu, Li, Wang, Yang, Liu, Jia and Sun. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Cheng, Haiyang
Luo, Gan
Xu, Dan
Li, Yuqiao
Wang, Ziqi
Yang, Houzhi
Liu, Yang
Jia, Yutao
Sun, Tianwei
Comparison of radiological and clinical outcomes of 3D-printed artificial vertebral body with Titanium mesh cage in single-level anterior cervical corpectomy and fusion: A meta-analysis
title Comparison of radiological and clinical outcomes of 3D-printed artificial vertebral body with Titanium mesh cage in single-level anterior cervical corpectomy and fusion: A meta-analysis
title_full Comparison of radiological and clinical outcomes of 3D-printed artificial vertebral body with Titanium mesh cage in single-level anterior cervical corpectomy and fusion: A meta-analysis
title_fullStr Comparison of radiological and clinical outcomes of 3D-printed artificial vertebral body with Titanium mesh cage in single-level anterior cervical corpectomy and fusion: A meta-analysis
title_full_unstemmed Comparison of radiological and clinical outcomes of 3D-printed artificial vertebral body with Titanium mesh cage in single-level anterior cervical corpectomy and fusion: A meta-analysis
title_short Comparison of radiological and clinical outcomes of 3D-printed artificial vertebral body with Titanium mesh cage in single-level anterior cervical corpectomy and fusion: A meta-analysis
title_sort comparison of radiological and clinical outcomes of 3d-printed artificial vertebral body with titanium mesh cage in single-level anterior cervical corpectomy and fusion: a meta-analysis
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9875138/
https://www.ncbi.nlm.nih.gov/pubmed/36713662
http://dx.doi.org/10.3389/fsurg.2022.1077551
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