Application progress of implantation in surgical treatment of cervical tuberculosis_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WANG Xu , LI Mufeng ,  ZHU Yuhang , ZHU Qingsan

Department of Orthopedics, China-Japan Union Hospital of Jilin University, Changchun Jilin, 130033, P. R. China;

Corresponding author：

ZHU Yuhang, Email: zhuyh15@mails.jlu.edu.cn

Keywords：

Cervical tuberculosis; implantation; bone materials; metal materials; bioactive materials

DOI：

10.7507/1002-1892.202107048

Video：

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Objective To review the characteristics and applications of different implantation in cervical tuberculosis surgery and the research progress of the new implantation. Methods By consulting relevant domestic and foreign research literature on cervical tuberculosis, the classification, advantages, disadvantages, and prospects of implantations were analyzed and summarized. Results The incidence of cervical tuberculosis has increased recently and has a high disability rate. Currently, the implantation in the surgical treatment of cervical tuberculosis are mainly divided into bone materials, metal materials, and bioactive materials; the above materials have their own advantages and disadvantages, for example, the amount of autologous bone is limited, the complications of allogeneic bone are common, and the bone fusion effect of metal materials is poor. With the development of science and technology, the implantation are also more diverse. Conclusion The choice of the implantation affects the bone fusion directly, furthermore, it affects the effectiveness of cervical tuberculosis, the development of new implantation provides a variety of options for the treatment of cervical tuberculosis.

Citation： WANG Xu, LI Mufeng, ZHU Yuhang, ZHU Qingsan. Application progress of implantation in surgical treatment of cervical tuberculosis. Chinese Journal of Reparative and Reconstructive Surgery, 2022, 36(1): 122-126. doi: 10.7507/1002-1892.202107048 Copy

1.	Yin XH, He BR, Liu ZK, et al. The clinical outcomes and surgical strategy for cervical spine tuberculosis: A retrospective study in 78 cases. Medicine (Baltimore), 2018, 97(27): e11401. doi: 10.1097/MD.0000000000011401.
2.	Rauf F, Chaudhry UR, Atif M, et al. Spinal tuberculosis: Our experience and a review of imaging methods. Neuroradiol J, 2015, 28(5): 498-503.
3.	Cavuşoğlu H, Kaya RA, Türkmenoğlu ON, et al. A long-term follow-up study of anterior tibial allografting and instrumentation in the management of thoracolumbar tuberculous spondylitis. J Neurosurg Spine, 2008, 8(1): 30-38.
4.	Raja RA, Sheikh AU, Hussain M, et al. Early recovery and stabilisation with instrumentation in anterior cervical spine tuberculosis. J Ayub Med Coll Abbottabad, 2012, 24(3-4): 93-96.
5.	占方彪, 冯世龙, 程军. 前路病灶清除植骨融合内固定术治疗下颈椎结核(附22例临床分析). 中国防痨杂志, 2017, 39(4): 358-364.
6.	Zhang J, He WS, Wang C, et al. Application of vascularized fibular graft for reconstruction and stabilization of multilevel cervical tuberculosis: A case report. Medicine (Baltimore), 2018, 97(3): e9382. doi: 10.1097/MD.0000000000009382.
7.	Yang S, Wang D, Xu J, et al. A multicenter retrospective research of anterior debridement, decompression, bone grafting, and instrumentation for cervical tuberculosis. Neurol Res, 2019, 41(12): 1051-1058.
8.	施建党, 王自立, 王沛, 等. 同种异体骨与自体骨在颈椎结核植骨融合中的应用比较. 中国修复重建外科杂志, 2011, 25(11): 1290-1293.
9.	Li Z, Wu W, Chen R, et al. Could allograft bones combined with poly-ether-ether-ketone cages or titanium mesh cages be an alternative grafting method in the management of cervical spinal tuberculosis? World Neurosurg, 2019, 128: e653-e659.
10.	Zeng H, Liang Y, Wang X, et al. Halo traction, single-segment circumferential fixation treating cervical tubercular spondylitis with kyphosis. Clin Neurol Neurosurg, 2015, 138: 59-65.
11.	Wu W, Li Z, Lin R, et al. Anterior debridement, decompression, fusion and instrumentation for lower cervical spine tuberculosis. J Orthop Sci, 2020, 25(3): 400-404.
12.	Shen X, Liu H, Wang G, et al. The role of single-stage posterior debridement, interbody fusion with titanium mesh cages and short-segment instrumentation in thoracic and lumbar spinal tuberculosis. J Neurosurg Sci, 2017, 61(5): 473-480.
13.	Zhang H, Zeng K, Yin X, et al. Debridement, internal fixation, and reconstruction using titanium mesh for the surgical treatment of thoracic and lumbar spinal tuberculosis via a posterior-only approach: a 4-year follow-up of 28 patients. J Orthop Surg Res, 2015, 10: 150. doi: 10.1186/s13018-015-0292-7.
14.	王颖博, 殷翔, 刘鹏, 等. 前路颈椎结核病灶清除联合钛网与同种异体骨环支撑的临床疗效观察. 局解手术学杂志, 2019, 28(6): 446-450.
15.	Pan Z, Luo J, Yu L, et al. Débridement and reconstruction improve postoperative sagittal alignment in kyphotic cervical spinal tuberculosis. Clin Orthop Relat Res, 2017, 475(8): 2084-2091.
16.	Nigro L, Tarantino R, Donnarumma P, et al. A case of cervical tuberculosis with severe kyphosis treated with a winged expandable cage after double corpectomy. J Spine Surg, 2017, 3(2): 304-308.
17.	马向阳, 尹庆水, 夏虹, 等. 异形钛笼在中上颈椎腹侧病变切除后稳定性重建中的应用. 中国脊柱脊髓杂志, 2012, 22(10): 894-897.
18.	Zhang YW, Deng L, Zhang XX, et al. Three-dimensional printing-assisted cervical anterior bilateral pedicle screw fixation of artificial vertebral body for cervical tuberculosis. World Neurosurg, 2019, 127: 25-30.
19.	张婷婷, 陈钱, 白长双, 等. 3D打印人工椎体置换治疗颈椎疾病及精准护理研究. 北华大学学报 (自然科学版), 2019, 20(2): 233-236.
20.	Patel MS, McCormick JR, Ghasem A, et al. Tantalum: the next biomaterial in spine surgery? J Spine Surg, 2020, 6(1): 72-86.
21.	Li N, Hu WQ, Xin WQ, et al. Comparison between porous tantalum metal implants and autograft in anterior cervical discectomy and fusion: a meta-analysis. J Comp Eff Res, 2019, 8(7): 511-521.
22.	Fernández-Fairen M, Alvarado E, Torres A. Eleven-year follow-up of two cohorts of patients comparing stand-alone porous tantalum cage versus autologous bone graft and plating in anterior cervical fusions. World Neurosurg, 2019, 122: e156-e167.
23.	Yang SC, Chen HS, Kao YH, et al. Single-stage anterior debridement and reconstruction with tantalum mesh cage for complicated infectious spondylitis. World J Orthop, 2017, 8(9): 710-718.
24.	Wong HM, Wu S, Chu PK, et al. Low-modulus Mg/PCL hybrid bone substitute for osteoporotic fracture fixation. Biomaterials, 2013, 34(29): 7016-7032.
25.	Chaya A, Yoshizawa S, Verdelis K, et al. In vivo study of magnesium plate and screw degradation and bone fracture healing. Acta Biomater, 2015, 18: 262-269.
26.	陈安民, 王泰仪, 李贵林, 等. RFP——多孔陶瓷人工骨核治疗脊柱结核. 武汉医学杂志, 1991, 15(1): 12-13.
27.	Buser Z, Brodke DS, Youssef JA, et al. Synthetic bone graft versus autograft or allograft for spinal fusion: a systematic review. J Neurosurg Spine, 2016, 25(4): 509-516.
28.	黄正辉, 刘炜, 王静丽. 脂肪间充质干细胞复合利福平缓释微球在脊柱结核动物模型中的应用. 中国组织工程研究, 2017, 21(26): 4192-4198.
29.	Mondorf Y, Gaab MR, Oertel JM. PEEK cage cervical ventral fusion in spondylodiscitis. Acta Neurochir (Wien), 2009, 151(11): 1537-1541.
30.	Walter J, Kuhn SA, Reichart R, et al. PEEK cages as a potential alternative in the treatment of cervical spondylodiscitis: a preliminary report on a patient series. Eur Spine J, 2010, 19(6): 1004-1009.
31.	Goff T, Kanakaris NK, Giannoudis PV. Use of bone graft substitutes in the management of tibial plateau fractures. Injury, 2013, 44 Suppl 1: S86-94.
32.	陈勇忠, 王剑火, 张朋, 等. 含链霉素医用硫酸钙人工骨修复胸腰椎结核骨缺损. 中国组织工程研究, 2014, 18(21): 3287-3292.
33.	蔡则成, 马荣, 马赫, 等. 载异烟肼、利福平纳米羟基磷灰石-硫酸钙-壳聚糖人工骨在兔脊柱结核模型中的释药研究. 中国脊柱脊髓杂志, 2019, 29(2): 141-146.
34.	王腾飞, 杨勇, 陈江涛, 等. 抗结核骨组织工程复合体局部治疗兔脊柱结核的对比研究. 实用骨科杂志, 2018, 24(10): 907-912, 930.
35.	Kaur M, Garg T, Narang RK. A review of emerging trends in the treatment of tuberculosis. Artif Cells Nanomed Biotechnol, 2016, 44(2): 478-484.

1. Yin XH, He BR, Liu ZK, et al. The clinical outcomes and surgical strategy for cervical spine tuberculosis: A retrospective study in 78 cases. Medicine (Baltimore), 2018, 97(27): e11401. doi: 10.1097/MD.0000000000011401.
2. Rauf F, Chaudhry UR, Atif M, et al. Spinal tuberculosis: Our experience and a review of imaging methods. Neuroradiol J, 2015, 28(5): 498-503.
3. Cavuşoğlu H, Kaya RA, Türkmenoğlu ON, et al. A long-term follow-up study of anterior tibial allografting and instrumentation in the management of thoracolumbar tuberculous spondylitis. J Neurosurg Spine, 2008, 8(1): 30-38.
4. Raja RA, Sheikh AU, Hussain M, et al. Early recovery and stabilisation with instrumentation in anterior cervical spine tuberculosis. J Ayub Med Coll Abbottabad, 2012, 24(3-4): 93-96.
5. 占方彪, 冯世龙, 程军. 前路病灶清除植骨融合内固定术治疗下颈椎结核(附22例临床分析). 中国防痨杂志, 2017, 39(4): 358-364.
6. Zhang J, He WS, Wang C, et al. Application of vascularized fibular graft for reconstruction and stabilization of multilevel cervical tuberculosis: A case report. Medicine (Baltimore), 2018, 97(3): e9382. doi: 10.1097/MD.0000000000009382.
7. Yang S, Wang D, Xu J, et al. A multicenter retrospective research of anterior debridement, decompression, bone grafting, and instrumentation for cervical tuberculosis. Neurol Res, 2019, 41(12): 1051-1058.
8. 施建党, 王自立, 王沛, 等. 同种异体骨与自体骨在颈椎结核植骨融合中的应用比较. 中国修复重建外科杂志, 2011, 25(11): 1290-1293.
9. Li Z, Wu W, Chen R, et al. Could allograft bones combined with poly-ether-ether-ketone cages or titanium mesh cages be an alternative grafting method in the management of cervical spinal tuberculosis? World Neurosurg, 2019, 128: e653-e659.
10. Zeng H, Liang Y, Wang X, et al. Halo traction, single-segment circumferential fixation treating cervical tubercular spondylitis with kyphosis. Clin Neurol Neurosurg, 2015, 138: 59-65.
11. Wu W, Li Z, Lin R, et al. Anterior debridement, decompression, fusion and instrumentation for lower cervical spine tuberculosis. J Orthop Sci, 2020, 25(3): 400-404.
12. Shen X, Liu H, Wang G, et al. The role of single-stage posterior debridement, interbody fusion with titanium mesh cages and short-segment instrumentation in thoracic and lumbar spinal tuberculosis. J Neurosurg Sci, 2017, 61(5): 473-480.
13. Zhang H, Zeng K, Yin X, et al. Debridement, internal fixation, and reconstruction using titanium mesh for the surgical treatment of thoracic and lumbar spinal tuberculosis via a posterior-only approach: a 4-year follow-up of 28 patients. J Orthop Surg Res, 2015, 10: 150. doi: 10.1186/s13018-015-0292-7.
14. 王颖博, 殷翔, 刘鹏, 等. 前路颈椎结核病灶清除联合钛网与同种异体骨环支撑的临床疗效观察. 局解手术学杂志, 2019, 28(6): 446-450.
15. Pan Z, Luo J, Yu L, et al. Débridement and reconstruction improve postoperative sagittal alignment in kyphotic cervical spinal tuberculosis. Clin Orthop Relat Res, 2017, 475(8): 2084-2091.
16. Nigro L, Tarantino R, Donnarumma P, et al. A case of cervical tuberculosis with severe kyphosis treated with a winged expandable cage after double corpectomy. J Spine Surg, 2017, 3(2): 304-308.
17. 马向阳, 尹庆水, 夏虹, 等. 异形钛笼在中上颈椎腹侧病变切除后稳定性重建中的应用. 中国脊柱脊髓杂志, 2012, 22(10): 894-897.
18. Zhang YW, Deng L, Zhang XX, et al. Three-dimensional printing-assisted cervical anterior bilateral pedicle screw fixation of artificial vertebral body for cervical tuberculosis. World Neurosurg, 2019, 127: 25-30.
19. 张婷婷, 陈钱, 白长双, 等. 3D打印人工椎体置换治疗颈椎疾病及精准护理研究. 北华大学学报 (自然科学版), 2019, 20(2): 233-236.
20. Patel MS, McCormick JR, Ghasem A, et al. Tantalum: the next biomaterial in spine surgery? J Spine Surg, 2020, 6(1): 72-86.
21. Li N, Hu WQ, Xin WQ, et al. Comparison between porous tantalum metal implants and autograft in anterior cervical discectomy and fusion: a meta-analysis. J Comp Eff Res, 2019, 8(7): 511-521.
22. Fernández-Fairen M, Alvarado E, Torres A. Eleven-year follow-up of two cohorts of patients comparing stand-alone porous tantalum cage versus autologous bone graft and plating in anterior cervical fusions. World Neurosurg, 2019, 122: e156-e167.
23. Yang SC, Chen HS, Kao YH, et al. Single-stage anterior debridement and reconstruction with tantalum mesh cage for complicated infectious spondylitis. World J Orthop, 2017, 8(9): 710-718.
24. Wong HM, Wu S, Chu PK, et al. Low-modulus Mg/PCL hybrid bone substitute for osteoporotic fracture fixation. Biomaterials, 2013, 34(29): 7016-7032.
25. Chaya A, Yoshizawa S, Verdelis K, et al. In vivo study of magnesium plate and screw degradation and bone fracture healing. Acta Biomater, 2015, 18: 262-269.
26. 陈安民, 王泰仪, 李贵林, 等. RFP——多孔陶瓷人工骨核治疗脊柱结核. 武汉医学杂志, 1991, 15(1): 12-13.
27. Buser Z, Brodke DS, Youssef JA, et al. Synthetic bone graft versus autograft or allograft for spinal fusion: a systematic review. J Neurosurg Spine, 2016, 25(4): 509-516.
28. 黄正辉, 刘炜, 王静丽. 脂肪间充质干细胞复合利福平缓释微球在脊柱结核动物模型中的应用. 中国组织工程研究, 2017, 21(26): 4192-4198.
29. Mondorf Y, Gaab MR, Oertel JM. PEEK cage cervical ventral fusion in spondylodiscitis. Acta Neurochir (Wien), 2009, 151(11): 1537-1541.
30. Walter J, Kuhn SA, Reichart R, et al. PEEK cages as a potential alternative in the treatment of cervical spondylodiscitis: a preliminary report on a patient series. Eur Spine J, 2010, 19(6): 1004-1009.
31. Goff T, Kanakaris NK, Giannoudis PV. Use of bone graft substitutes in the management of tibial plateau fractures. Injury, 2013, 44 Suppl 1: S86-94.
32. 陈勇忠, 王剑火, 张朋, 等. 含链霉素医用硫酸钙人工骨修复胸腰椎结核骨缺损. 中国组织工程研究, 2014, 18(21): 3287-3292.
33. 蔡则成, 马荣, 马赫, 等. 载异烟肼、利福平纳米羟基磷灰石-硫酸钙-壳聚糖人工骨在兔脊柱结核模型中的释药研究. 中国脊柱脊髓杂志, 2019, 29(2): 141-146.
34. 王腾飞, 杨勇, 陈江涛, 等. 抗结核骨组织工程复合体局部治疗兔脊柱结核的对比研究. 实用骨科杂志, 2018, 24(10): 907-912, 930.
35. Kaur M, Garg T, Narang RK. A review of emerging trends in the treatment of tuberculosis. Artif Cells Nanomed Biotechnol, 2016, 44(2): 478-484.

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