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

Haiyang Cheng; Gan Luo; Dan Xu; Yuqiao Li; Ziqi Wang; Houzhi Yang; Yang Liu; Yutao Jia; Tianwei Sun

doi:10.3389/fsurg.2022.1077551

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

Front Surg. 2023 Jan 11:9:1077551. doi: 10.3389/fsurg.2022.1077551. eCollection 2022.

Authors

Haiyang Cheng^{1

2}, Gan Luo^{1

2}, Dan Xu¹, Yuqiao Li^{1

2}, Ziqi Wang^{2

3}, Houzhi Yang^{1

2}, Yang Liu², Yutao Jia², Tianwei Sun^{1

2}

Affiliations

¹ Graduate School of Tianjin Medical University, Tianjin, China.
² Department of Spinal Surgery, Tianjin Union Medical Center, Tianjin, China.
³ School of Medicine, Nankai University, Tianjin, China.

Abstract

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.

Keywords: 3D-printed artificial vertebral body; C2–C7 cobb angle; Japanese orthopedic association (JOA) scores; anterior cervical corpectomy and fusion; meta-analysis; titanium mesh cage; visual analog scale (VAS) scores.

Publication types

Review

Grants and funding

This research was funded by Tianjin Key Medical Discipline(Specialty) Construction Project, grant number TJYXZDXK-064B; Tianjin Health Research Project, grant number TJWJ2022MS018; Tianjin municipal Health Commission, grant number 2021180.