Safety and Feasibility of Internal Fixation Using Bioabsorbable Versus Titanium Materials for Short‐Level Lamina Reimplantation: A Comparative Clinical Study
ABSTRACT Objective Lamina‐implantation is gradually becoming the main surgical method for the treatment of intraspinal tumors. Traditional titanium (Ti) internal fixation not only produces artifacts, which affects the observation of tumors and dural sac closure, but also faces the problem of seconda...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-01-01
|
| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.14288 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841527082074505216 |
|---|---|
| author | Dingbang Chen Jinhan Song Luosheng Zhang Xin Gao Quan Huang Xinghai Yang |
| author_facet | Dingbang Chen Jinhan Song Luosheng Zhang Xin Gao Quan Huang Xinghai Yang |
| author_sort | Dingbang Chen |
| collection | DOAJ |
| description | ABSTRACT Objective Lamina‐implantation is gradually becoming the main surgical method for the treatment of intraspinal tumors. Traditional titanium (Ti) internal fixation not only produces artifacts, which affects the observation of tumors and dural sac closure, but also faces the problem of secondary surgical removal. In this study, absorbable material were used in lamina replantation for the first time and was evaluated for its efficacy and safety. Methods We retrospectively enrolled patients who underwent short‐segment lamina replantation for intraspinal tumors in our center from February 2020 to November 2022. After condition matching of the number of fixation segment and fixation position, the baseline information, complications, neurological function, quality of life, spinal mobility and bone healing rate of the absorbable group and the Ti group were compared. Fisher exact, Chi‐square, or rank sum test were used for categorical variables, and t‐test was used for continuous variables to distinguish differences between groups. Results Cerebrospinal fluid leak was the most common complication, with no difference between the two groups (12.9% vs. 19.4%, p = 0.366). The bone healing rates of the two groups at 3 months after surgery were 77.4% and 87.1%, respectively, and there was no significant difference (p = 0.508). At 1 year after surgery, the resorbable group showedlower levels of anxiety/depression (1.20 ± 0.41 vs. 1.61 ± 0.61, p = 0.050), however, it did not affect the overall quality of life of the patients at 1 year. Conclusion Both titanium and absorbable internal fixation have shown good clinical results in the treatment of intraspinal tumors by laminareplantation. Regardless of cost, absorbable screws and plates are also suitable options for patients undergoing lamina replantation, because it has no stress shielding effect and does not require secondary removal. In addition, there are no artifacts in the image, which is more conducive to observing the recurrence of the tumor and the closure of the dural sac. |
| format | Article |
| id | doaj-art-2ec3b311543941b4847dc6103b89298e |
| institution | Kabale University |
| issn | 1757-7853 1757-7861 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj-art-2ec3b311543941b4847dc6103b89298e2025-01-16T05:31:15ZengWileyOrthopaedic Surgery1757-78531757-78612025-01-0117120221110.1111/os.14288Safety and Feasibility of Internal Fixation Using Bioabsorbable Versus Titanium Materials for Short‐Level Lamina Reimplantation: A Comparative Clinical StudyDingbang Chen0Jinhan Song1Luosheng Zhang2Xin Gao3Quan Huang4Xinghai Yang5Orthopaedic Oncology Center, Department of Orthopedics Changzheng Hospital, Naval Military Medical University Shanghai ChinaOrthopaedic Oncology Center, Department of Orthopedics Changzheng Hospital, Naval Military Medical University Shanghai ChinaOrthopaedic Oncology Center, Department of Orthopedics Changzheng Hospital, Naval Military Medical University Shanghai ChinaOrthopaedic Oncology Center, Department of Orthopedics Changzheng Hospital, Naval Military Medical University Shanghai ChinaOrthopaedic Oncology Center, Department of Orthopedics Changzheng Hospital, Naval Military Medical University Shanghai ChinaOrthopaedic Oncology Center, Department of Orthopedics Changzheng Hospital, Naval Military Medical University Shanghai ChinaABSTRACT Objective Lamina‐implantation is gradually becoming the main surgical method for the treatment of intraspinal tumors. Traditional titanium (Ti) internal fixation not only produces artifacts, which affects the observation of tumors and dural sac closure, but also faces the problem of secondary surgical removal. In this study, absorbable material were used in lamina replantation for the first time and was evaluated for its efficacy and safety. Methods We retrospectively enrolled patients who underwent short‐segment lamina replantation for intraspinal tumors in our center from February 2020 to November 2022. After condition matching of the number of fixation segment and fixation position, the baseline information, complications, neurological function, quality of life, spinal mobility and bone healing rate of the absorbable group and the Ti group were compared. Fisher exact, Chi‐square, or rank sum test were used for categorical variables, and t‐test was used for continuous variables to distinguish differences between groups. Results Cerebrospinal fluid leak was the most common complication, with no difference between the two groups (12.9% vs. 19.4%, p = 0.366). The bone healing rates of the two groups at 3 months after surgery were 77.4% and 87.1%, respectively, and there was no significant difference (p = 0.508). At 1 year after surgery, the resorbable group showedlower levels of anxiety/depression (1.20 ± 0.41 vs. 1.61 ± 0.61, p = 0.050), however, it did not affect the overall quality of life of the patients at 1 year. Conclusion Both titanium and absorbable internal fixation have shown good clinical results in the treatment of intraspinal tumors by laminareplantation. Regardless of cost, absorbable screws and plates are also suitable options for patients undergoing lamina replantation, because it has no stress shielding effect and does not require secondary removal. In addition, there are no artifacts in the image, which is more conducive to observing the recurrence of the tumor and the closure of the dural sac.https://doi.org/10.1111/os.14288bioabsorbable materialsintraspinal tumorlamina replantation |
| spellingShingle | Dingbang Chen Jinhan Song Luosheng Zhang Xin Gao Quan Huang Xinghai Yang Safety and Feasibility of Internal Fixation Using Bioabsorbable Versus Titanium Materials for Short‐Level Lamina Reimplantation: A Comparative Clinical Study Orthopaedic Surgery bioabsorbable materials intraspinal tumor lamina replantation |
| title | Safety and Feasibility of Internal Fixation Using Bioabsorbable Versus Titanium Materials for Short‐Level Lamina Reimplantation: A Comparative Clinical Study |
| title_full | Safety and Feasibility of Internal Fixation Using Bioabsorbable Versus Titanium Materials for Short‐Level Lamina Reimplantation: A Comparative Clinical Study |
| title_fullStr | Safety and Feasibility of Internal Fixation Using Bioabsorbable Versus Titanium Materials for Short‐Level Lamina Reimplantation: A Comparative Clinical Study |
| title_full_unstemmed | Safety and Feasibility of Internal Fixation Using Bioabsorbable Versus Titanium Materials for Short‐Level Lamina Reimplantation: A Comparative Clinical Study |
| title_short | Safety and Feasibility of Internal Fixation Using Bioabsorbable Versus Titanium Materials for Short‐Level Lamina Reimplantation: A Comparative Clinical Study |
| title_sort | safety and feasibility of internal fixation using bioabsorbable versus titanium materials for short level lamina reimplantation a comparative clinical study |
| topic | bioabsorbable materials intraspinal tumor lamina replantation |
| url | https://doi.org/10.1111/os.14288 |
| work_keys_str_mv | AT dingbangchen safetyandfeasibilityofinternalfixationusingbioabsorbableversustitaniummaterialsforshortlevellaminareimplantationacomparativeclinicalstudy AT jinhansong safetyandfeasibilityofinternalfixationusingbioabsorbableversustitaniummaterialsforshortlevellaminareimplantationacomparativeclinicalstudy AT luoshengzhang safetyandfeasibilityofinternalfixationusingbioabsorbableversustitaniummaterialsforshortlevellaminareimplantationacomparativeclinicalstudy AT xingao safetyandfeasibilityofinternalfixationusingbioabsorbableversustitaniummaterialsforshortlevellaminareimplantationacomparativeclinicalstudy AT quanhuang safetyandfeasibilityofinternalfixationusingbioabsorbableversustitaniummaterialsforshortlevellaminareimplantationacomparativeclinicalstudy AT xinghaiyang safetyandfeasibilityofinternalfixationusingbioabsorbableversustitaniummaterialsforshortlevellaminareimplantationacomparativeclinicalstudy |