EBSCO Logo
Connecting you to content on EBSCOhost
Results
Title

Does Screw Number of Zero‐profile Implants in Fusion Segment Influence Intervertebral Stability?

Authors

Peng, Zihan; Deng, Yuxiao; Sheng, Xiaqing; Liu, Hao; Li, Ye; Hong, Ying; Pan, Xiaoli; Meng, Yang

Abstract

Objective: The unclear clinical outcomes of two different zero‐profile implants with different number of screws in hybrid surgery restricts the choice of patient‐specific implants. This study aims to compare two different implants on its postoperative subsidence, motion stabilization and clinical outcomes. It also provides references to the most reasonable implant choice in fusion surgery. Methods: This was a retrospective study. From February 2014 to March 2022, 173 patients who underwent hybrid surgery were included. Among them, 122 received surgery with a four screw implant, while 51 received a two screw implant. We analyzed the significance of patient‐specific factors, radiographic factors and clinical outcomes. The Wilcoxon rank sum test, t tests/analysis of variance (ANOVA) test and stepwise multivariate logistic regression were adopted for statistical analysis. Results: No statistically significant difference was observed between the two screw and four screw groups in terms of immediate, middle, and long‐term stability and fusion rate (p > 0.05). However, the two screws group had higher FSU height subsidence at 3, 6, and 12 months postoperatively and higher rates of significant subsidence at three and 6 months postoperatively (p < 0.05). Both groups showed significant clinical improvements at the final follow‐up. Conclusion: Two screw and four screw implants provide comparable stability, fusion rates and clinical outcomes. However, the two screw implant was inferior to the four screw implant in subsidence prevention. Therefore, the two‐screw implant is non‐inferior to the four‐screw implant in most patients. It can be used as the priority choice in the fusion segment by its easy manageability. However, the patients with a high risk of subsidence such as multilevel surgery, the elderly, lower BMD, bad cervical alignment should receive a four screw implant rather than a two screw implant.

Subjects

LOGISTIC regression analysis; ANALYSIS of variance; PSEUDARTHROSIS; SCREWS; LAND subsidence

Publication

Orthopaedic Surgery, 2024, Vol 16, Issue 10, p2355

ISSN

1757-7853

Publication type

Academic Journal

DOI

10.1111/os.14139

EBSCO Connect | Privacy policy | Terms of use | Copyright | Manage my cookies
Journals | Subjects | Sitemap
© 2025 EBSCO Industries, Inc. All rights reserved