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目的 探究颈椎前路减压ROI-C融合器治疗多节段颈椎间盘退行性疾病的临床疗效.方法 回顾性分析11 例使用颈椎前路减压ROI-C融合器治疗多节段颈椎间盘退行性疾病的患者资料.记录术前影像学参数[颈椎前凸角(CA)、手术节段前凸角(SA)]及临床结果(JOA评分、NDI评分、VAS评分),并与术后及末次随访数据进行比较,记录手术时间、术中出血量、副合率、副合器沉降及吞咽困难发生率.结果 所有患者均顺利完成手术,未出现插片断裂或松动等.平均随访时间为(18.89±5.97)个月.术后及末次随访时的JOA评分、NDI评分、VAS评分较术前明显改善,差异具有统计学意义(P＜0.05),末次随访时的评分与术后相比差异无统计学意义(P＞0.05).术后及末次随访时的CA和SA较术前明显改善,差异具有统计学意义(P＜0.05),末次随访时的CA和SA与术后相比差异无统计学意义(P＞0.05).平均手术时间为(160.56±27.21)min,术中平均出血量为(80.56±19.76)mL.术后所有手术节段均获得了融合.术后1 例出现了轻微的吞咽困难,在3 个月内自行好转.结论 使用ROI-C融合器治疗多节段颈椎间盘退行性疾病能够取得令人满意的临床效果.“,”Objective To assess the efficacy and complications of anterior cervical discectomy and fusion (ACDF) with ROI-C peek cage in managing symptomatic multilevel cervical degenerative disc disease (MCDDD) (≥3 levels). Methods A total of 11 patients diagnosed with MCDDD (≥3 levels) underwent ACDF with ROI-C implant (LDR, Troyes, France) were recruited in this retrospective study. Preoperative radiological parameters (cervical angle and segmental angle) and clinical results (Japanese Orthopaedic Association (JOA) score, neck disability index (NDI) score, and visual analog scale (VAS)) were recorded and compared with postoperative and final follow-up data. Operative time, intraoperative blood loss, fusion rate, and incidence of subsidence and dysphasia were recorded. Results All patients tolerated the procedure well. No clip rupture, breakage or loosening was detected. The average follow-up time was (18.89±5.97) months. Statistical significant improvement at 3 months postoperative was observed (P＜0.05) in JOA score, NDI score, and VAS, and maintained at final follow-up. Cervical angle and segmental angle increased significantly postoperative and sustained at final follow-up. The average operation time was (160.56±27.21) minutes, and the mean intraoperative blood loss was (80.56±19.76) mL. Only 1 patient complaint with dysphasia, but relieved with 3 months. Fusion was achieved in all cases. Conclusion ROI-C peek cage demonstrated good clinical effects in managing symptomatic MCDDD in a relatively short-time follow-up.