Outcomes following cervical disc arthroplasty: A retrospective review

Cody, John P.; Kang, Daniel G.; Tracey, Robert W.; Wagner, Scott C.; Rosner, Michael; Lehman, Ronald A.

doi:10.1016/j.jocn.2014.05.008

Cited by 13 publications

(9 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this cohort, 94.5% received the Prestige and 5.5% received the ProDisc C. In the first study, 92.2% of patients were able to return to full activity levels postoperatively [21]. The second study compared postoperative activity levels of CDA and ACDF patients.…”

Section: Postoperative Activity Levelsmentioning

confidence: 99%

Cervical disc replacement surgery: biomechanical properties, postoperative motion, and postoperative activity levels

Pisano

Helgeson

2017

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

Purpose of review Cervical disc arthroplasty (CDA) is an evolving technique used in the treatment of cervical disc disease. To remain up to date on studies regarding its efficacy, we sought to answer three questions: What do biomechanical studies demonstrate in regard to the kinematics of CDA? How does CDA affect cervical motion? What are the postoperative activity levels of patients after cervical disc arthroplasty? Recent findings 1) In regard to biomechanics, recent data suggests that CDA maintains motion while possibly altering facet biomechanics. 2) Radiographic data indicates a reliable maintenance of motion in the short and medium term. 3) Postoperative activity levels are assessed with clinical outcome data which demonstrate reliable improvement in pain and function.Summary The data reviewed here establishes CDA as an efficacious treatment in the relief of symptoms from CDD. It is important to note however that an evaluation of CDA would benefit from more robust data, specifically in regards to longterm clinical outcomes.

show abstract

Section: Postoperative Activity Levelsmentioning

confidence: 99%

Cervical disc replacement surgery: biomechanical properties, postoperative motion, and postoperative activity levels

Pisano

Helgeson

2017

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

show abstract

“…A retrospective review showed a lower rate of symptom control postoperatively, a higher rate of dysphagia, and persistent axial neck pain. 24 In another study, the patients treated with hybrid constructs had faster recovery of range of motion and have had similarly good results as those with other, nonhybrid, constructs for degenerative cervical disease. 31 Hybrid constructs have been shown to be a good option for patients suffering from radiculopathy or myelopathy.…”

Section: Treatment Alternativesmentioning

confidence: 89%

“…[19][20][21][22][23][24][25] Mummaneni et al 23 found that CDA patients showed improved neurologic function, more rapid return to work, and better Neck Disability Index scores in a prospective, randomized, controlled comparison with ACDF. A 7-year follow-up by the same investigators revealed that resolution of neck pain and neurologic status after CDA may be maintained beyond the short term, and that revision surgery after CDA was less frequent.…”

Section: Treatment Alternativesmentioning

confidence: 99%

Cervical Disc Replacement vs Anterior Cervical Discectomy and Fusion

Mantica

Meals

O’Brien

2015

Operative Techniques in Orthopaedics

View full text Add to dashboard Cite

“…These complications, especially persistent cervical pain, are usually more common in patients who have more serious clinical and radiological conditions in preoperative planning. 15 In cases of multiple-level degenerative cervical disease, where each cervical disc level has a different degree of degeneration (collapsed intradiscal space, facet joint degeneration, and the presence of osteophytes or total loss of normal segment movement), the concept of a hybrid surgery was developed, which consists of a combination of the surgical techniques of arthroplasty with cervical arthrodesis such that each level can be treated individually with the technique most indicated for its degree of degeneration, avoiding unnecessary stress on the levels adjacent to the surgical approach and consequently reducing postoperative complications that impair the functional recovery of the patients. Although this surgical technique is better suited to the condition of the patient, it has disadvantages, such as increased surgical time and intraoperative blood loss, an increased rate of heterotopic ossification, the possibility of vertebral body fractures, dislocation of the implant (if not properly placed), and the possible loss of cervical lordosis.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of the Most Used Techniques in Patients With Degenerative Cervical Disease

Debs¹,

Cesar²,

Rodrigues³

et al. 2020

Coluna/Columna

View full text Add to dashboard Cite

The objective of this study was to discuss the three main surgical techniques currently applied in the treatment of degenerative cervical discopathy and their repercussions on patient quality of life. We considered the impact of the surgical techniques applied to the quality of life of 24 patients who underwent surgery during the period from 2010 to 2017 using the Oswestry and SF-36 scales. With the application of the questionnaires we observed, through the applicability and analysis of the quality of life results indicated in the questionnaires, that pain improvement and a reduction in work and daily activity disability were more effective with cervical arthroplasty. We concluded that with the individualization of surgical treatment, that is, through the choice of the surgical technique most appropriate for the clinical condition, the postoperative recovery and consequently the quality of life of the patient are enhanced. Level of evidence IV; Descriptive study.A presente pesquisa pretende discutir as três principais técnicas cirúrgicas aplicadas atualmente no tratamento da discopatia degenerativa cervical e a sua repercussão na qualidade de vida do paciente. Considerou-se o impacto das técnicas cirúrgicas aplicadas na qualidade de vida de 24 pacientes submetidos à cirurgia no período de 2010 a 2017, através da escala de Oswestry e do SF-36. Com a aplicação do estudo pudemos observar que através da aplicabilidade e análise dos resultados apontados nos questionários de qualidade de vida, a melhora da dor e a diminuição da incapacidade laboral e diária foram mais eficazes na artroplastia cervical. Concluiu-se que com a individualização do tratamento cirúrgico, ou seja, através da escolha da técnica cirúrgica mais apropriada ao quadro clínico, potencializa--se a recuperação pós-operatória e, consequentemente, a qualidade de vida do paciente. Nível de evidência IV; Estudo Descritivo.Descritores: Espondilose; Cirurgia; Coluna Vertebral; Cervicalgia; Disco Intervertebral. RESUMENLa presente investigación pretende discutir las tres principales técnicas quirúrgicas aplicadas actualmente en el tratamiento de la discopatía degenerativa cervical y su repercusión en la calidad de vida del paciente. Se consideró el impacto de las técnicas quirúrgicas aplicadas en la calidad de vida de 24 pacientes sometidos a cirugía en el período de 2010 a 2017, a través de la escala de Oswestry y del SF-36. Con la aplicación del estudio pudimos observar que a través de la aplicabilidad y análisis de los resultados apuntados en los cuestionarios de calidad de vida, la mejora del dolor y la disminución de la incapacidad laboral y diaria fueron más eficaces en la artroplastia cervical. Se concluyó que, con la individualización del tratamiento quirúrgico, o sea, a través de la elección de la técnica quirúrgica más apropiada al cuadro clínico, se potencializa la recuperación postoperatoria y, consiguientemente, la calidad de vida del paciente. Nivel de evidencia IV; Estudio descriptivo.

show abstract

Outcomes following cervical disc arthroplasty: A retrospective review

Cited by 13 publications

References 24 publications

Cervical disc replacement surgery: biomechanical properties, postoperative motion, and postoperative activity levels

Cervical disc replacement surgery: biomechanical properties, postoperative motion, and postoperative activity levels

Cervical Disc Replacement vs Anterior Cervical Discectomy and Fusion

The Effectiveness of the Most Used Techniques in Patients With Degenerative Cervical Disease

Contact Info

Product

Resources

About