Comparison of 6-year Follow-up Result of Hybrid Surgery and Anterior Cervical Discectomy and Fusion for the Treatment of Contiguous Two-segment Cervical Degenerative Disc Diseases
| Autor: | He Zhao, Chuan-Hong Li, Si-Xue Chen, Yongdong Yang, Li-Jun Duan, Zhengguo Hu, Ding-Yan Zhao, Tao Liu, Yang Xiong, Lin Xu, Bingbing Zhang, Xing Yu |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Total Disc Replacement medicine.medical_specialty Visual analogue scale medicine.medical_treatment Anterior cervical discectomy and fusion Intervertebral Disc Degeneration Prosthesis 03 medical and health sciences 0302 clinical medicine Deformity Humans Medicine Orthopedics and Sports Medicine Postoperative Period 030212 general & internal medicine Range of Motion Articular Intervertebral Disc Aged Pain Measurement Retrospective Studies business.industry Middle Aged medicine.disease Sagittal plane Surgery Spinal Fusion Treatment Outcome medicine.anatomical_structure Orthopedic surgery Cervical Vertebrae Female Heterotopic ossification Neurology (clinical) medicine.symptom business Range of motion 030217 neurology & neurosurgery Diskectomy Follow-Up Studies |
| Zdroj: | Spine. 43:1418-1425 |
| ISSN: | 1528-1159 0362-2436 |
| DOI: | 10.1097/brs.0000000000002639 |
| Popis: | STUDY DESIGN A retrospective study. OBJECTIVE To compare the mid-term outcomes of hybrid surgery (HS) and anterior cervical discectomy and fusion (ACDF) for the treatment of contiguous two-segment cervical degenerative disc diseases. SUMMARY OF BACKGROUND DATA HS has become one of the most controversial subjects in spine communities, and the comparative studies of HS and ACDF in the mid- and long-term follow-up are rarely reported. METHODS From 2009 to 2012, 42 patients who underwent HS (n = 20) or ACDF (n = 22) surgery for symptomatic contiguous two-level cervical degenerative disc diseases were included. Clinical and radiological records, including Japanese Orthopedic Association (JOA), Neck Disability Index (NDI), Visual Analogue Scale (VAS), local cervical lordosis, and range of motion (ROM), were reviewed retrospectively. Complications were recorded and evaluated. RESULTS Mean follow-up was 77.25 and 79.68 months in HS group and ACDF group, respectively (P > 0.05). Both in HS group and ACDF group, significant improvement for the mean JOA, NDI, and VAS scores was found at 2-week postoperation and at the last follow-up (P 0.05). At the last follow-up, the range of motion (ROM) of superior adjacent segments in ACDF group was significantly larger than HS group (P |
| Databáze: | OpenAIRE |
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