Comparison of 2-year follow-up results of the hybrid surgery using Mobi-C combined with ROI-C and anterior cervical discectomy and fusion for the treatment of contiguous two-level cervical degenerative disc diseases
| Autor: | Yi Qu, Zi-Yi Zhao, Feng-Xian Wang, Ding-Yan Zhao, Ji-Zhou Yang, Xing Yu, Yang Xiong, Lian-Yong Bi, Yongdong Yang |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Total Disc Replacement medicine.medical_specialty Time Factors Follow up results Degenerative disc Anterior cervical discectomy and fusion Intervertebral Disc Degeneration 03 medical and health sciences 0302 clinical medicine Physiology (medical) Humans Medicine Intervertebral Disc Aged Retrospective Studies business.industry Prostheses and Implants General Medicine Middle Aged Cervical spine Surgery Spinal Fusion Treatment Outcome Neurology 030220 oncology & carcinogenesis Radiological weapon Cervical Vertebrae Female Neurology (clinical) business Range of motion 030217 neurology & neurosurgery Diskectomy Follow-Up Studies Artificial disc |
| Zdroj: | Journal of Clinical Neuroscience. 73:42-47 |
| ISSN: | 0967-5868 |
| DOI: | 10.1016/j.jocn.2020.01.090 |
| Popis: | Although the Mobi-C artificial disc and the ROI-C cervical cage have been widely used in the treatment of cervical degenerative disc diseases (CDDD), few reports addressed the features of combined application of both devices. This study is aimed at comparing the clinical and radiological outcomes of treating contiguous two-level CDDD using Mobi-C and ROI-C combined in a hybrid surgery (HS) with anterior cervical discectomy and fusion (ACDF) using ROI-C. We reviewed ninety-one patients who underwent HS (n = 48) or ACDF (n = 43) surgery for symptomatic contiguous two-level CDDD.2 years' clinical and radiological outcomes were reviewed and evaluated retrospectively. At the last follow-up, significant improvement in the mean VAS, JOA, and NDI scores was found both in the HS and ACDF groups (p 0.05), while the differences between groups were not significant (p 0.05). The global range of motion (ROM) in the HS group was significantly larger than that in the ACDF group (p 0.05). The local lordosis improved significantly after surgery in all patients (p 0.05). Bone resorption and heterotopic ossification (HO) were found after surgery. The result showed that, for the selected patients, HS may provide an alternative approach for the treatment of contiguous two-level CDDD. HS also offers the benefit of both greater global ROM and greater ROM at the Mobi-C index level. Some degree of bone resorption may be an integral component in the early stage of bony fusion in the cage index level. Further studies and long-term follow-up are still needed. |
| Databáze: | OpenAIRE |
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