Artificial Cervical Disk Replacement for the Treatment of Adjacent Segment Disease After Anterior Cervical Decompression and Fusion

Clinical Spine Surgery : a Spine Publication
Sheng BinLiu Bin

Abstract

Retrospective study. To evaluate the outcome of artificial cervical disk replacement (ACDR) for the treatment of adjacent segment disease (ASD) after anterior cervical decompression and fusion (ACDF). ACDF is the useful procedure for degenerative cervical diseases. However, studies have reported accelerated degeneration of functional spinal units adjacent to the fusion site after ACDF. Between January 2004 and January 2011, 32 inpatients (18 male, 14 female; age, 38-61 y; mean, 48 y) underwent ACDR for the treatment of ASD after previous ACDF (single-level: n=12; 2-level: n=15; 3-level: n=5). In 22 patients, ASD occurred above the fusion site, and in 10 it occurred below the site. After ACDR, the patients were followed up for 30-62 months (mean, 49 mo). Before and after ACDR, patients were evaluated using the pain visual analog scale (VAS), the Japanese Orthopedic Association (JOA) score, and neck disability index (NDI). In addition, the range of motion (ROM) of the replaced and adjacent unfused segments was measured by flexion/extension lateral radiography. Periprosthetic heterotopic ossification was detected using McAfee's classification. Degeneration of the adjacent unfused segment was evaluated using Goffin scale. All patie...Continue Reading

References

May 4, 1999·The Journal of Bone and Joint Surgery. American Volume·A S HilibrandH H Bohlman
Aug 7, 2003·Journal of Spinal Disorders & Techniques·Paul C McAfeeJanet Yu-Yahiro
Jul 21, 2004·Journal of Spinal Disorders & Techniques·Jan GoffinJohan van Loon
Dec 31, 2005·Journal of Neurosurgery. Spine·James T RobertsonVincent C Traynelis
Nov 7, 2007·The Spine Journal : Official Journal of the North American Spine Society·Joshua D AuerbachKingsley R Chin
Nov 16, 2011·The Orthopedic Clinics of North America·Christopher K Kepler, Alan S Hilibrand
Dec 6, 2011·Journal of Neurosurgery. Spine·Mark L PrasarnWilliam Sukovich
Dec 27, 2011·Journal of Neurosurgery. Spine·Cheerag D UpadhyayaPraveen V Mummaneni
Jan 25, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Xiao-Dong WuYuan-Yuan Chen
Aug 14, 2012·Spine·Daryl R FourneyJohn G DeVine

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