Cervical Arthroplasty for Traumatic Disc Herniation: An Age- and Sex-matched Comparison with Anterior Cervical Discectomy and Fusion

BMC Musculoskeletal Disorders
Hsuan-Kan ChangHenrich Cheng

Abstract

The efficacy and safety of using cervical arthroplasty for degenerative disc disease have been demonstrated by prospective, randomized and controlled clinical trials. However, there are scant data on using cervical arthroplasty for traumatic disc herniation. Therefore, this study aimed to investigate the outcomes of patients who underwent cervical arthroplasty for traumatic disc herniation. This cohort included patients who were admitted through the emergency department for trauma. Only patients who had newly-onset, one- or two-level cervical disc disease causing radiculopathy or myelopathy were identified. None of these patients had previously sought for medical attention for such problems. Those patients who had severe spinal cord injury (i.e. American Spinal Injury Association scale A, B or C) or severe myelopathy (i.e. Nurick scale 4 or 5), bony fracture, dislocation, perched facet, kyphotic deformity, or instability were also excluded. An age- and sex-matched one-to-one comparison was made between patients who underwent cervical arthroplasty, on the one hand, and anterior cervical discectomy and fusion (ACDF). A total of 30 trauma patients (15 in the arthroplasty group and 15 in the ACDF group) were analyzed, with a mean f...Continue Reading

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Citations

Feb 2, 2017·Neurosurgical Focus·Hsuan-Kan ChangHenrich Cheng
Oct 28, 2017·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·V A Byval'tsevV V Shepelev
Dec 15, 2016·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Chaojie YuBin Liang
Jul 31, 2018·Operative Neurosurgery·Panagiotis KerezoudisMohamad Bydon
Sep 29, 2021·Journal of Orthopaedic Surgery·Jun Jae ShinK Daniel Riew

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