[Early clinical and radiological results following cervical disc arthroplasty].
The aim of this study was to assess early results of anterior cervical decompression and arthroplasty for cervical disc disease. The results of operations of 32 patients (43 instrumented levels) were examined to assess clinical outcome, the restoration of disc height, postoperative lordosis, mobility of instrumented segment and complication rate. Clinical outcome evaluated with VAS score improved from 7.5 preoperatively to 2.7 post operation. There was improvement in disc height measured by Tureyen method of 48%, 5 degree restoration of lordosis per segment and average 5 degree mobility of operated segment. In two cases spontaneous fusion occurred. There were no loosening of prosthesis observed. Overall the study shows that early results of arthroplasty are clinically efficient and safe as fusion. Assessment of biomechanical advantages of arthroplasty demands further observation to compare if long-term results are superior to fusion.
Paściak
Marek
M
Oddzialł IV, Schorzeń i Urazów Kregosłupa, Wojewódzki Szpital Chirurgii Urazowej w Piekarach Slaskich.
Wadek
Tomasz
T
Widuchowski
Jerzy
J
Grzywocz
Jerzy
J
Werner
Krystian
K
Swiderski
Michał
M
D000328:Adult; D019643:Arthroplasty, Replacement; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000000981:diagnostic imaging / Q000601:surgery*; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging / Q000601:surgery*; D007595:Joint Prosthesis; D008297:Male; D011859:Radiography; D016896:Treatment Outcome