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Cervical disc arthroplasty with Status-LP for the therapy of contiguous 2-level cervical degenerative disc illness: 5-year follow-up outcomes.
Medication (Baltimore). 2018 Jan;97(four):e9671
Authors: Gao X, Yang Y, Liu H, Meng Y, Zeng J, Wu T, Hong Y
Summary
The target of this examine is to current the long-term outcomes and to judge the security and effectiveness of the Status-LP cervical disc substitute in therapy of sufferers with symptomatic 2-level cervical degenerative disc illness.Twenty-four sufferers with 48 Status-LP disc have been analyzed earlier than surgical procedure and at 1 week, three months, 6 months, 12 months, 24 months, and 60 months after surgical procedure. Scientific assessments included 36-Quick Kind (SF-36), Japanese Orthopedic Evaluation (JOA), visible analog scale (VAS), and Neck Incapacity Index (NDI) scores. Radiographic assessments included cervical lordosis (CL), disc peak (DH), vary of movement (ROM) of the whole cervical backbone, purposeful spinal unit (FSU) in addition to higher and decrease operated phase. Issues on the 5-year follow-up have been collected as properly.Imply follow-up interval was 64.22 months. There was scientific enchancment by way of SF-36, JOA, NDI, and VAS from the preoperative to the ultimate follow-up (P?<?.05). General, ROM of the whole cervical backbone, FSU, and higher and decrease operated phase have been maintained throughout the follow-up. Statistically vital (P?<?.05) enhancements within the development of CL and DH have been famous on the follow-up. Eight sufferers have been noticed an look of heterotopic ossification on the 5-year follow-up, with 6 sufferers appeared at Class II and a pair of sufferers at Class III. Adjoining phase degeneration assessed by radiographic proof was present in 2 sufferers.Two-level cervical disc arthroplasty with Status-LP confirmed vital enchancment in scientific outcomes at 5 years. It not solely successfully preserves the movement of each complete cervical backbone and operated segments, but additionally restores regular CL and DH as much as 5 years postoperation.
PMID: 29369186 [PubMed – in process]