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Could The Different Surgical Goals Of Fusion And Non-Fusion Also Be Achieved In Combination Within The Same Patient? Clinical And Radiological Outcome Of Hybrid Cervical Spine Surgery – Cervical Disc Replacement

The article discusses the results of a study on hybrid cervical spine surgery (HS), a novel surgical approach combining artificial disc replacement with cervical fusion using a stand-alone titanium cage. Thirty-six patients were treated with HS and evaluated preoperatively and at least one year postoperatively. The study found significant improvements in clinical outcomes, including reduced neck and arm pain, increased range of motion, and successful fusion. The results suggest that HS can preserve segmental motion in the artificial disc replacement area while achieving solid fusion in the fusion area, making it a safe and viable treatment option in select cases. Key terms include ACDF, cervical spine, level per level indication, and total cervical disc replacement

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated treatment clinic on Harley Street UK

Published article

CONCLUSIONS: HS results in preservation of the segmental motion in the cTDR and fast and solid fusion in the cage cohort simultaneously. Patient safety was proven. In carefully selected cases, HS is a safe and viable treatment option by choosing the right “philosophy” level per level.

Cervical Disc Replacement Surgery Expert. Best Spinal Surgeon UK
Abstract Purpose: Hybrid cervical spine surgery (HS) is a novel surgical strategy wherein an artificial disc replacement is done with a cervical fusion nearby with a stand-alone titanium cage to combine the advantages in both procedures. The aim of this study was to evaluate interactions of these devices within the same patient, and to analyze,

Abstract

Purpose: Hybrid cervical spine surgery (HS) is a novel surgical strategy wherein an artificial disc replacement is done with a cervical fusion nearby with a stand-alone titanium cage to combine the advantages in both procedures. The aim of this study was to evaluate interactions of these devices within the same patient, and to analyze, if the different goal of each implant is accomplished.

Methods: Thirty-six patients were treated surgically within a non-randomized retrospective study framework with HS. Patients were examined preoperatively followed by clinical and radiological examination at least one year postoperative. Clinical outcome was detected with NDI, VAS arm/neck, pain self-assessment questionnaires and subjective patient satisfaction. Radiological assessments included RoM, segmental lordosis, cervical lordosis of C2-C7, subsidence, ap-migration and heterotopic ossifications (HO) at the cTDR levels.

Results: Statistically significant improvement of all clinical scores was observed (NDI 37.5 to 5.76; VASarm 6.41 to 0.69; VASneck 6.78 to 1.48). Adequate RoM was achieved at cTDR levels. RoM in the ACDF levels was reduced statistically significant (p < 0.001), and solid fusion (> 2°) was achieved in all evaluated fusion level. Global lordosis (C2-C7) increased statistically significant (2.4° to 8.1°). Subsidence and HO at the cTDR levels did not occur.

Conclusions: HS results in preservation of the segmental motion in the cTDR and fast and solid fusion in the cage cohort simultaneously. Patient safety was proven. In carefully selected cases, HS is a safe and viable treatment option by choosing the right “philosophy” level per level.

Keywords: ACDF; Cervical spine; Hybrid cervical spine surgery; Level per level indication; Total cervical disc replacement.

The London Spine Unit : the highest rated treatment clinic on Harley Street UK

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Could the different surgical goals of fusion and non-fusion also be achieved in combination within the same patient? Clinical and radiological outcome of hybrid cervical spine surgery

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Abstract Purpose: Hybrid cervical spine surgery (HS) is a novel surgical strategy wherein an artificial disc replacement is done with a cervical fusion nearby with a stand-alone titanium cage to combine the advantages in both procedures. The aim of this study was to evaluate interactions of these devices within the same patient, and to analyze

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