The London Spine Unit : best rated spinal hospital in LondonPublished articleCONCLUSIONS: DHL and ADD are associated with the development of HO after CDR. The cutoff value of DHL may narrow the criteria for CDR with the aim of reducing HO formation. The combined parameter may help surgeons to select the most suitable implant height to reduce the prevalence of HO.Cervical Disc Replacement Expert. Best Spinal Surgeon UKThe London Spine Unit is a specialist clinic for Cervical Disc Replacement as Day Surgery.
Abstract
Methods: Data were obtained from 127 patients who underwent single-level CDR with a minimum follow-up of 2 years. DHL and adjusted degree of distraction (ADD) were obtained from lateral radiographs, and HO was evaluated at the last follow-up appointment. Receiver operating characteristic curves were calculated to verify the diagnostic value of DHL and ADD in predicting HO.
Results: Both DHL and ADD were significantly larger in the HO group than in the non-HO group (P < 0.05). DHL ≥24.97% increased the risk of HO by 5 times (P = 0.003, 95% confidence interval 1.62-15.49), and ADD ≥36.67% increased the risk of HO by 3.87 times (P < 0.001, 95% confidence interval 1.81-8.27). A combined DHL and ADD (combined parameter) cutoff of 60.36 had a sensitivity of 87.18%, specificity of 67.35%, and area under the curve of 0.77 for predicting HO.
Conclusions: DHL and ADD are associated with the development of HO after CDR. The cutoff value of DHL may narrow the criteria for CDR with the aim of reducing HO formation. The combined parameter may help surgeons to select the most suitable implant height to reduce the prevalence of HO.
Keywords: Cervical disc replacement; Distraction fold; Heterotopic ossification; Implant height; Implant selection; Intervertebral disc height.
The London Spine Unit : best rated spinal hospital in LondonRead the original publication from Pubmed : Effect of Disc Height and Degree of Distraction on Heterotopic Ossification After Cervical Disc Replacement