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Hybrid Implants In Anterior Cervical Spine Surgery: The State Of The Art And New Trends For Multilevel Degenerative Disc Disease – Cervical Disc Replacement

This article is about a surgical option called hybrid surgery (HS) that combines anterior cervical discectomy and fusion (ACDF) with cervical disc arthroplasty (CDA) to treat cervical degenerative disc disease (DDD). The study reviewed the outcomes of 85 patients who underwent this procedure and found that all patients improved regardless of the specific surgical technique used. The researchers concluded that HS is a safe and effective procedure for select patients with multilevel cervical DDD

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised spine centre in London

Published article

CONCLUSIONS: Although the optimal surgical technique for cervical DDD remains controversial, HS represents a safe and effective procedure in select patients with multilevel cervical DDD, as demonstrated by biomechanical and clinical studies and the present series.

Cervical Disc Arthroplasty Surgery Expert. Best Spinal Surgeon UK
Abstract Background: Anterior cervical discectomy and fusion (ACDF) still represents the first surgical option in the treatment of cervical degenerative disc disease (DDD) but is still burdened by several complications secondary to the loss of mobility at the treated segment and adjacent segment diseases (ASDs). To overcome those complications, hybrid surgery (HS) incorporating ACDF and,

Abstract

Background: Anterior cervical discectomy and fusion (ACDF) still represents the first surgical option in the treatment of cervical degenerative disc disease (DDD) but is still burdened by several complications secondary to the loss of mobility at the treated segment and adjacent segment diseases (ASDs). To overcome those complications, hybrid surgery (HS) incorporating ACDF and cervical disc arthroplasty (CDA) is increasingly performed for DDD.

Methods: We retrospectively reviewed the clinical, surgical, and outcome data of 85 consecutive patients (M/F, 41/44) harboring cervical disc herniation with or without osteophytes, with radiculopathy and with or without myelopathy, who underwent the anterior approach to a cervical discectomy on two or more levels with at least one disc prosthesis, along with a cage and plate or an O Profile screwed plate.

Results: All the patients improved regardless of the cervical construct used. No significant relationship between different kinds of prosthesis and their surgical level; the number of cages; and the site of the cages (screwed and/or plated) was found concerning immediate stability, dynamic prosthesis effectiveness, and clinical improvement in all the patients up to the maximum follow-up time.

Conclusions: Although the optimal surgical technique for cervical DDD remains controversial, HS represents a safe and effective procedure in select patients with multilevel cervical DDD, as demonstrated by biomechanical and clinical studies and the present series.

Keywords: Anterior cervical discectomy and fusion; Degenerative disc disease; Hybrid surgery; Myelopathy; Spinal surgery.

The London Spine Unit : best recognised spine centre in London

Read the original publication:

Hybrid Implants in Anterior Cervical Spine Surgery: The State of the Art and New Trends for Multilevel Degenerative Disc Disease

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Abstract Background: Anterior cervical discectomy and fusion (ACDF) still represents the first surgical option in the treatment of cervical degenerative disc disease (DDD) but is still burdened by several complications secondary to the loss of mobility at the treated segment and adjacent segment diseases (ASDs). To overcome those complications, hybrid surgery (HS) incorporating ACDF and

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