The article presents the findings of a retrospective case-control study that evaluated the postoperative outcomes of single-level cervical disc arthroplasty (CDA) in patients with osteopenia compared to those with normal bone mineral density (BMD). The study included 38 patients with osteopenia who underwent CDA and were matched with a cohort of patients with normal BMD. The results showed that the osteopenia group achieved satisfactory clinical outcomes, with no significant differences compared to the normal group in terms of radiological parameters or complications. However, the osteopenia group had a higher incidence of implant subsidence and anterior bone loss. Overall, the study suggests that single-level CDA can be a feasible option for selected patients with osteopenia
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated day surgery spinal centre in UK
Published article
CONCLUSIONS: Single-level CDA for patients with osteopenia achieved similar satisfactory clinical outcomes compared with the normal BMD group. Meanwhile, the osteopenia group maintained adequate sagittal balance and segmental height. Based on this observation, this option may be feasible for selected patients with osteopenia.
Cervical Disc Arthroplasty Surgery Expert. Best Spinal Surgeon UK
Abstract Study design: Retrospective case-control study. Objectives: To evaluate postoperative outcomes of single-level cervical disc arthroplasty (CDA) in patients with osteopenia and compare these results with a matched cohort of normal bone mineral density (BMD). Methods: Patients who had undergone single-level CDA were collected and screened. Included patients were divided into the osteopenia group and,
Abstract
Study design: Retrospective case-control study.
Objectives: To evaluate postoperative outcomes of single-level cervical disc arthroplasty (CDA) in patients with osteopenia and compare these results with a matched cohort of normal bone mineral density (BMD).
Methods: Patients who had undergone single-level CDA were collected and screened. Included patients were divided into the osteopenia group and the normal group. 38 eligible patients with osteopenia were included in the final analysis. Subsequently, a 1:1 match was utilized. Clinical, radiographic data, and complications were recorded. Appropriate statistical methods were applied to conduct analysis using SPSS version 24.0.
Results: The mean follow-up time was 30.5 ± 27.3 months. The osteopenia group achieved satisfactory clinical outcomes, with no significant intergroup differences. Additionally, there were no significant differences between groups in any of the radiological parameters, either in cervical alignment or segmental height, or range of motion. The radiological incidence rate of adjacent segmental degeneration and heterotopic ossification (HO) was comparable in both groups, respectively, with a similar composition of ROM-limiting HO. However, the osteopenia group had a tendency of more implant subsidence (2.7% vs 15.2%). The logistic regression analysis showed the osteopenia group had a significantly higher incidence rate of anterior bone loss (ABL) (OR = 5.37, 95% CI: 1.50 – 19.22).
Conclusions: Single-level CDA for patients with osteopenia achieved similar satisfactory clinical outcomes compared with the normal BMD group. Meanwhile, the osteopenia group maintained adequate sagittal balance and segmental height. Based on this observation, this option may be feasible for selected patients with osteopenia.
Keywords: anterior bone loss; bone mineral density; cervical disc arthroplasty; osteopenia.
The London Spine Unit : the highest rated day surgery spinal centre in UK
Read the original publication:
Is Cervical Disc Arthroplasty an Effective Treatment for Cervical Degenerative Disease With Osteopenia?
