Cervical Disc Arthroplasty
The London Spine Unit : best situated day surgery unit in the world
Published article
CONCLUSIONS: When assessed over 5 years following surgery, we found CDA to be superior with respect to ROM, FSU, overall cervical alignment, and maintenance of disc height when compared to ACDF with PEEK implant.
Cervical Disc Arthroplasty Expert. Best Spinal Surgeon UK
The London Spine Unit is a specialist clinic for Cervical Disc Arthoplasty as Day Surgery.
Abstract
Introduction: In this double-blinded randomized controlled trial, we compare the long-term clinicoradiological effects of anterior cervical discectomy and fusion with polyether ether ketone implant (ACDF with PEEK) versus artificial cervical disc (cervical disc arthroplasty [CDA]) in patients with single and bilevel cervical degenerative disc disease (CDDD).
Aims: We aimed to compare the pain scores, cervical kinematics, and radiological outcomes in patients undergoing CDA and ACDF for single and bilevel CDDD over 5 years.
Settings and design: This study was carried out from 2010 to 2019 in the Neurosurgery Department of a Tertiary Care Hospital attached to a Medical College in India.
Subjects and methods: We enrolled 30 patients in each group. Clinical and radiological assessments were carried out for all patients over a period of 5 years.
Statistical analysis used: Wilcoxon Signed-rank test, Mann-Whitney U-test, and Fischer’s exact test were used for comparing the preoperative and follow-uP values. R software version 3.6.0 was used for statistical analysis.
Results: A significant improvement in the cervical range of motion, sagittal range of motion (ROM), and functional spinal unit (FSU) was observed in the CDA group at final follow-up, while the PEEK group reported a significant decrease in the ROM and FSU and the difference between the two groups was also found to be statistically significant.
Conclusions: When assessed over 5 years following surgery, we found CDA to be superior with respect to ROM, FSU, overall cervical alignment, and maintenance of disc height when compared to ACDF with PEEK implant.
Keywords: Anterior cervical discectomy and fusion; cervical arthrodesis; cervical arthroplasty; cervical degenerative disc disease; cervical disc arthroplasty; polyether ketone.
The London Spine Unit : best situated day surgery unit in the world
Read the original publication from Pubmed :