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One-Year Follow-Up Study On Assessing The Range Of Segmental Motion And Clinical Outcomes Following Cervical Disc Arthroplasty For Treatment Of Severe Cervical Disc Degeneration – Cervical Disc Replacement

The article presents a retrospective cohort study on the impact of cervical arthroplasty on severe cervical disc degeneration (CDD). The study included 40 patients with severe CDD who underwent single-level cervical arthroplasty using ProDisc-C®. The range of motion (ROM) and clinical outcomes, measured by the Visual Analogue Scale (VAS) and Neck Disability Index (NDI), were evaluated after surgery. Results showed that cervical dynamic ROM increased after arthroplasty, particularly in extension. The VAS for neck and arm pain decreased significantly, and the NDI score improved. Overall, the study suggests that cervical arthroplasty can improve clinical outcomes and restore ROM in severe CDD patients

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSIONS: Cervical arthroplasty can improve clinical outcomes and restore ROM in severe CDD patients.

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Abstract Background: Though previous studies have documented various clinical outcomes after cervical arthroplasty for degenerative cervical disc disease, none of them reported the impact of cervical arthroplasty on severe cervical disc degeneration (CDD). Methods: This retrospective cohort study included severe 40 CDD (C3-C7) patients who underwent single-level cervical arthroplasty using ProDisc-C® between January 2017 and,

Abstract

Background: Though previous studies have documented various clinical outcomes after cervical arthroplasty for degenerative cervical disc disease, none of them reported the impact of cervical arthroplasty on severe cervical disc degeneration (CDD).

Methods: This retrospective cohort study included severe 40 CDD (C3-C7) patients who underwent single-level cervical arthroplasty using ProDisc-C® between January 2017 and December 2019. After surgical intervention, the range of motion (ROM) was determined, whereas clinical outcomes were measured in terms of the Visual Analogue Scale (VAS) and Neck Disability Index (NDI) to evaluate neck pain and disability, respectively.

Results: Compared to the mean pre-operative ROM (6.57±4.85°), the cervical dynamic ROM was increased 3 months after cervical arthroplasty, and the increment was maintained for at least one year. The increased ROM is attributed to the extension and not flexion components. The mean pre-operative ROM of 6.57±4.85° significantly increased to 11.67±4.98° (p=0.0005), 10.05±5.18° (p=0.0426) and 10.46±4.73° (p=0.0247) after 3 months, 6 months and 1 year, respectively. The extension ROM also revealed a similar trend. VAS for neck and arm decreased from 7.4 and 6.6 to 1.4 and 1.2, respectively. Consistently, the pre-operative mean NDI score of 27.6 decreased to 14.6. We recorded a case of device subsidence, but without extrusion.

Conclusions: Cervical arthroplasty can improve clinical outcomes and restore ROM in severe CDD patients.

Keywords: Cervical disc arthroplasty; Flexion ROM; cervical disc degeneration; range of motion (ROM).

The London Spine Unit : most advanced spinal facility in the world

Read the original publication:

One-Year Follow-up Study on Assessing the Range of Segmental Motion and Clinical Outcomes Following Cervical Disc Arthroplasty for Treatment of Severe Cervical Disc Degeneration

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Abstract Background: Though previous studies have documented various clinical outcomes after cervical arthroplasty for degenerative cervical disc disease, none of them reported the impact of cervical arthroplasty on severe cervical disc degeneration (CDD). Methods: This retrospective cohort study included severe 40 CDD (C3-C7) patients who underwent single-level cervical arthroplasty using ProDisc-C® between January 2017 and

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