Early results after ProDisc-C cervical disc replacement
- 1 April 2005
- journal article
- clinical trial
- Published by Journal of Neurosurgery Publishing Group (JNSPG) in Journal of Neurosurgery: Spine
- Vol. 2 (4), 403-410
- https://doi.org/10.3171/spi.2005.2.4.0403
Abstract
Cervical anterior decompression and total-disc replacement is currently being investigated as an alternative treatment in patients with symptomatic intervertebral cervical spondylosis with and without radiculopathy. The authors prospectively investigated the safety and efficacy of using the ProDisc-C disc for cervical arthroplasty in the treatment of symptomatic cervical spondylosis. Sixteen patients in whom a diagnosis of symptomatic cervical spondylosis had been established were prospectively treated with complete anterior cervical discectomy and ProDisc-C cervical disc arthroplasty. Overall 12 single- and four two-level procedures were performed (20 prostheses). Patients underwent pre- and multiple postoperative assessments (3 and 6 weeks and 3, 6, and 12 months). The median age of all patients was 50 years (range 32-60 years). Levels of surgery included seven C5-6, six C6-7, and three C4-5. Neck and arm pain as well as disability scores were significantly improved by 3 months and remained significantly improved at 1 year. No additional fusion surgeries were necessary at the affected or unaffected levels. Radiography revealed an affected disc motion from 4 to 12 degrees. No surgery- or device-related complications were documented. Analysis of preliminary results involving ProDisc-C arthroplasty indicates significant improvement in pain and functional outcome scores. No spontaneous fusions at the level of surgery or at adjacent levels were noted. Long-term follow-up studies will be necessary before more definitive treatment recommendations can be formulated.Keywords
This publication has 52 references indexed in Scilit:
- Preliminary Clinical Experience with the Bryan Cervical Disc ProsthesisNeurosurgery, 2002
- A modified technique for anterior multilevel cervical fusionJournal of Orthopaedic Science, 2002
- A systematic literature review to identify the best method for a single level anterior cervical interbody fusionEuropean Spine Journal, 2000
- The control of new prosthetic implants & Neonatal detection of developmental dysplasia of the hip (DDH)The Journal of Bone and Joint Surgery, 1998
- LettersSpine, 1991
- The Anterior Surgical Approach to the Cervical Spine: The Cloward Procedure: Past, Present, and FutureSpine, 1988
- Anterior cervical discectomy with and without fusionJournal of Neurosurgery, 1983
- Anterior fusion for cervical disc diseaseIrish Journal of Medical Science, 1982
- Radiographic Changes Following Anterior Cervical FusionSpine, 1980
- MULTIPLE LEVEL ANTERIOR CERVICAL SPINE FUSION A Report of 16 CasesJournal Of Trauma-Injury Infection and Critical Care, 1974