04 November 2017 : Clinical Research
Clinical and Radiological Analysis of Bryan Cervical Artificial Disc Replacement for “Skip” Multi-Segment Cervical Spondylosis: Long-Term Follow-Up Results
Zikun Shang12ABCEF, Yingze Zhang32ABF, Di Zhang32BCEF, Wenyuan Ding32BCD, Yong Shen12ADE*DOI: 10.12659/MSM.904863
Med Sci Monit 2017; 23:5254-5263
Abstract
BACKGROUND: The aim of this study was to retrospectively analyze the clinical and radiological efficacy of Bryan cervical artificial disc replacement (ADR) for “skip” multi-segment cervical spondylosis (SCS).
MATERIAL AND METHODS: We enrolled 49 patients with SCS treated with either Bryan cervical ADR (18 cases) or ACDF (31 cases). Each case was evaluated preoperatively and at more than 48 months postoperatively in follow-up using the JOA, NDI, and VAS. Cervical sagittal curvature, total cervical ROM, and degree of middle segments of motion were also evaluated. MRI was used to assess adjacent segment degeneration(ASD), spinal cord compression, and signal changes.
RESULTS: The JOA, NDI, and VAS scores in the 2 groups improved significantly postoperatively. At the last follow-up, the results of Group Bryan were better than those of Group ACDF with respect to the incidence of axial symptoms (11.1% and 45.2%, respectively), VAS, ROM, and the degree of middle segments of motion. The ROM in Group Bryan was 38.2±4.6° and in Group ACDF was 25.3±4.6°. The middle segments of motion were 8.4±2.0° in Group Bryan and 12.2±2.2° in Group ACDF. There were no patients with ASD in Group Bryan. In Group ACDF, 1 case with an internal fixation device developed dislocation, and 2 cases developed degeneration, but there was no need for reoperation.
CONCLUSIONS: ADR for SCS can effectively improve neurological function and retain the overall activity of the cervical, thereby reducing ASD and the incidence of postoperative axial symptoms.
Keywords: Cervical Vertebrae, intervertebral disc degeneration, Neck Pain, Total Disc Replacement
Editorial
01 February 2025 : Editorial
Editorial: Current Approaches to Screening for Lung Cancer in Smokers and Non-SmokersDOI: 10.12659/MSM.948255
Med Sci Monit 2025; 31:e948255
In Press
Review article
Hydrogels in Oral Disease Management: A Review of Innovations in Drug Delivery and Tissue RegenerationMed Sci Monit In Press; DOI: 10.12659/MSM.946122
Clinical Research
Procedure Dynamics in Transfemoral vs Transradial Cerebral Angiography: A Retrospective StudyMed Sci Monit In Press; DOI: 10.12659/MSM.947603
Clinical Research
Predicting Cerebral Small Vessel Disease Burden Based on Thromboelastography in Patients with Acute Ischemi...Med Sci Monit In Press; DOI: 10.12659/MSM.946303
Clinical Research
Long-Term Outcomes of Implanon in Managing Adenomyosis: A 3-Year Prospective StudyMed Sci Monit In Press; DOI: 10.12659/MSM.945972
Most Viewed Current Articles
17 Jan 2024 : Review article 6,969,459
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
16 May 2023 : Clinical Research 701,879
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Mar 2024 : Editorial 25,628
Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and ...DOI :10.12659/MSM.944204
Med Sci Monit 2024; 30:e944204
28 Jan 2024 : Review article 20,173
A Review of IgA Vasculitis (Henoch-Schönlein Purpura) Past, Present, and FutureDOI :10.12659/MSM.943912
Med Sci Monit 2024; 30:e943912