دورية أكاديمية
Long-term follow-up MRI shows no hastening of adjacent segment degeneration following cervical disc arthroplasty
العنوان: | Long-term follow-up MRI shows no hastening of adjacent segment degeneration following cervical disc arthroplasty |
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المؤلفون: | Benedikt W. Burkhardt, Lukas Baumann, Andreas Simgen, Gudrun Wagenpfeil, Philipp Hendrix, Wolfgang Reith, Joachim M. Oertel |
المصدر: | Scientific Reports, Vol 12, Iss 1, Pp 1-10 (2022) |
بيانات النشر: | Nature Portfolio, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Medicine LCC:Science |
مصطلحات موضوعية: | Medicine, Science |
الوصف: | Abstract Cervical disc arthroplasty is an established procedure, but studies with data on long-term clinical outcome, reoperation for symptomatic adjacent segment degeneration (sASD), and degenerative changes based on MRI findings are rare. Thus, a file review was performed and patients with complete documentation of neurological status at preoperative, postoperative, 12 month, 3–4 years follow-up including surgical reports for reoperation with a minimum follow-up of 9 years were included. Final follow-up assessment included a physical examination, assessment of pain levels, Odoms criteria, Neck disability index. The degeneration of each cervical segment at preoperative and at final follow-up was assessed using an MRI. Forty-six out of 68 included patients participated, the mean follow-up was 11 (range 9–15) years, at which 71.7% of patients were free of arm pain, 52.2% of patients were free of neck pain, 63% of patients had no sensory dysfunction, and full motor strength was noted in 95.6% of patients. The clinical success rate was 76.1%, the mean NDI was 12%. Overall repeated procedure rate was 17%, the reoperation rate for sASD was 9%, and removal of CDA was performed in 4%. MRI showed progressive degeneration but no significant changes of SDI from preoperative to final follow-up. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2045-2322 |
Relation: | https://doaj.org/toc/2045-2322 |
DOI: | 10.1038/s41598-022-17652-8 |
URL الوصول: | https://doaj.org/article/aa06199f8bc346aeb2db54db5dfdd5de |
رقم الأكسشن: | edsdoj.06199f8bc346aeb2db54db5dfdd5de |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 20452322 |
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DOI: | 10.1038/s41598-022-17652-8 |