RESULTS OF TOTAL DISC REPLACEMENT SURGERY IN THE TREATMENT OF SINGLE-STAGE CERVICAL DISC HERNIATION

Ngọc Anh Phạm 1,, Văn Cường Vũ2, Ngọc Sơn Đinh1,2
1 Hanoi medical university
2 Viet Duc hospital

Main Article Content

Abstract

Background: Cervical total disc replacement (CTDR) in the treatment of cervical disc herniation helps remain movement function, reduce adjacent segment degeneration rate. Objectives: Describe the CTDR technique and analysis short-term results of CTDR in the treatment od cervical disc herniation.  Subjects and methods: A descriptive, retrospective and prospective study conduct 37 cases with total cervical disc replacement from 1/2021 to 7/2022. Results: mean age 47,03 ± 8,98 age, the male/female ratio is 1/2.7. Mean of preoperation VAS neck/arm: 5,51/5,0 score, NDI: 42,1 ± 15,65%, JOA: 14,3 ± 1,8 score  and postoperation VAS neck/arm: 1,22/1,2 score, NDI: 18,76 ± 11,05%, JOA: 16,87 ± 1,13 score. Myelopathy recovery rate was 86,7% at good and very good. No cases of adjacent segment degeneration were recorded. Conclutions: Cervical total disc replacement sergery in the treatment of cervical disc herniation has good results in clinical neurological improvement and cervical function, reduce the adjacent segment degeneration rate.

Article Details

References

1. Hashimoto K, Aizawa T, Kanno H, Itoi E. Adjacent segment degeneration after fusion spinal surgery-a systematic review. Int Orthop. 2019; 43(4):987-993. doi:10.1007/s00264-018-4241-z
2. Aa B, Js U, Fl V, Mc P, Nr C. History of cervical disc arthroplasty. Neurosurgical focus. 2009;27(3). doi:10.3171/2009.6.FOCUS09128
3. Textbook of Spinal Surgery PDF | PDF | Orthopedic Surgery | Neurosurgery. Scribd. Accessed November 6, 2022. https://www.scribd.com/document/382524179/Textbook-of-Spinal-Surgery-pdf
4. Panjabi MM, White AA. Basic biomechanics of the spine. Neurosurgery. 1980;7(1):76-93. doi: 10.1227/00006123-198007000-00014
5. Hilibrand AS, Carlson GD, Palumbo MA, Jones PK, Bohlman HH. Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis. J Bone Joint Surg Am. 1999;81(4):519-528. doi:10.2106/ 00004623-199904000-00009
6. Kim HK, Kim MH, Cho DS, Kim SH. Surgical outcome of cervical arthroplasty using bryan(r). J Korean Neurosurg Soc. 2009;46(6):532-537. doi:10.3340/jkns.2009.46.6.532
7. Jackson RJ, Davis RJ, Hoffman GA, et al. Subsequent surgery rates after cervical total disc replacement using a Mobi-C Cervical Disc Prosthesis versus anterior cervical discectomy and fusion: A prospective randomized clinical trial with 5-year follow-up. J Neurosurg Spine. 2016; 24(5):734-745. doi:10.3171/2015.8.SPINE15219