Artificial Disk Replacement Combined With Fusion Versus 2-Level Fusion in Cervical 2-Level Disk Disease With a 5-Year Follow-up
Prospective study. The purpose of this study was to compare the long-term clinical and radiologic outcomes of hybrid surgery (HS) and 2-level anterior cervical discectomy and fusion (2-ACDF) in patients with 2-level cervical disk disease. In a previous study with a 2-year follow-up, HS was shown to...
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| Veröffentlicht in: | Clinical spine surgery 2017-06, Vol.30 (5), p.E620-E627 |
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| container_title | Clinical spine surgery |
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| creator | Ji, Gyu Yeul Oh, Chang Hyun Shin, Dong Ah Ha, Yoon Yi, Seong Kim, Keung Nyun Shin, Hyun Cheol Yoon, Do Heum |
| description | Prospective study.
The purpose of this study was to compare the long-term clinical and radiologic outcomes of hybrid surgery (HS) and 2-level anterior cervical discectomy and fusion (2-ACDF) in patients with 2-level cervical disk disease.
In a previous study with a 2-year follow-up, HS was shown to be superior to 2-ACDF, with a better Neck Disability Index (NDI) score, less postoperative neck pain, faster C2-C7 range of motion (ROM) recovery, and less adjacent ROM increase.
Between 2004 and 2006, 40 patients undergoing 2-level cervical disk surgery at our hospital were identified as 2-level degenerative disk disease. Forty patients were included in the previous study; 35 patients were followed up for 5 years. Patients completed the NDI and graded their pain intensity before surgery and at routine postoperative until 5 years. Dynamic cervical radiographs were obtained before surgery and at routine postoperative intervals and the angular ROM for C2-C7 and adjacent segments was measured.
The HS group had better NDI recovery until 3 years after surgery (P |
| doi_str_mv | 10.1097/BSD.0000000000000316 |
| format | Article |
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The purpose of this study was to compare the long-term clinical and radiologic outcomes of hybrid surgery (HS) and 2-level anterior cervical discectomy and fusion (2-ACDF) in patients with 2-level cervical disk disease.
In a previous study with a 2-year follow-up, HS was shown to be superior to 2-ACDF, with a better Neck Disability Index (NDI) score, less postoperative neck pain, faster C2-C7 range of motion (ROM) recovery, and less adjacent ROM increase.
Between 2004 and 2006, 40 patients undergoing 2-level cervical disk surgery at our hospital were identified as 2-level degenerative disk disease. Forty patients were included in the previous study; 35 patients were followed up for 5 years. Patients completed the NDI and graded their pain intensity before surgery and at routine postoperative until 5 years. Dynamic cervical radiographs were obtained before surgery and at routine postoperative intervals and the angular ROM for C2-C7 and adjacent segments was measured.
The HS group had better NDI recovery until 3 years after surgery (P<0.05). Postoperative neck pain was lower in the HS group at 1 and 3 years after surgery (P<0.05), but arm pain relief was not differently relieved. The HS group showed more angular ROM for C2-C7 at 2 and 3 years after surgery. The superior adjacent segment ROM showed hypermobility in the 2-ACDF group and hypomobility in the HS group at all follow-up periods without statistically significance, but the inferior adjacent segment ROM differed significantly (P<0.05).
HS is superior to 2-ACDF; it leads to better NDI recovery, less postoperative neck pain, faster C2-C7 ROM recovery, and less adjacent ROM increase over a 2-year follow-up, but these benefits of HS become similar to those of 2-ACDF with 5 years of follow-up.</description><identifier>ISSN: 2380-0186</identifier><identifier>EISSN: 2380-0194</identifier><identifier>DOI: 10.1097/BSD.0000000000000316</identifier><identifier>PMID: 28525488</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Cervical Vertebrae - diagnostic imaging ; Cervical Vertebrae - physiopathology ; Cervical Vertebrae - surgery ; Disability Evaluation ; Female ; Follow-Up Studies ; Humans ; Intervertebral Disc Degeneration - diagnostic imaging ; Intervertebral Disc Degeneration - physiopathology ; Intervertebral Disc Degeneration - surgery ; Intervertebral Disc Displacement - diagnostic imaging ; Intervertebral Disc Displacement - physiopathology ; Intervertebral Disc Displacement - surgery ; Male ; Middle Aged ; Neck Pain - surgery ; Postoperative Complications - etiology ; Range of Motion, Articular ; Spinal Fusion - adverse effects ; Total Disc Replacement - adverse effects ; Treatment Outcome ; Visual Analog Scale</subject><ispartof>Clinical spine surgery, 2017-06, Vol.30 (5), p.E620-E627</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c307t-972e7a23ef0a9a8686bd6098204c03cebb73c07573d8cb791f68044adeb5f5063</citedby><cites>FETCH-LOGICAL-c307t-972e7a23ef0a9a8686bd6098204c03cebb73c07573d8cb791f68044adeb5f5063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28525488$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ji, Gyu Yeul</creatorcontrib><creatorcontrib>Oh, Chang Hyun</creatorcontrib><creatorcontrib>Shin, Dong Ah</creatorcontrib><creatorcontrib>Ha, Yoon</creatorcontrib><creatorcontrib>Yi, Seong</creatorcontrib><creatorcontrib>Kim, Keung Nyun</creatorcontrib><creatorcontrib>Shin, Hyun Cheol</creatorcontrib><creatorcontrib>Yoon, Do Heum</creatorcontrib><title>Artificial Disk Replacement Combined With Fusion Versus 2-Level Fusion in Cervical 2-Level Disk Disease With a 5-Year Follow-up</title><title>Clinical spine surgery</title><addtitle>Clin Spine Surg</addtitle><description>Prospective study.
The purpose of this study was to compare the long-term clinical and radiologic outcomes of hybrid surgery (HS) and 2-level anterior cervical discectomy and fusion (2-ACDF) in patients with 2-level cervical disk disease.
In a previous study with a 2-year follow-up, HS was shown to be superior to 2-ACDF, with a better Neck Disability Index (NDI) score, less postoperative neck pain, faster C2-C7 range of motion (ROM) recovery, and less adjacent ROM increase.
Between 2004 and 2006, 40 patients undergoing 2-level cervical disk surgery at our hospital were identified as 2-level degenerative disk disease. Forty patients were included in the previous study; 35 patients were followed up for 5 years. Patients completed the NDI and graded their pain intensity before surgery and at routine postoperative until 5 years. Dynamic cervical radiographs were obtained before surgery and at routine postoperative intervals and the angular ROM for C2-C7 and adjacent segments was measured.
The HS group had better NDI recovery until 3 years after surgery (P<0.05). Postoperative neck pain was lower in the HS group at 1 and 3 years after surgery (P<0.05), but arm pain relief was not differently relieved. The HS group showed more angular ROM for C2-C7 at 2 and 3 years after surgery. The superior adjacent segment ROM showed hypermobility in the 2-ACDF group and hypomobility in the HS group at all follow-up periods without statistically significance, but the inferior adjacent segment ROM differed significantly (P<0.05).
HS is superior to 2-ACDF; it leads to better NDI recovery, less postoperative neck pain, faster C2-C7 ROM recovery, and less adjacent ROM increase over a 2-year follow-up, but these benefits of HS become similar to those of 2-ACDF with 5 years of follow-up.</description><subject>Adult</subject><subject>Cervical Vertebrae - diagnostic imaging</subject><subject>Cervical Vertebrae - physiopathology</subject><subject>Cervical Vertebrae - surgery</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intervertebral Disc Degeneration - diagnostic imaging</subject><subject>Intervertebral Disc Degeneration - physiopathology</subject><subject>Intervertebral Disc Degeneration - surgery</subject><subject>Intervertebral Disc Displacement - diagnostic imaging</subject><subject>Intervertebral Disc Displacement - physiopathology</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neck Pain - surgery</subject><subject>Postoperative Complications - etiology</subject><subject>Range of Motion, Articular</subject><subject>Spinal Fusion - adverse effects</subject><subject>Total Disc Replacement - adverse effects</subject><subject>Treatment Outcome</subject><subject>Visual Analog Scale</subject><issn>2380-0186</issn><issn>2380-0194</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1PwzAMhiMEYtPYP0AoRy4Fp2mT9Dg2BkiTkPgUpypNXRHox0haECf-OoV9COGDbdmvH0svIYcMThgk8vTsdnYCf4MzsUOGIVcQAEui3W2vxICMvX_pNUxwyXi8TwahisM4UmpIviautYU1Vpd0Zv0rvcFlqQ1WWLd02lSZrTGnj7Z9pvPO26amD-h852kYLPAdy83U1nSK7t2anrNZ_fL6hNrjCqFpHDyhdnTelGXzEXTLA7JX6NLjeF1H5H5-fje9DBbXF1fTySIwHGQbJDJEqUOOBehEK6FElgtIVAiRAW4wyyQ3IGPJc2UymbBCKIginWMWFzEIPiLHK-7SNW8d-jatrDdYlrrGpvMpSwAUj0QMvTRaSY1rvHdYpEtnK-0-Uwbpj_tp73763_3-7Gj9ocsqzLdHG6_5Nxpofi8</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Ji, Gyu Yeul</creator><creator>Oh, Chang Hyun</creator><creator>Shin, Dong Ah</creator><creator>Ha, Yoon</creator><creator>Yi, Seong</creator><creator>Kim, Keung Nyun</creator><creator>Shin, Hyun Cheol</creator><creator>Yoon, Do Heum</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>Artificial Disk Replacement Combined With Fusion Versus 2-Level Fusion in Cervical 2-Level Disk Disease With a 5-Year Follow-up</title><author>Ji, Gyu Yeul ; Oh, Chang Hyun ; Shin, Dong Ah ; Ha, Yoon ; Yi, Seong ; Kim, Keung Nyun ; Shin, Hyun Cheol ; Yoon, Do Heum</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-972e7a23ef0a9a8686bd6098204c03cebb73c07573d8cb791f68044adeb5f5063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Cervical Vertebrae - diagnostic imaging</topic><topic>Cervical Vertebrae - physiopathology</topic><topic>Cervical Vertebrae - surgery</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Intervertebral Disc Degeneration - diagnostic imaging</topic><topic>Intervertebral Disc Degeneration - physiopathology</topic><topic>Intervertebral Disc Degeneration - surgery</topic><topic>Intervertebral Disc Displacement - diagnostic imaging</topic><topic>Intervertebral Disc Displacement - physiopathology</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neck Pain - surgery</topic><topic>Postoperative Complications - etiology</topic><topic>Range of Motion, Articular</topic><topic>Spinal Fusion - adverse effects</topic><topic>Total Disc Replacement - adverse effects</topic><topic>Treatment Outcome</topic><topic>Visual Analog Scale</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ji, Gyu Yeul</creatorcontrib><creatorcontrib>Oh, Chang Hyun</creatorcontrib><creatorcontrib>Shin, Dong Ah</creatorcontrib><creatorcontrib>Ha, Yoon</creatorcontrib><creatorcontrib>Yi, Seong</creatorcontrib><creatorcontrib>Kim, Keung Nyun</creatorcontrib><creatorcontrib>Shin, Hyun Cheol</creatorcontrib><creatorcontrib>Yoon, Do Heum</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical spine surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ji, Gyu Yeul</au><au>Oh, Chang Hyun</au><au>Shin, Dong Ah</au><au>Ha, Yoon</au><au>Yi, Seong</au><au>Kim, Keung Nyun</au><au>Shin, Hyun Cheol</au><au>Yoon, Do Heum</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Artificial Disk Replacement Combined With Fusion Versus 2-Level Fusion in Cervical 2-Level Disk Disease With a 5-Year Follow-up</atitle><jtitle>Clinical spine surgery</jtitle><addtitle>Clin Spine Surg</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>30</volume><issue>5</issue><spage>E620</spage><epage>E627</epage><pages>E620-E627</pages><issn>2380-0186</issn><eissn>2380-0194</eissn><abstract>Prospective study.
The purpose of this study was to compare the long-term clinical and radiologic outcomes of hybrid surgery (HS) and 2-level anterior cervical discectomy and fusion (2-ACDF) in patients with 2-level cervical disk disease.
In a previous study with a 2-year follow-up, HS was shown to be superior to 2-ACDF, with a better Neck Disability Index (NDI) score, less postoperative neck pain, faster C2-C7 range of motion (ROM) recovery, and less adjacent ROM increase.
Between 2004 and 2006, 40 patients undergoing 2-level cervical disk surgery at our hospital were identified as 2-level degenerative disk disease. Forty patients were included in the previous study; 35 patients were followed up for 5 years. Patients completed the NDI and graded their pain intensity before surgery and at routine postoperative until 5 years. Dynamic cervical radiographs were obtained before surgery and at routine postoperative intervals and the angular ROM for C2-C7 and adjacent segments was measured.
The HS group had better NDI recovery until 3 years after surgery (P<0.05). Postoperative neck pain was lower in the HS group at 1 and 3 years after surgery (P<0.05), but arm pain relief was not differently relieved. The HS group showed more angular ROM for C2-C7 at 2 and 3 years after surgery. The superior adjacent segment ROM showed hypermobility in the 2-ACDF group and hypomobility in the HS group at all follow-up periods without statistically significance, but the inferior adjacent segment ROM differed significantly (P<0.05).
HS is superior to 2-ACDF; it leads to better NDI recovery, less postoperative neck pain, faster C2-C7 ROM recovery, and less adjacent ROM increase over a 2-year follow-up, but these benefits of HS become similar to those of 2-ACDF with 5 years of follow-up.</abstract><cop>United States</cop><pmid>28525488</pmid><doi>10.1097/BSD.0000000000000316</doi></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - physiopathology Cervical Vertebrae - surgery Disability Evaluation Female Follow-Up Studies Humans Intervertebral Disc Degeneration - diagnostic imaging Intervertebral Disc Degeneration - physiopathology Intervertebral Disc Degeneration - surgery Intervertebral Disc Displacement - diagnostic imaging Intervertebral Disc Displacement - physiopathology Intervertebral Disc Displacement - surgery Male Middle Aged Neck Pain - surgery Postoperative Complications - etiology Range of Motion, Articular Spinal Fusion - adverse effects Total Disc Replacement - adverse effects Treatment Outcome Visual Analog Scale |
| title | Artificial Disk Replacement Combined With Fusion Versus 2-Level Fusion in Cervical 2-Level Disk Disease With a 5-Year Follow-up |
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