Remodeling of adjacent spinal alignments following cervical arthroplasty and anterior discectomy and fusion
Objective To evaluate the effects of cervical artificial disc replacement (ADR) and anterior discectomy and fusion (ACDF) on adjacent spinal alignments. Methods The cohort consisted of 33 patients who undergone single-level cervical ADR (15 patients) and ACDF (18 patients) for radiculopathy, who had...
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| Veröffentlicht in: | European spine journal 2012-02, Vol.21 (2), p.322-327 |
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| creator | Park, Sung Bae Jahng, Tae-Ahn Chung, Chun Kee |
| description | Objective
To evaluate the effects of cervical artificial disc replacement (ADR) and anterior discectomy and fusion (ACDF) on adjacent spinal alignments.
Methods
The cohort consisted of 33 patients who undergone single-level cervical ADR (15 patients) and ACDF (18 patients) for radiculopathy, who had not had any previous spine surgery, and who had a minimum follow-up of 2 years. Whole-spine lateral radiographs were taken at the pre-operative and follow-up consultations. Cervical lordosis, thoracic kyphosis, lumbar lordosis, and sagittal balance were measured each time. The patients filled out pre-operative and follow-up functional evaluation forms including visual analogue scale (VAS) of neck and arm. The mean follow-up durations of patients who had cervical ADR and ACDF were 28 ± 5.0 and 30 ± 5.8 months, respectively. The patients having ACDF had the higher mean age (53 ± 9.0 years) than that of patients with cervical ADR (45 ± 11.7 years).
Results
The cervical lordosis and thoracic kyphosis in cervical ADR group increased significantly more than those of the ACDF group in follow-up assessment (
P
= 0.011 and 0.012). There was no significant change of lumbar lordosis in intra- and inter-group analyses. The follow-up sagittal balances for the cervical ADR and ACDF groups moved towards a neutral value. Although the follow-up neck and arm VAS of the both groups improved than those of the pre-operative status, the groups did not differ significantly except for a difference in neck VAS, which improved more after ADR.
Conclusions
The remodeling of cervical and thoracic curves after cervical ADR and ACDF was coupled and complementary. Cervical ADR contributed the restorations of angulations of cervical and thoracic spines. The neck VAS improved more after cervical ADR than after ACDF. |
| doi_str_mv | 10.1007/s00586-011-2000-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3265592</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>926885215</sourcerecordid><originalsourceid>FETCH-LOGICAL-c566t-9813d71ea0ea27d599e63e4960dc9fd565bfe75aa9e2e64679986f2dc317bd713</originalsourceid><addsrcrecordid>eNqFkU-LFDEQxYMo7rj6AbxI48VTayWZJJ2LIMvqCguC6DlkkurZjOnOmHTvst_eNL2uf0A8hEC9X71U5RHynMJrCqDeFADRyRYobRkAtPIB2dAtZy1ozh6SDehtLSqqT8iTUg4AVGiQj8kJo51SlMOGfPuMQ_IYw7hvUt9Yf7AOx6kpxzDa2NgY9uNQC6XpU4zpZuEc5uvgFjVPVzkdoy3TbWNHX8-EOaTc-FAcuikNa72fS0jjU_Kot7Hgs7v7lHx9f_7l7KK9_PTh49m7y9YJKadWd5R7RdECWqa80Bolx62W4J3uvZBi16MS1mpkKLdSad3JnnnHqdrVRn5K3q6-x3k3oF_2yTaaYw6Dzbcm2WD-VMZwZfbp2nAmhdCsGry6M8jp-4xlMsOyT4x2xDQXo5nsOsGo-D9JO-BcCFnJl3-RhzTn-scLpGSnpVwmpyvkciolY38_NAWzRG7WyE2N3CyRm8X4xe_b3nf8zLgCbAVKlcY95l8v_9v1BwZMuVo</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>917689661</pqid></control><display><type>article</type><title>Remodeling of adjacent spinal alignments following cervical arthroplasty and anterior discectomy and fusion</title><source>MEDLINE</source><source>PubMed Central</source><source>EZB Electronic Journals Library</source><source>SpringerLink Journals - AutoHoldings</source><creator>Park, Sung Bae ; Jahng, Tae-Ahn ; Chung, Chun Kee</creator><creatorcontrib>Park, Sung Bae ; Jahng, Tae-Ahn ; Chung, Chun Kee</creatorcontrib><description>Objective
To evaluate the effects of cervical artificial disc replacement (ADR) and anterior discectomy and fusion (ACDF) on adjacent spinal alignments.
Methods
The cohort consisted of 33 patients who undergone single-level cervical ADR (15 patients) and ACDF (18 patients) for radiculopathy, who had not had any previous spine surgery, and who had a minimum follow-up of 2 years. Whole-spine lateral radiographs were taken at the pre-operative and follow-up consultations. Cervical lordosis, thoracic kyphosis, lumbar lordosis, and sagittal balance were measured each time. The patients filled out pre-operative and follow-up functional evaluation forms including visual analogue scale (VAS) of neck and arm. The mean follow-up durations of patients who had cervical ADR and ACDF were 28 ± 5.0 and 30 ± 5.8 months, respectively. The patients having ACDF had the higher mean age (53 ± 9.0 years) than that of patients with cervical ADR (45 ± 11.7 years).
Results
The cervical lordosis and thoracic kyphosis in cervical ADR group increased significantly more than those of the ACDF group in follow-up assessment (
P
= 0.011 and 0.012). There was no significant change of lumbar lordosis in intra- and inter-group analyses. The follow-up sagittal balances for the cervical ADR and ACDF groups moved towards a neutral value. Although the follow-up neck and arm VAS of the both groups improved than those of the pre-operative status, the groups did not differ significantly except for a difference in neck VAS, which improved more after ADR.
Conclusions
The remodeling of cervical and thoracic curves after cervical ADR and ACDF was coupled and complementary. Cervical ADR contributed the restorations of angulations of cervical and thoracic spines. The neck VAS improved more after cervical ADR than after ACDF.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-011-2000-6</identifier><identifier>PMID: 21877130</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Age ; Aged ; Arthroplasty ; Bone surgery ; Cervical Vertebrae - physiology ; Cervical Vertebrae - surgery ; Female ; Humans ; Intervertebral discs ; Kyphosis ; Lumbar Vertebrae - physiology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neck ; Neurosurgery ; Original ; Original Article ; Radiography ; Spinal Fusion ; Spine (lumbar) ; Surgical Orthopedics ; Thoracic Vertebrae - physiology ; Thorax ; Total Disc Replacement ; Treatment Outcome ; Young Adult</subject><ispartof>European spine journal, 2012-02, Vol.21 (2), p.322-327</ispartof><rights>Springer-Verlag 2011</rights><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c566t-9813d71ea0ea27d599e63e4960dc9fd565bfe75aa9e2e64679986f2dc317bd713</citedby><cites>FETCH-LOGICAL-c566t-9813d71ea0ea27d599e63e4960dc9fd565bfe75aa9e2e64679986f2dc317bd713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3265592/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3265592/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27915,27916,41479,42548,51310,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21877130$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Sung Bae</creatorcontrib><creatorcontrib>Jahng, Tae-Ahn</creatorcontrib><creatorcontrib>Chung, Chun Kee</creatorcontrib><title>Remodeling of adjacent spinal alignments following cervical arthroplasty and anterior discectomy and fusion</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Objective
To evaluate the effects of cervical artificial disc replacement (ADR) and anterior discectomy and fusion (ACDF) on adjacent spinal alignments.
Methods
The cohort consisted of 33 patients who undergone single-level cervical ADR (15 patients) and ACDF (18 patients) for radiculopathy, who had not had any previous spine surgery, and who had a minimum follow-up of 2 years. Whole-spine lateral radiographs were taken at the pre-operative and follow-up consultations. Cervical lordosis, thoracic kyphosis, lumbar lordosis, and sagittal balance were measured each time. The patients filled out pre-operative and follow-up functional evaluation forms including visual analogue scale (VAS) of neck and arm. The mean follow-up durations of patients who had cervical ADR and ACDF were 28 ± 5.0 and 30 ± 5.8 months, respectively. The patients having ACDF had the higher mean age (53 ± 9.0 years) than that of patients with cervical ADR (45 ± 11.7 years).
Results
The cervical lordosis and thoracic kyphosis in cervical ADR group increased significantly more than those of the ACDF group in follow-up assessment (
P
= 0.011 and 0.012). There was no significant change of lumbar lordosis in intra- and inter-group analyses. The follow-up sagittal balances for the cervical ADR and ACDF groups moved towards a neutral value. Although the follow-up neck and arm VAS of the both groups improved than those of the pre-operative status, the groups did not differ significantly except for a difference in neck VAS, which improved more after ADR.
Conclusions
The remodeling of cervical and thoracic curves after cervical ADR and ACDF was coupled and complementary. Cervical ADR contributed the restorations of angulations of cervical and thoracic spines. The neck VAS improved more after cervical ADR than after ACDF.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Arthroplasty</subject><subject>Bone surgery</subject><subject>Cervical Vertebrae - physiology</subject><subject>Cervical Vertebrae - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral discs</subject><subject>Kyphosis</subject><subject>Lumbar Vertebrae - physiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neck</subject><subject>Neurosurgery</subject><subject>Original</subject><subject>Original Article</subject><subject>Radiography</subject><subject>Spinal Fusion</subject><subject>Spine (lumbar)</subject><subject>Surgical Orthopedics</subject><subject>Thoracic Vertebrae - physiology</subject><subject>Thorax</subject><subject>Total Disc Replacement</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkU-LFDEQxYMo7rj6AbxI48VTayWZJJ2LIMvqCguC6DlkkurZjOnOmHTvst_eNL2uf0A8hEC9X71U5RHynMJrCqDeFADRyRYobRkAtPIB2dAtZy1ozh6SDehtLSqqT8iTUg4AVGiQj8kJo51SlMOGfPuMQ_IYw7hvUt9Yf7AOx6kpxzDa2NgY9uNQC6XpU4zpZuEc5uvgFjVPVzkdoy3TbWNHX8-EOaTc-FAcuikNa72fS0jjU_Kot7Hgs7v7lHx9f_7l7KK9_PTh49m7y9YJKadWd5R7RdECWqa80Bolx62W4J3uvZBi16MS1mpkKLdSad3JnnnHqdrVRn5K3q6-x3k3oF_2yTaaYw6Dzbcm2WD-VMZwZfbp2nAmhdCsGry6M8jp-4xlMsOyT4x2xDQXo5nsOsGo-D9JO-BcCFnJl3-RhzTn-scLpGSnpVwmpyvkciolY38_NAWzRG7WyE2N3CyRm8X4xe_b3nf8zLgCbAVKlcY95l8v_9v1BwZMuVo</recordid><startdate>20120201</startdate><enddate>20120201</enddate><creator>Park, Sung Bae</creator><creator>Jahng, Tae-Ahn</creator><creator>Chung, Chun Kee</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><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>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20120201</creationdate><title>Remodeling of adjacent spinal alignments following cervical arthroplasty and anterior discectomy and fusion</title><author>Park, Sung Bae ; Jahng, Tae-Ahn ; Chung, Chun Kee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c566t-9813d71ea0ea27d599e63e4960dc9fd565bfe75aa9e2e64679986f2dc317bd713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Arthroplasty</topic><topic>Bone surgery</topic><topic>Cervical Vertebrae - physiology</topic><topic>Cervical Vertebrae - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Intervertebral discs</topic><topic>Kyphosis</topic><topic>Lumbar Vertebrae - physiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neck</topic><topic>Neurosurgery</topic><topic>Original</topic><topic>Original Article</topic><topic>Radiography</topic><topic>Spinal Fusion</topic><topic>Spine (lumbar)</topic><topic>Surgical Orthopedics</topic><topic>Thoracic Vertebrae - physiology</topic><topic>Thorax</topic><topic>Total Disc Replacement</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Sung Bae</creatorcontrib><creatorcontrib>Jahng, Tae-Ahn</creatorcontrib><creatorcontrib>Chung, Chun Kee</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Sung Bae</au><au>Jahng, Tae-Ahn</au><au>Chung, Chun Kee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Remodeling of adjacent spinal alignments following cervical arthroplasty and anterior discectomy and fusion</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2012-02-01</date><risdate>2012</risdate><volume>21</volume><issue>2</issue><spage>322</spage><epage>327</epage><pages>322-327</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Objective
To evaluate the effects of cervical artificial disc replacement (ADR) and anterior discectomy and fusion (ACDF) on adjacent spinal alignments.
Methods
The cohort consisted of 33 patients who undergone single-level cervical ADR (15 patients) and ACDF (18 patients) for radiculopathy, who had not had any previous spine surgery, and who had a minimum follow-up of 2 years. Whole-spine lateral radiographs were taken at the pre-operative and follow-up consultations. Cervical lordosis, thoracic kyphosis, lumbar lordosis, and sagittal balance were measured each time. The patients filled out pre-operative and follow-up functional evaluation forms including visual analogue scale (VAS) of neck and arm. The mean follow-up durations of patients who had cervical ADR and ACDF were 28 ± 5.0 and 30 ± 5.8 months, respectively. The patients having ACDF had the higher mean age (53 ± 9.0 years) than that of patients with cervical ADR (45 ± 11.7 years).
Results
The cervical lordosis and thoracic kyphosis in cervical ADR group increased significantly more than those of the ACDF group in follow-up assessment (
P
= 0.011 and 0.012). There was no significant change of lumbar lordosis in intra- and inter-group analyses. The follow-up sagittal balances for the cervical ADR and ACDF groups moved towards a neutral value. Although the follow-up neck and arm VAS of the both groups improved than those of the pre-operative status, the groups did not differ significantly except for a difference in neck VAS, which improved more after ADR.
Conclusions
The remodeling of cervical and thoracic curves after cervical ADR and ACDF was coupled and complementary. Cervical ADR contributed the restorations of angulations of cervical and thoracic spines. The neck VAS improved more after cervical ADR than after ACDF.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21877130</pmid><doi>10.1007/s00586-011-2000-6</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European spine journal, 2012-02, Vol.21 (2), p.322-327 |
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| language | eng |
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| source | MEDLINE; PubMed Central; EZB Electronic Journals Library; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Age Aged Arthroplasty Bone surgery Cervical Vertebrae - physiology Cervical Vertebrae - surgery Female Humans Intervertebral discs Kyphosis Lumbar Vertebrae - physiology Male Medicine Medicine & Public Health Middle Aged Neck Neurosurgery Original Original Article Radiography Spinal Fusion Spine (lumbar) Surgical Orthopedics Thoracic Vertebrae - physiology Thorax Total Disc Replacement Treatment Outcome Young Adult |
| title | Remodeling of adjacent spinal alignments following cervical arthroplasty and anterior discectomy and fusion |
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