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Submitted: 09 June 2010 Modified: 22 March 2016
HERDIN Record #: PCHRD06081003062076

Cervical total disc replacement surgery motion preservation surgery with artificial disc (prestige LP): An alternative to fusion surgery in the treatment of cervical degenerative disc disease.

1Ibet Marie Y. Sih
Section of Neurosurgery, International Institute for the Neurosciences - St. Luke's Medical Center

Abstract

Cervical degenerative disc disease may be alleviated by decompressive surgery with discectomy and fusion, with or without plating. Drawbacks to fusion include decreased range of motion of the cervical spine, adjacent disc degeneration due to uneven loading and possible subsequent surgery of the adjacent levels. Motion preservation surgery with artificial disc after descectomy decreases the risk of adjacent level disease and offers the advantage of no morbidities from donor site (iliac bone graft) and non-need for post-operative immobilization with cervical collar.


OBJECTIVE: This study aimed to describe the results of motion preservation surgery with artificial disc as compared to fusion surgery in the treatment of cervical degenerative disc disease.


METHODS: This study is a review of patients with cervical degenerative disc disease who underwent decompressive surgery. Comparison was made among those who underwent motion preservation surgery with Prestige LP (Group A) and those who underwent fusion surgery with plating (Group B) and without plating (Group C).


RESULTS: Majority of the patients underwent one to two level surgeries: 100% in Group A, 95.8% in Group B and 86.7% in Group C. Operative time and blood loss were similar among the three groups. Improvement after surgeries, based on the Nurick scale, were also comparable. Improvement of neurological status was noted in 85.7% (Group A), 100% (Group B) and 73.3% (Group C).

1.
Publication Type:
Journal
Publication Sub Type:
Journal Article, Original
Title:
Philippine Journal of Surgical Specialties
Frequency:
Quarterly
Publication Date:
October-December 2009
Volume:
64
Issue:
4
Page(s):
151-156
Publisher:
Philippine College of Surgeons

LocationCall NumberAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No.6 Fulltext Print Format (Request Document)
1. Pickett, GE , et al., . "Controversies in cervical discectomy and fusion: practice patterns among Canadian surgeons" Can J Neurol Sci 31, 478-483, 2004 - [External Link]
2. Pospiech, J , et al., . "Intradiscal pressure recordings in the cervical spine" Neurosurgery 44, 379-384, 1999 - [External Link]
3. Eck, JC , et al., . "Biochemical study on the effect of cervical spine fusion on adjacent- level intradescal pressure and segmental motion" Spine 27, 2431-2434, 2002
4. Hilibrand, AS , et al., . "Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis" J Bone Joint Surg Am 81, 519-528, 1999 - [External Link]
5. Sekhon, LH , Ball, JR . "Artificial cervical disc replacement: principles, types and techniques" Neurol India 53, 445-450, 2005 - [External Link]
6. Phillips, FM , et al., . "Anterior cervical pseudarthrosis. Natural history and treatment" Spine 22, 1585-1589, 1997 - [External Link]
7. Vacarro, AR , et al., . "Bone grafting alternatives in spinal surgery" Spine J 2, 206-215, 2002 - [External Link]
8. Fernstrom, U . "Arthroplasty with intercorporal endoprethesis in herniated disc and in painful disc" Acta Chir scand Suppl 357, 154-159, 1966
9. Cummins, BH , et al., . "Surgical experience with an implanted artificial cervical joint" J Neurosurg 88, 943-948, 1998 - [External Link]
10. Wigfield, CC , et al., . "The new Frenchay artificial cervical joint: a results from two-year pilot study" Spine 27, 2446-2452, 2002 - [External Link]
11. Traynelis, VC . "The prestige cervical disc replacement" Spine J 4, 310-314, 2004 - [External Link]
12. Sasso, RC , et al., . "Artificial disc versus fusion: a prospective randomized study with 2 year follow-up on 99 patients" Spine 32, 2933-2940, 2007 - [External Link]
13. Goffin, J , et al., . "Preliminary clinical experience with the Bryan cervical disc prosthesis" Neurosurgery 51, 840-845, 2002 - [External Link]
14. Goffin, J , et al., . "Intermediate follow-up after treatment of degenerative disc disease with Bryan cervical prosthesis: single-level and bi-level" Spine 28, 2673-2678, 2003 - [External Link]
15. Sekhon, LH . "Cervical arthroplasty in the management of spondylotic myelopathy" J Spinal Discord Tech 16, 307-313, 2003 - [External Link]
16. Sekhon, LH . "Cervical arthroplasty after previous surgery: results of treating 24 discs in 15 patients" J Neurosurg Spine 3, 335-341, 2005 - [External Link]
17. Pimenta, L , et al., . "Clinical experience with the new artificial cervical PCM (Cervitech) disc." Spine J 4, 315-321, 2004 - [External Link]
18. Mummaneni, PV , et al., . "Clinical and radiographic analysis of cervical disc arthroplasty compared with allograft fusion: a randomized controlled clinical trial" J Neurosurg Spine 6, 198-209, 2007 - [External Link]
19. Coric, D , et al., . "Prospective randomized controlled study of the Bryan cervical disc: early clinical results from a single investigational site" J Neurosurg Spine 4, 31-35, 2006 - [External Link]