Bryan artificial cervical disc arthroplasty for treatment of cervical disease as early as mid-term efficacy of.docVIP

 PAGE \* MERGEFORMAT 24 Bryan artificial cervical disc arthroplasty for treatment of cervical disease as early as mid-term efficacy of Authors: Yang Shu-hua, Li Jin, Lau, Xu Weihua, Yang Cao, Yeshu Nan, Hu Yong Abstract [Objective] To investigate the Bryan artificial cervical disc replacement surgery to alleviate neurological symptoms and signs of cervical disease and improve the quality of life of patients and to maintain stability and segmental cervical activity. [Method] 19 patients with 23 pairs of artificial disc surgery cervical disc replacement were followed up. Follow-up time: 8 ~ 76 months, an average of 29 months. Of which 15 cases of cervical spondylotic myelopathy, the other 4 cases. 12 males, 7 females; aged 35 to 52 years, with an average 40.5 years of age. Single-segmental replacement in 16 cases, double in 2, 3 segment in 1 case. [Results] No intraoperative or postoperative complications of nerve and vascular injury. JOA score increased from an average of 8.6 points to 15.8 points. No prosthesis subsidence and apparent offsets. Replacement segment of the cervical spine stability and partial restoration of the normal scope of activities, flexion and post-extension range of activities is 4.68 ° (3.6 ° ~ 6.1 °); left lateral flexion range of activities is 3.51 ° (2.5 ° ~ 4.6 °), 3.42 ° (2.6 ° ~ 4.3 °). CT and MRI follow-up showed that 2 / 23 segment prosthesis offset lt;1.5 mm. No obvious cervical physiological curvature of the loss. Segmental replacement prosthesis around without ossification. [Conclusion] 19 cases of artificial cervical disc replacement surgery to achieve a satisfactory short-term effect. With the anterior cervical discectomy and fusion surgery in patients with the greatest difference is that quick recovery, there is no cervical limited mobility defects. However, at least five years of long-term follow-up to assess prosthesis function and the impact of adjacent segments. Keywords: artificial cervical prost