Segmental Motion of the Cervical Spine After Total Disc Replacement Using ActivC Versus Discectomy and Fusion Using Stand-alone Cage
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Bum-Joon | - |
dc.contributor.author | Kim, Se-Hoon | - |
dc.contributor.author | Lee, Seung-Hwan | - |
dc.contributor.author | Ha, Sung-Kon | - |
dc.contributor.author | Kim, Sang-Dae | - |
dc.contributor.author | Lim, Dong-Jun | - |
dc.date.accessioned | 2021-09-01T14:36:22Z | - |
dc.date.available | 2021-09-01T14:36:22Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2019-06 | - |
dc.identifier.issn | 1878-8750 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/65263 | - |
dc.description.abstract | OBJECTIVE: Anterior cervical discectomy and fusion (ACDF) has been a widely accepted procedure for the treatment of cervical disc diseases. However, due to several reports regarding postfusion exacerbation of adjacent segments, a motion-preserving prosthesis was developed. In the present retrospective analysis, total disc replacement (TDR) using ActivC (Aesculap AG, Tuttlingen, Germany) was compared with ACDF using a stand-alone cage. METHODS: Among patients diagnosed with cervical disc diseases, those who received either ACDF or TDR at a single level between C3 and C7 from January 2010 to December 2015 were reviewed. Clinical outcomes were assessed using the visual analogue scale for arm and neck pain and the neck disability index. Clinical scales, lateral neutral, and flexion-extension radiographs were taken for all patients preoperatively and 2 months, 6 months, 1 year, and 2 years postoperatively. Global lordosis, C2-C7 Sagittal vertical axis, and T1 slope were measured on lateral neutral radiographs. The segmental range of motion (ROM) of the operated level, cranial adjacent level, and caudal adjacent level were defined as the difference between Cobb angles on flexion-extension lateral radiographs. RESULTS: A total of 53 patients (mean age 48.5 years) were reviewed. Thirty patients were treated with ACDF and the remaining 23 patients received TDR. At the 2-year follow-up, the segmental ROM of operated level was significantly preserved in the TDR group compared with the ACDF group (P = 0.007). Conversely, no significant differences in the ROM at the adjacent segments were observed between the TDR and ACDF groups (P > 0.05). The clinical outcome was excellent in both ACDF and TDR groups and was maintained until the 2-year follow-up. CONCLUSIONS: In the present study, TDR using ActivC showed successful motion preservation at the operated level and equivalent results were observed with ACDF based on clinical and radiologic results. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE INC | - |
dc.subject | LEVEL INTRADISCAL PRESSURE | - |
dc.subject | HETEROTOPIC OSSIFICATION | - |
dc.subject | ADJACENT | - |
dc.subject | ARTHROPLASTY | - |
dc.subject | MULTICENTER | - |
dc.subject | KINEMATICS | - |
dc.subject | PREVALENCE | - |
dc.subject | DEFORMITY | - |
dc.title | Segmental Motion of the Cervical Spine After Total Disc Replacement Using ActivC Versus Discectomy and Fusion Using Stand-alone Cage | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Bum-Joon | - |
dc.contributor.affiliatedAuthor | Kim, Se-Hoon | - |
dc.contributor.affiliatedAuthor | Ha, Sung-Kon | - |
dc.contributor.affiliatedAuthor | Lim, Dong-Jun | - |
dc.identifier.doi | 10.1016/j.wneu.2019.02.233 | - |
dc.identifier.scopusid | 2-s2.0-85064008008 | - |
dc.identifier.wosid | 000469222400154 | - |
dc.identifier.bibliographicCitation | WORLD NEUROSURGERY, v.126, pp.E1228 - E1234 | - |
dc.relation.isPartOf | WORLD NEUROSURGERY | - |
dc.citation.title | WORLD NEUROSURGERY | - |
dc.citation.volume | 126 | - |
dc.citation.startPage | E1228 | - |
dc.citation.endPage | E1234 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | LEVEL INTRADISCAL PRESSURE | - |
dc.subject.keywordPlus | HETEROTOPIC OSSIFICATION | - |
dc.subject.keywordPlus | ADJACENT | - |
dc.subject.keywordPlus | ARTHROPLASTY | - |
dc.subject.keywordPlus | MULTICENTER | - |
dc.subject.keywordPlus | KINEMATICS | - |
dc.subject.keywordPlus | PREVALENCE | - |
dc.subject.keywordPlus | DEFORMITY | - |
dc.subject.keywordAuthor | Arthroplasty | - |
dc.subject.keywordAuthor | Cervical vertebrae | - |
dc.subject.keywordAuthor | Diskectomy | - |
dc.subject.keywordAuthor | Intervertebral disc degeneration | - |
dc.subject.keywordAuthor | Range of motion | - |
dc.subject.keywordAuthor | Spinal fusion | - |
dc.subject.keywordAuthor | Total disc replacement | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.