Cervical Arthroplasty for Traumatic Disc Herniation: An Age- and Sex-matched Comparison with Anterior Cervical Discectomy and Fusion

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2015 Aug 29

PMID 26316216

Citations 7

Authors

Hsuan-Kan Chang

Wen-Cheng Huang

Jau-Ching Wu

Tsung-Hsi Tu

Li-Yu Fay

Peng-Yuan Chang

Ching-Lan Wu

Huang-Chou Chang

Yu-Chun Chen

Henrich Cheng

Affiliations

Soon will be listed here.

Abstract

Background: The efficacy and safety of using cervical arthroplasty for degenerative disc disease have been demonstrated by prospective, randomized and controlled clinical trials. However, there are scant data on using cervical arthroplasty for traumatic disc herniation. Therefore, this study aimed to investigate the outcomes of patients who underwent cervical arthroplasty for traumatic disc herniation.

Methods: This cohort included patients who were admitted through the emergency department for trauma. Only patients who had newly-onset, one- or two-level cervical disc disease causing radiculopathy or myelopathy were identified. None of these patients had previously sought for medical attention for such problems. Those patients who had severe spinal cord injury (i.e. American Spinal Injury Association scale A, B or C) or severe myelopathy (i.e. Nurick scale 4 or 5), bony fracture, dislocation, perched facet, kyphotic deformity, or instability were also excluded. An age- and sex-matched one-to-one comparison was made between patients who underwent cervical arthroplasty, on the one hand, and anterior cervical discectomy and fusion (ACDF).

Results: A total of 30 trauma patients (15 in the arthroplasty group and 15 in the ACDF group) were analyzed, with a mean follow-up of 29.6 months. The demographic data were similar. Post-operation, the arthroplasty group had significant improvement in VAS of neck and arm pain, JOA, and NDI when compared to their pre-operation status. Similarly, the ACDF group also improved significantly after the operation. There were no differences between the two groups in post-operative VAS neck and arm pain, and JOA scores. The arthroplasty group maintained a range of motion in the indexed levels and had better NDI scores at 6-months post-operation than the ACDF group.

Conclusions: For selected patients (i.e. no spinal cord injury, no fracture, and no instability) with traumatic cervical disc herniation, cervical arthroplasty yields similar improvement in clinical outcomes to ACDF and preserves segmental mobility.

Citing Articles

Late complication of cervical disc arthroplasty: heterotopic ossification causing myelopathy after 10 years. Illustrative case.

Hsu C, Kuo Y, Kuo C, Ko C, Wu J, Huang W J Neurosurg Case Lessons. 2022; 2(8):CASE21351.

PMID: 35855090 PMC: 9265189. DOI: 10.3171/CASE21351.

Preservation Versus Elimination of Segmental Motion in Anterior Cervical Spine Surgery.

Huang W, Wu J Neurospine. 2019; 16(3):576-578.

PMID: 31607091 PMC: 6790725. DOI: 10.14245/ns.19edi.016.

Radiological and clinical outcomes of cervical disc arthroplasty for the elderly: a comparison with young patients.

Wu J, Chang H, Huang W, Tu T, Fay L, Kuo C BMC Musculoskelet Disord. 2019; 20(1):115.

PMID: 30885198 PMC: 6421705. DOI: 10.1186/s12891-019-2509-0.

The Option of Motion Preservation in Cervical Spondylosis: Cervical Disc Arthroplasty Update.

Chang C, Huang W, Wu J, Mummaneni P Neurospine. 2018; 15(4):296-305.

PMID: 30545210 PMC: 6347355. DOI: 10.14245/ns.1836186.093.

Commentary: Utilization Trends of Cervical Disk Replacement in the United States.

Kerezoudis P, Alvi M, Goyal A, Ubl D, Meyer J, Habermann E Oper Neurosurg (Hagerstown). 2018; 15(4):40-43.

PMID: 30060145 PMC: 6887722. DOI: 10.1093/ons/opy181.

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