Artificial Disk Replacement Combined With Fusion Versus 2-Level Fusion in Cervical 2-Level Disk Disease With a 5-Year Follow-up

• DOI: 10.1097/bsd.0000000000000316
• Publication Date: 2015-08-20T11:43:25Z
• Authors: Gyu Yeul Ji; Chang Hyun Oh; Dong Ah Shin; Yoon Ha; Seong Yi; Keung Nyun Kim; Hyun Cheol Shin; Do Heum Yoon
• Keywords: Range of Motion; Adult; Male; Total Disc Replacement; Intervertebral Disc Displacement/diagnostic imaging; Visual Analog Scale; 610; Intervertebral Disc Degeneration; Intervertebral Disc Displacement/physiopathology; Neck Pain/surgery; Cervical Vertebrae/diagnostic imaging; Disability Evaluation; 03 medical and health sciences; Postoperative Complications; 0302 clinical medicine; 616; Humans; Cervical Vertebrae/physiopathology; Range of Motion, Articular; Cervical Vertebrae/surgery*; Neck Pain; Intervertebral Disc Degeneration/physiopathology; Middle Aged; 3. Good health; Intervertebral Disc Degeneration/diagnostic imaging; Intervertebral Disc Displacement/surgery*; Spinal Fusion; Treatment Outcome; Spinal Fusion*/adverse effects; Intervertebral Disc Degeneration/surgery*; Cervical Vertebrae; Postoperative Complications/etiology; Female; Total Disc Replacement*/adverse effects; Intervertebral Disc Displacement; Articular; Follow-Up Studies

Prospective study.The purpose of this study was to compare the long-term clinical and radiologic outcomes hybrid surgery (HS) 2-level anterior cervical discectomy fusion (2-ACDF) in patients with disk disease.In a previous 2-year follow-up, HS shown be superior 2-ACDF, better Neck Disability Index (NDI) score, less postoperative neck pain, faster C2-C7 range motion (ROM) recovery, adjacent ROM increase.Between 2004 2006, 40 undergoing at our hospital were identified as degenerative disease. Forty included study; 35 followed up for 5 years. Patients completed NDI graded their pain intensity before routine until Dynamic radiographs obtained intervals angular segments measured.The group had recovery 3 years after (P<0.05). Postoperative lower 1 (P<0.05), but arm relief not differently relieved. The showed more 2 surgery. segment hypermobility 2-ACDF hypomobility all follow-up periods without statistically significance, inferior differed significantly (P<0.05).HS is 2-ACDF; it leads increase over these benefits become similar those follow-up.