Clinical outcome of cervical disc replacement in the treatment of cervical spondylotic myelopathy

VernacularTitle:人工颈椎间盘置入治疗脊髓型颈椎病
Author: Rongchi XIAO ; Yuan YANG ; Guoyao ZOU ; Zhihong TANG
Publication Type:Journal Article
Keywords: Spinal Diseases; Surgical procedures; Operative
From: Chinese Journal of Primary Medicine and Pharmacy 2009;16(11):1932-1933
CountryChina
Language:Chinese
Abstract: Objective To study the effect of cervical disc replacement in the treatment of cervical spondylotic myelopathy(CSM).Methods 21 patients with CSM(17 cases of spondylotic myelopathy,2 cases of radiculopathy and 2 cases of acute soft disc herniation)were treated by anterior decompression and replaced by the Bryan cervical disc prosthesis. Results All cases were: followed for 4～12 months, average 8 months. The pre-operative JOA score was 8.5 and post-operative score was 15.5 on average. There were no prosthesis, curve was good. Replaced segment achieved stability and restored partial of normal ROM. There was no subsidence of implant and no worsening of pre-operative symptoms, post-operative 21 cases remained flexion/extension movement at replaced segments at latest follow up. There was no neck stiffness and restriction of movement complained by the patients. Conclusion The Bryan cervical disc replacement for the treatment of CSM has offered an excellent early clinical outcome.