Search for: [Abstract = "Disk disease is destruction of the intervertebral disk elements and articularcartilage. The aims of study is evaluation of cervical disk disease outcomesby fusion and arthroplasty in a 4\-year follow\-up and evaluation of the impactof operations on the neighboring segments. Material\: 88 patients, spinal fusion\- 24 patients, arthroplasty \- 36 patients, control \- 28 patients. The observationperiod \- 4 years of age from 33 \- 71 years. In all assessed symptoms by VAS,NDI, and mobility of the neck. Mobility was assessed on radiographs of thecervical, operated and adjacent segments, and compared the amount of diskparameters in the 5 studies prior to surgery, 3 months after the operation, one,two and four years after surgery. clinical results 3 months after the operationin all groups were similar, and the 4 years, improvement occurred in the groupof arthroplasty, and after hardening underwent deterioration. X\-ray resultscomparable to a year after surgery in both groups, and even increase themobility of the adjacent segment fusion group, but after four years of followupin this group occurred adjacent segment mobility decline as a result of theseverity of osteoarthritis. In the arthroplasty group, there was no significantvariation in the adjacent motion segments in the 4\-year follow\-up. It wasconcluded that arthroplasty can maintain good long\-term mobility of thecervical spine, and 4\-year follow\-up there is a team or an adjacent segment isless pronounced than in the fusion group, so arthroplasty, with appropriatepatient selection, is superior to spinal fusion procedures in the clinicalassessment and radiological."]

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