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Title: Evaluation of outcomes after fusion and arthroplasty in the disk diseaseof the cervical spine and the impact of surgery on the adjacent segments
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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Last modified:
Mar 20, 2023
In our library since:
Nov 6, 2013
Number of object content hits:
19
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0
All available object's versions:
http://dl.cm-uj.krakow.pl:8080/publication/3628
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| Edition name | Date |
|---|---|
| ZB-118792 | Mar 20, 2023 |
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