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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


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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Level of degree:

2 - studia doktoranckie

Degree discipline:

ortopedia ; chirurgia

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Lekarski.


Maciej Tęsiorowski

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tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

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Last modified:

Jun 26, 2019

In our library since:

Nov 6, 2013

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Edition name Date
ZB-118792 Jun 26, 2019


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