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doi:10.22028/D291-44579
Titel: | Long-term follow-up MRI shows no hastening of adjacent segment degeneration following cervical disc arthroplasty |
VerfasserIn: | Burkhardt, Benedikt W. Baumann, Lukas Simgen, Andreas Wagenpfeil, Gudrun Hendrix, Philipp Reith, Wolfgang Oertel, Joachim M. |
Sprache: | Englisch |
Titel: | Scientific reports |
Bandnummer: | 12 |
Heft: | 1 |
Verlag/Plattform: | Springer Nature |
Erscheinungsjahr: | 2022 |
DDC-Sachgruppe: | 610 Medizin, Gesundheit |
Dokumenttyp: | Journalartikel / Zeitschriftenartikel |
Abstract: | Cervical disc arthroplasty is an established procedure, but studies with data on long-term clinical outcome, reoperation for symptomatic adjacent segment degeneration (sASD), and degenerative changes based on MRI findings are rare. Thus, a file review was performed and patients with complete documentation of neurological status at preoperative, postoperative, 12 month, 3–4 years follow-up including surgical reports for reoperation with a minimum follow-up of 9 years were included. Final follow-up assessment included a physical examination, assessment of pain levels, Odoms criteria, Neck disability index. The degeneration of each cervical segment at preoperative and at final follow-up was assessed using an MRI. Forty-six out of 68 included patients participated, the mean follow-up was 11 (range 9–15) years, at which 71.7% of patients were free of arm pain, 52.2% of patients were free of neck pain, 63% of patients had no sensory dysfunction, and full motor strength was noted in 95.6% of patients. The clinical success rate was 76.1%, the mean NDI was 12%. Overall repeated procedure rate was 17%, the reoperation rate for sASD was 9%, and removal of CDA was performed in 4%. MRI showed progressive degeneration but no significant changes of SDI from preoperative to final follow-up. |
DOI der Erstveröffentlichung: | 10.1038/s41598-022-17652-8 |
URL der Erstveröffentlichung: | https://www.nature.com/articles/s41598-022-17652-8 |
Link zu diesem Datensatz: | urn:nbn:de:bsz:291--ds-445793 hdl:20.500.11880/39764 http://dx.doi.org/10.22028/D291-44579 |
ISSN: | 2045-2322 |
Datum des Eintrags: | 7-Mär-2025 |
Fakultät: | M - Medizinische Fakultät |
Fachrichtung: | M - Neurochirurgie |
Professur: | M - Prof. Dr. Joachim Oertel |
Sammlung: | SciDok - Der Wissenschaftsserver der Universität des Saarlandes |
Dateien zu diesem Datensatz:
Datei | Beschreibung | Größe | Format | |
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41598_2022_Article_17652.pdf | 1,13 MB | Adobe PDF | Öffnen/Anzeigen |
Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons