Bitte benutzen Sie diese Referenz, um auf diese Ressource zu verweisen: 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 GrößeFormat 
41598_2022_Article_17652.pdf1,13 MBAdobe PDFÖffnen/Anzeigen


Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons Creative Commons