FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2593558468> ?p ?o ?g. }

• W2593558468 endingPage "585" @default.
• W2593558468 startingPage "577" @default.
• W2593558468 abstract "OBJECTIVE Cervical disc arthroplasty (CDA) has been demonstrated to be as safe and effective as anterior cervical discectomy and fusion (ACDF) in the management of 1- and 2-level degenerative disc disease (DDD). However, there has been a lack of data to address the fundamental discrepancy between the two surgeries (CDA vs ACDF), and preservation versus elimination of motion, in the management of cervical myelopathy associated with congenital cervical stenosis (CCS). Although younger patients tend to benefit more from motion preservation, it is uncertain if CCS caused by multilevel DDD can be treated safely with CDA. METHODS Consecutive patients who underwent 3-level anterior cervical discectomy were retrospectively reviewed. Inclusion criteria were age less than 50 years, CCS (Pavlov ratio ≤ 0.82), symptomatic myelopathy correlated with DDD, and stenosis limited to 3 levels of the subaxial cervical (C3–7) spine. Exclusion criteria were ossification of the posterior longitudinal ligament, previous posterior decompression surgery (e.g., laminoplasty or laminectomy), osteoporosis, previous trauma, or other rheumatic diseases that might have caused the cervical myelopathy. All these patients who underwent 3-level discectomy were divided into 2 groups according to the strategies of management: preservation or elimination of motion (the hybrid-CDA group and the ACDF group). The hybrid-CDA group underwent 2-level CDA plus 1-level ACDF, whereas the ACDF group underwent 3-level ACDF. Clinical assessment was measured by the visual analog scales (VAS) for neck and arm pain, Japanese Orthopaedic Association (JOA) scores, and Nurick grades. Radiographic outcomes were measured using dynamic radiographs for evaluation of range of motion (ROM). RESULTS Thirty-seven patients, with a mean (± SD) age of 44.57 ± 5.10 years, were included in the final analysis. There was a male predominance in this series (78.4%, 29 male patients), and the mean follow-up duration was 2.37 ± 1.60 years. There were 20 patients in the hybrid-CDA group, and 17 in the ACDF group. Both groups demonstrated similar clinical improvement at 2 years' follow-up. These patients with 3-level stenosis experienced significant improvement after either type of surgery (hybrid-CDA and ACDF). There were no significant differences between the 2 groups at each of the follow-up visits postoperatively. The preoperative ROM over the operated subaxial levels was similar between both groups (21.9° vs 21.67°; p = 0.94). Postoperatively, the hybrid-CDA group had significantly greater ROM (10.65° vs 2.19°; p < 0.001) than the ACDF group. Complications, adverse events, and reoperations in both groups were similarly low. CONCLUSIONS Hybrid-CDA yielded similar clinical improvement to 3-level ACDF in patients with myelopathy caused by CCS. In this relatively young group of patients, hybrid-CDA demonstrated significantly more ROM than 3-level ACDF without adjacent-segment disease (ASD) at 2 years' follow-up. Therefore, hybrid-CDA appears to be an acceptable option in the management of CCS. The strategy of motion preservation yielded similar improvements of cervical myelopathy to motion elimination (i.e., ACDF) in patients with CCS, while the theoretical benefit of reducing ASD required further validation." @default.
• W2593558468 created "2017-03-16" @default.
• W2593558468 creator A5002874381 @default.
• W2593558468 creator A5010254246 @default.
• W2593558468 creator A5035966259 @default.
• W2593558468 creator A5049494907 @default.
• W2593558468 creator A5059351540 @default.
• W2593558468 creator A5063386540 @default.
• W2593558468 creator A5063438142 @default.
• W2593558468 creator A5081014396 @default.
• W2593558468 date "2017-05-01" @default.
• W2593558468 modified "2023-10-11" @default.
• W2593558468 title "Is cervical disc arthroplasty good for congenital cervical stenosis?" @default.
• W2593558468 cites W1488157144 @default.
• W2593558468 cites W150586769 @default.
• W2593558468 cites W1590235058 @default.
• W2593558468 cites W1663765989 @default.
• W2593558468 cites W194393389 @default.
• W2593558468 cites W1992474986 @default.
• W2593558468 cites W1996022106 @default.
• W2593558468 cites W1999304506 @default.
• W2593558468 cites W2017885971 @default.
• W2593558468 cites W2026494914 @default.
• W2593558468 cites W2026860689 @default.
• W2593558468 cites W2046669842 @default.
• W2593558468 cites W2050893190 @default.
• W2593558468 cites W2059876323 @default.
• W2593558468 cites W2082354825 @default.
• W2593558468 cites W2084745043 @default.
• W2593558468 cites W2093358549 @default.
• W2593558468 cites W2093957791 @default.
• W2593558468 cites W2096805167 @default.
• W2593558468 cites W2101545850 @default.
• W2593558468 cites W2109176718 @default.
• W2593558468 cites W2124605932 @default.
• W2593558468 cites W2130931079 @default.
• W2593558468 cites W2134678666 @default.
• W2593558468 cites W2136132877 @default.
• W2593558468 cites W2138330265 @default.
• W2593558468 cites W2144312781 @default.
• W2593558468 cites W2170978927 @default.
• W2593558468 cites W2312522032 @default.
• W2593558468 cites W4247637568 @default.
• W2593558468 doi "https://doi.org/10.3171/2016.10.spine16317" @default.
• W2593558468 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/28291414" @default.
• W2593558468 hasPublicationYear "2017" @default.
• W2593558468 type Work @default.
• W2593558468 sameAs 2593558468 @default.
• W2593558468 citedByCount "30" @default.
• W2593558468 countsByYear W25935584682018 @default.
• W2593558468 countsByYear W25935584682019 @default.
• W2593558468 countsByYear W25935584682020 @default.
• W2593558468 countsByYear W25935584682021 @default.
• W2593558468 countsByYear W25935584682022 @default.
• W2593558468 countsByYear W25935584682023 @default.
• W2593558468 crossrefType "journal-article" @default.
• W2593558468 hasAuthorship W2593558468A5002874381 @default.
• W2593558468 hasAuthorship W2593558468A5010254246 @default.
• W2593558468 hasAuthorship W2593558468A5035966259 @default.
• W2593558468 hasAuthorship W2593558468A5049494907 @default.
• W2593558468 hasAuthorship W2593558468A5059351540 @default.
• W2593558468 hasAuthorship W2593558468A5063386540 @default.
• W2593558468 hasAuthorship W2593558468A5063438142 @default.
• W2593558468 hasAuthorship W2593558468A5081014396 @default.
• W2593558468 hasBestOaLocation W25935584681 @default.
• W2593558468 hasConcept C118552586 @default.
• W2593558468 hasConcept C126838900 @default.
• W2593558468 hasConcept C141071460 @default.
• W2593558468 hasConcept C142724271 @default.
• W2593558468 hasConcept C167135981 @default.
• W2593558468 hasConcept C204787440 @default.
• W2593558468 hasConcept C2777604421 @default.
• W2593558468 hasConcept C2778051963 @default.
• W2593558468 hasConcept C2778284751 @default.
• W2593558468 hasConcept C2778336525 @default.
• W2593558468 hasConcept C2779480328 @default.
• W2593558468 hasConcept C2780007028 @default.
• W2593558468 hasConcept C2780091945 @default.
• W2593558468 hasConcept C2780236236 @default.
• W2593558468 hasConcept C2780775167 @default.
• W2593558468 hasConcept C2781038967 @default.
• W2593558468 hasConcept C2781430139 @default.
• W2593558468 hasConcept C2985379065 @default.
• W2593558468 hasConcept C36454342 @default.
• W2593558468 hasConcept C44575665 @default.
• W2593558468 hasConcept C60465272 @default.
• W2593558468 hasConcept C71924100 @default.
• W2593558468 hasConceptScore W2593558468C118552586 @default.
• W2593558468 hasConceptScore W2593558468C126838900 @default.
• W2593558468 hasConceptScore W2593558468C141071460 @default.
• W2593558468 hasConceptScore W2593558468C142724271 @default.
• W2593558468 hasConceptScore W2593558468C167135981 @default.
• W2593558468 hasConceptScore W2593558468C204787440 @default.
• W2593558468 hasConceptScore W2593558468C2777604421 @default.
• W2593558468 hasConceptScore W2593558468C2778051963 @default.
• W2593558468 hasConceptScore W2593558468C2778284751 @default.
• W2593558468 hasConceptScore W2593558468C2778336525 @default.
• W2593558468 hasConceptScore W2593558468C2779480328 @default.

• next