A Comparison between the Cervical Intervertebral Fusion Cage and the Dynamic Cervical Implant Arthroplasty: Clinical Outcomes 12 Months after Cervical Disc Surgery
Authors:
P. Nechvátal 1; P. Takáč 2; M. Kozel 3; M. Gajdoš 4
Authors‘ workplace:
Katedra fyzioterapie, Fakulta zdravotníckych odborov, Prešovská univerzita v Prešove
1; Klinika FBLR, Lekárska fakulta, Univerzita P. J. Šafárika v Košiciach
2; Katedra fyzioterapie, Fakulta zdravotníctva, Katolícka univerzita v Ružomberku
3; Neurochirurgická klinika, Lekárska fakulta, Univerzita P. J. Šafárika v Košiciach
4
Published in:
Rehabil. fyz. Lék., 26, 2019, No. 2, pp. 88-94.
Category:
Original Papers
Overview
Objective: The purpose of this paper is to determine which surgical treatment method of intervertebral disc in the cervical spine has better effect on disability, functional status and quality of life of patients.
Sample and methods: In this prospective, consecutive, clinical study, we compare disability, functional status, and quality of life in a group of 48 patients who underwent anterior cervical discectomy and implantation of a Anterior Cervical Discectomy and Fusion Cage (ACDF), and a group of 40 patients who underwent anterior cervical discectomy and Dynamic Cervical Implant (DCI) arthroplasty.
Dysfunction of the cervical spine was assessed according to the Neck Disability Index (NDI). Functional status of patients was evaluated by Pulses Profile and quality of life was evaluated by the Test of Quality of Life according to Spitzer.
Results: Statistical evaluation of the questionnaire results (NDI, Pulses and Spitzer) between the compared groups of patients found no significant differences (p>0.05). Twelve months post-surgery the group of ACDF patients and the patients with DCI displayed reduced disability, increased functional status, and improved quality of life. However, there were no significant differences between these groups.
Conclusion: The use of both methods of the surgical treatment (ACDF and DCI) for the period of twelve months show comparably positive effect on disability, functional status, and quality of life in patients who underwent intervertebral disc surgery in the cervical spine.
Keywords:
diskectomy – intervertebral disc – neurosurgery – total disc replacement – Spine
Sources
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Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2019 Issue 2
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