Preliminary Clinical Outcome of One-level Mobi-C Total Disc Replacement in Japanese Population.
Cervical Spondylosis
Cervical disc herniation
Cervical spine
Clinical outcome
Total disc replacement (TDR)
Journal
Spine surgery and related research
ISSN: 2432-261X
Titre abrégé: Spine Surg Relat Res
Pays: Japan
ID NLM: 101718059
Informations de publication
Date de publication:
2021
2021
Historique:
received:
19
01
2021
accepted:
21
02
2021
entrez:
30
12
2021
pubmed:
31
12
2021
medline:
31
12
2021
Statut:
epublish
Résumé
In 2018, the first Mobi-C We examined 24 consecutive patients who underwent 1-level TDR after 2018 and followed up for more than 6 months after surgery. The evaluation criteria included age, gender, diagnosis, follow-up period, surgical level, implant size, surgery time, intraoperative bleeding volume, complications, revision surgery, imaging findings, JOA score, and various questionnaires. The mean age was 52.7 years, 13 males and 11 females. There were 15 cases of cervical disk herniation and 9 cases of cervical spondylosis. The mean follow-up period was 17.4 months. Surgical levels were C3/4 in 4 cases, C4/5 in 2 cases, C5/6 in 16 cases, and C6/7 in 2 cases. The mean operation time was 138.5 minutes, the amount of intraoperative bleeding was 32.1 ml, and there were no serious intraoperative complications. The range of motion of the affected level increased significantly, from 6.6 degrees preoperatively to 12.2 degrees at final follow-up. No patients required revision surgery at final follow-up, and there were no cases of heterotopic ossification or adjacent segment disease. One patient exhibited radiculopathy due to mild subsidence 1 year after surgery, and 1 had asymptomatic contact of device plates. Preoperative and final JOA scores improved from 11.7 to 15.8 points, and NRS improved from 4.3 to 1.3 points for neck pain and 4.3 to 1.7 points for arm pain. Preoperative and final NDI improved from 39.7% to 14.0%, and EQ-5D improved from 0.602 to 0.801. The short-term treatment outcomes of Mobi-C
Identifiants
pubmed: 34966858
doi: 10.22603/ssrr.2021-0015
pmc: PMC8668213
doi:
Types de publication
Journal Article
Langues
eng
Pagination
339-346Informations de copyright
Copyright © 2021 by The Japanese Society for Spine Surgery and Related Research.
Déclaration de conflit d'intérêts
Conflicts of Interest: The authors declare that there are no relevant conflicts of interest.
Références
Spine J. 2007 Nov-Dec;7(6):637-42
pubmed: 17998122
J Neurosurg Spine. 2005 Dec;3(6):417-23
pubmed: 16381202
Acta Chir Scand Suppl. 1966;357:154-9
pubmed: 5227072
J Neurosurg. 1998 Jun;88(6):943-8
pubmed: 9609285
PLoS One. 2016 Feb 12;11(2):e0149312
pubmed: 26872258
Spine (Phila Pa 1976). 2018 Feb 1;43(3):207-214
pubmed: 28604488
J Bone Joint Surg Am. 1999 Apr;81(4):519-28
pubmed: 10225797
J Spinal Disord Tech. 2003 Aug;16(4):314-23
pubmed: 12902946
J Neurosurg. 2004 Jan;100(1 Suppl Spine):2-6
pubmed: 14748566
Spine (Phila Pa 1976). 2007 Oct 1;32(21):2310-7
pubmed: 17906571
Spine J. 2021 Feb;21(2):265-272
pubmed: 32966907
J Korean Neurosurg Soc. 2008 Oct;44(4):217-21
pubmed: 19096680
Int J Spine Surg. 2016 Feb 26;10:10
pubmed: 27162712
J Bone Joint Surg Am. 1958 Jun;40-A(3):607-24
pubmed: 13539086
Medicine (Baltimore). 2017 Dec;96(49):e8504
pubmed: 29245217
J Neurosurg Spine. 2015 Jan;22(1):15-25
pubmed: 25380538
Global Spine J. 2020 Sep;10(6):790-804
pubmed: 32707022
Eur Spine J. 2002 Oct;11 Suppl 2:S92-7
pubmed: 12384728
Bone Joint J. 2016 Jun;98-B(6):829-33
pubmed: 27235528
Int J Spine Surg. 2017 Nov 28;11:31
pubmed: 29372135
J Neurosurg Spine. 2016 May;24(5):734-45
pubmed: 26799118