Document Detail

Comparison of single-level cervical fusion and a metal-on-metal cervical disc replacement device.
MedLine Citation:
PMID:  18535684     Owner:  NLM     Status:  MEDLINE    
Cervical fusion is the common treatment for cervical disc disease but can cause secondary disorders. The Prestige ST cervical disc prosthesis (Medtronic Sofamor Danek, Memphis, TN) was designed to preserve spinal motion to potentially limit the secondary disorders. In this article, we report 2-year results from a single-center study comparing use of this device with use of anterior cervical discectomy and fusion (ACDF). Nineteen patients were prospectively randomized to receive the device or to undergo ACDF. Twenty-four months after surgery, patients who received the device demonstrated improvement in neck pain, arm pain, and neurologic function. In our cohort, patients who underwent arthroplasty demonstrated greater improvement in neurologic function and neck pain than patients who underwent cervical discectomy and fusion.
Joseph Riina; Amisha Patel; John W Dietz; Jeffery S Hoskins; Terry R Trammell; David D Schwartz
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of orthopedics (Belle Mead, N.J.)     Volume:  37     ISSN:  1934-3418     ISO Abbreviation:  Am J. Orthop.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-06-06     Completed Date:  2008-07-31     Revised Date:  2010-01-05    
Medline Journal Info:
Nlm Unique ID:  9502918     Medline TA:  Am J Orthop (Belle Mead NJ)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E71-7     Citation Subset:  IM    
Department of Spine Surgery, Indiana Orthopaedic Hospital, Indianapolis, IN 46278, USA.
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MeSH Terms
Arthroplasty, Replacement / instrumentation*,  methods
Bone Plates
Cervical Vertebrae / surgery*
Health Status Indicators
Neck Pain / therapy
Patient Satisfaction
Prostheses and Implants*
Prosthesis Design
Radiculopathy / surgery*,  therapy
Spinal Diseases / surgery*
Spinal Fusion* / instrumentation
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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