Intraoperative Anterior Migration of the Prestige-LP Cervical Disc Owing to an Inappropriate Implantation Sequence During Continuous 2-Level Artificial Cervical Disc Replacement: A Case Report with 8-Year Follow-Up

2018 ◽  
Vol 116 ◽  
pp. 194-200 ◽  
Author(s):  
Yang Meng ◽  
Xiaofei Wang ◽  
Zhengyang Zhao ◽  
Beiyu Wang ◽  
Tingkui Wu ◽  
...  
Keyword(s):  
Case Report ◽  
Disc Replacement ◽  
Cervical Disc ◽  
Cervical Disc Replacement ◽  
Anterior Migration ◽  
The Prestige

scholarly journals Clinical and radiological outcome at 10 years of follow-up after total cervical disc replacement

2017 ◽  
Vol 26 (9) ◽  
pp. 2441-2449 ◽  
Author(s):  
Christoph Mehren ◽  
Franziska Heider ◽  
Christoph J. Siepe ◽  
Bernhard Zillner ◽  
Ralph Kothe ◽  
...  
Keyword(s):  
Disc Replacement ◽  
Cervical Disc ◽  
Radiological Outcome ◽  
Cervical Disc Replacement ◽  
Clinical And Radiological Outcome

scholarly journals Four-year results of a prospective single-arm study on 200 semi-constrained total cervical disc prostheses: clinical and radiographic outcome

2016 ◽  
Vol 25 (5) ◽  
pp. 556-565 ◽  
Author(s):  
Hans-Jörg Meisel ◽  
Lubomír Jurák ◽  
Jussi Antinheimo ◽  
Ricardo Arregui ◽  
Bernhard Bruchmann ◽  
...  
Keyword(s):  
Total Disc Replacement ◽  
Neck Disability Index ◽  
Disc Replacement ◽  
Cervical Disc ◽  
Adjacent Segment ◽  
Radiographic Outcome ◽  
Cervical Disc Replacement ◽  
Arm Pain ◽  
Facet Joint Degeneration

OBJECTIVE Recent studies have described encouraging outcomes after cervical total disc replacement (cTDR), but there are also critical debates regarding the long-term effects of heterotopic ossification (HO) and the prevalence of adjacent-level degeneration. The aim in this paper was to provide 4-year clinical and radiographic outcome results on the activ C disc prosthesis. METHODS A total of 200 subjects underwent single-level activ C (Aesculap AG) implantation between C-3 and C-7 for the treatment of symptomatic degenerative disc disease. Clinical and radiographic assessments were performed preoperatively, intraoperatively, at discharge, and again at 6 weeks, 6 months, 1 year, 2 years, and 4 years. Radiographic evaluations were done by an independent core laboratory using a specific software for quantitative motion analysis. RESULTS Neck Disability Index (NDI) and visual analog scale (VAS) score for neck and arm pain decreased significantly from baseline to the 4-year follow-up. The mean improvement for NDI was 20, for VAS severity and frequency of neck pain 26.4 and 28, and for VAS severity and frequency of arm pain 30.7 and 35.1, respectively. The neurological situation improved for the majority of patients (86.4%); 76.1% of cases were asymptomatic. Subsequent surgical interventions were reported in 7% of the cases, including device removals in 3%. In 2.5% a subsidence greater than 3 mm was recorded; 1 of these cases also had a migration greater than 3 mm. No device displacement, expulsion, disassembly, loose or fractured device, osteolysis, or facet joint degeneration at the index level was observed. Segmental lordotic alignment changed from −2.4° preoperatively to −6.2° at 4 years, and postoperative height was maintained during the follow-up. Advanced HO (Grade III and IV) was present in 27.1% of the cases; 82.4% showed segmental mobility. A progression of radiographic adjacent-segment degeneration occurred in 28.2%, but only 4.5% required surgical treatment. CONCLUSIONS The activ C is a safe and effective device for cervical disc replacement confirming the encouraging results after cTDR. Clinical trial registration no.: NCT02492724 (clinicaltrials.gov)

161. Metal-on-metal vs metal-on-plastic artificial discs in 2-level anterior cervical disc replacement: a meta-analysis with follow up of 5 years or more

2021 ◽  
Vol 21 (9) ◽  
pp. S81
Author(s):  
Daniel Coban ◽  
Michael Pompliano ◽  
Stuart Changoor ◽  
Conor J. Dunn ◽  
Kumar Sinha ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Disc Replacement ◽  
Cervical Disc ◽  
Cervical Disc Replacement ◽  
Metal On Metal

scholarly journals Long-term Follow-Up Results of Dynamic Cervical Implant in Patients with Cervical Disc Diseases: Compared with Prestige LP

2021 ◽  
Author(s):  
Li Zou ◽  
Hao Liu ◽  
Xin Rong ◽  
XIjiao Liu ◽  
Chen Ding ◽  
...  
Keyword(s):  
Short Form ◽  
Degenerative Disease ◽  
Cervical Disc ◽  
Neural Function ◽  
Cervical Disc Replacement ◽  
Dynamic Cervical Implant ◽  
Functional Spinal Unit ◽  
Flexion Extension ◽  
The Prestige

Background and Study Aims: Prestige LP arthroplasty has been proven to be a safe and effective treatment for patients with cervical disc degenerative disease (DDD). Dynamic Cervical Implant (DCI) has emerged as a novel implantation device for cervical DDD. This study aimed to compare the outcomes of these procedures after 5 years of follow-up in the DCI and Prestige LP groups. Key words: cervical disc degenerative disease; cervical disc replacement; Dynamic Cervical Implant; Prestige LP Materials and Methods: This study retrospectively enrolled 79 consecutive cervical DDD patients with 41 DCI and 47 Prestige LP prostheses implanted. Radiographs were analyzed for intervertebral height and range of motion (ROM). Neural function of the participants was assessed using the Neck Disability Index score, Visual Analog Scale, Japanese Orthopaedic Association score and 36-Item Short Form Survey. Results: The DCI group had statistically lesser flexion/extension and bilateral bending ROM than the Prestige LP group at the operated level(s) (p<0.05). The DCI group showed improved lordotic alignment of C2–C7 and operated functional spinal unit than the Prestige LP group (p<0.05). No statistical difference was observed in the neural function of the two groups. Heterotopic ossification was found in 7 and 14 patients in the DCI and Prestige LP groups, respectively. Conclusion: The 5 years follow-up results were comparable between the two groups. We believe that DCI implantation is a safe and effective procedure and could possibly become an alternative treatment for cervical DDD.

scholarly journals Single-Level Cervical Disc Replacement Using a PEEK-on-Ceramic Implant: Results of a Multicenter FDA IDE Trial With 24-Month Follow-up

10.14444/8084 ◽  
2021 ◽  
pp. 8084
Author(s):  
Richard D. Guyer ◽  
Domagoj Coric ◽  
Pierce D. Nunley ◽  
Rick C. Sasso ◽  
Michael Musacchio ◽  
...  
Keyword(s):  
Disc Replacement ◽  
Cervical Disc ◽  
Cervical Disc Replacement ◽  
Single Level ◽  
Ceramic Implant

scholarly journals Mid- to long-term rates of symptomatic adjacent-level disease requiring surgery after cervical total disc replacement compared with anterior cervical discectomy and fusion: a meta-analysis of prospective randomized clinical trials

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Yifei Deng ◽  
Guangzhou Li ◽  
Hao Liu ◽  
Ying Hong ◽  
Yang Meng
Keyword(s):  
Anterior Cervical Fusion ◽  
Anterior Cervical Discectomy ◽  
Disc Replacement ◽  
Cervical Disc ◽  
Cervical Fusion ◽  
Adjacent Level ◽  
Cervical Total Disc Replacement ◽  
Cervical Disc Replacement

Abstract Background Thus far, no meta-analysis focusing on the mid- to long-term incidence of adjacent segment disease requiring surgery after cervical total disc replacement and anterior cervical discectomy and fusion has been published yet. This study aimed to compare mid- to long-term rates of symptomatic adjacent-level disease requiring surgery after cervical disc replacement and anterior cervical fusion. Methods A meta-analysis was performed, and only randomized controlled trials with a follow-up period of more than 48 months reporting rates of symptomatic adjacent-level disease requiring surgery after cervical total disc replacement and anterior cervical discectomy and fusion were included. Results The analysis revealed that the overall rate of symptomatic adjacent-level disease requiring surgery in the cervical disc replacement group was significantly lower than that of the anterior cervical fusion group at 48–120 months’ follow-up. The subgroup analysis of different follow-up periods also yielded the same results. The rate of symptomatic adjacent-level disease requiring surgery in the cervical disc replacement group using unrestricted prosthesis was significantly lower than that of the anterior cervical fusion group (p < 0.001); however, the cervical disc replacement group using semi-restricted prosthesis showed no statistical difference compared with the fusion group. Conclusions Our review suggests that cervical disc replacement is preferable to anterior cervical fusion in reducing the incidence of symptomatic adjacent-level disease requiring surgery at mid- to long-term follow-up. A review of the literature also demonstrated that randomized controlled trials investigating the rate of symptomatic adjacent-level disease requiring surgery were insufficient; therefore, studies focusing on this subject with longer-term follow-up are warranted.

Outcomes of the Bryan cervical disc replacement: fifteen year follow-up

2017 ◽  
Vol 42 (4) ◽  
pp. 851-857 ◽  
Author(s):  
Vincent Pointillart ◽  
Jean-Etienne Castelain ◽  
Pierre Coudert ◽  
Derek Thomas Cawley ◽  
Olivier Gille ◽  
...  
Keyword(s):  
Disc Replacement ◽  
Cervical Disc ◽  
Cervical Disc Replacement

The Prestige cervical disc replacement

2004 ◽  
Vol 4 (6) ◽  
pp. S310-S314 ◽  
Author(s):  
Vincent C. Traynelis
Keyword(s):  
Disc Replacement ◽  
Cervical Disc ◽  
Cervical Disc Replacement ◽  
The Prestige
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