Motion Preservation and Clinical Outcome of Porous Coated Motion Cervical Disk Arthroplasty

Neurosurgery ◽  
2012 ◽  
Vol 71 (1) ◽  
pp. 30-37 ◽  
Author(s):  
David Choi ◽  
Vladimir Petrik ◽  
Sally Fox ◽  
Joy Parkinson ◽  
Jake Timothy ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Neck Pain ◽  
Short Form ◽  
Neck Disability Index ◽  
Long Term Results ◽  
Short Form 36 ◽  
Neck Disability ◽  
Artificial Cervical Disk ◽  
Cervical Disk

Abstract BACKGROUND: Artificial cervical disk replacements are commonly used to treat radiculomyelopathy caused by degenerative disk disease. However, long-term disk mobility and an effect on adjacent segment disease have yet to be demonstrated. We report improvements in clinical outcome after disk replacement but also demonstrate potential limitations. OBJECTIVE: To review clinical and radiological outcomes after diskectomy and disk replacement with the Porous Coated Motion (PCM) artificial cervical disk. METHODS: A retrospective review was done of consecutive patients who underwent 1- or 2-level PCM disk replacements. The following criteria were studied: arm pain, neck pain, Neck Disability Index and Short Form-36 questionnaires, and flexion-extension radiographs up to 2 years after surgery. RESULTS: Eighty PCM artificial disks were implanted in 53 patients. Only 17 disks (21%) maintained physiological movement, and complete fusion was seen in 18.8%. One disk replacement was revised because of anterior displacement. There were no complications of infection, cerebrospinal fluid leak, dysphagia, or hoarse voice. Arm and neck pain improved significantly after diskectomy, but Neck Disability Index questionnaires demonstrated a slight improvement that was not sustained by 2 years. Short Form-36 scores demonstrated a trend toward better outcome with time, but it was significant only for the mental domain. CONCLUSION: Clinical improvement was seen after PCM disk replacement, but adequate range of movement was sustained in only 21% of disk replacements over time. Unclear long-term results of this and other disk replacements suggest caution in adopting these new devices as the gold standard.

scholarly journals No Justification for Cervical Disk Prostheses in Clinical Practice

Neurosurgery ◽  
2010 ◽  
Vol 66 (6) ◽  
pp. 1153-1160 ◽  
Author(s):  
Ronald H.M.A. Bartels ◽  
Roland Donk ◽  
André L.M. Verbeek
Keyword(s):  
Clinical Practice ◽  
Statistical Difference ◽  
Short Form ◽  
Neck Disability Index ◽  
Composite Score ◽  
Short Form 36 ◽  
Mental Composite Score ◽  
Composite Scores ◽  
Neck Disability ◽  
Cervical Disk

Abstract OBJECTIVE A meta-analysis was performed to evaluate whether a beneficial clinical effect of cervical disk prostheses over conventional cervical diskectomy with fusion exists. METHODS A literature search was completed ending February 4, 2009, that included the abstract books of recent major spine congresses. All studies reported the results of single-level cervical disease without myelopathy. The Visual Analog Score (VAS) of the arm, VAS of the neck, Neck Disability Index, Physical Composite Scores of the Short Form 36, and Mental Composite Score of the Short Form 36, as well as adverse events, were evaluated. RESULTS Nine records were found, totaling 1533 patients. Of these, 1165 were evaluable at the last follow-up at 12 or 24 months. As an effect measure, a pooled odds ratio (OR) was calculated at 12 and 24 months. At 12 months, the VAS arm reached statistical significance (OR = 0.698; 95% confidence interval [CI], 0.571–0.853), as did the VAS neck (OR = 0.690; 95% CI, 0.562–0.847), and the Physical Composite Scores (OR = 1.362; 95% CI, 1.103–1.682) and the Mental Composite Score (OR = 1.270; 95% CI, 1.029–1.569) of the Short Form 36, favoring arthroplasty. The Neck Disability Index at 24 months also reached statistical difference (OR = 0.794; 95% CI, 0.641–0.984). All other measurements did not reveal any statistical difference. The number of complications, including secondary surgeries for adjacent segment disease, did not differ. CONCLUSION A clinical benefit for the cervical disk prosthesis is not proven. Because none of the studies were blinded, bias of the patient or researcher is a probable explanation for the differences found. Therefore, these costly devices should not be used in daily clinical practice.

THE RELATIONS BETWEEN WORKING POSITION WITH NON-SPECIFIC NECK PAIN ON LAUNDRY WORKERS IN DENPASAR CITY

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Ni Made Wahyuni Dewi ◽  
Nila Wahyuni ◽  
Luh Putu Ratna Sundari
Keyword(s):  
Neck Pain ◽  
Hypothesis Test ◽  
Neck Disability Index ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Long Time ◽  
Chi Square Test ◽  
Neck Disability

Non-specific neck pain is a neck pain caused by bad posture in the long term. Laundry workers who everyday often perform activities ironing for a long time at risk of non-specific neck pain due to working position that are not ergonomic. The purpose of this research is to determine the relation between working position with non-specific neck pain on laundry worker in Denpasar City. This research is cross sectional analytic research with purposive sampling. The number of sample is 60 workers with the range of age 20-40 years. Independent variable measured is working position with RULA method, while the dependent variable measured is non-specific neck pain with Neck Disability Index Questionnaire. Hypothesis test used is Chi-Square Test. The resulted of Chi-Square Test on working position with non-specific neck pain variable shown the result of p value is 0,00 or p < 0,05. Based on the results of this study it can be concluded that found a significant relationship between working position against non-specific neck pain on laundry worker in Denpasar City. Keywords: Working Position, Non-Specific Neck Pain, Laundry Worker.

scholarly journals P.229 Epidemiology and Outcomes of Neck Pain Following Surgery for Degenerative Cervical Radiculopathy

2021 ◽  
Vol 48 (s3) ◽  
pp. S86-S86
Author(s):  
MA MacLean ◽  
A Dakson ◽  
F Xavier ◽  
SD Christie ◽  
C Investigators
Keyword(s):  
Neck Pain ◽  
Short Form ◽  
Neck Disability Index ◽  
Cervical Radiculopathy ◽  
Research Network ◽  
Cervical Disc ◽  
Cervical Disc Arthroplasty ◽  
Arm Pain ◽  
Composite Scale ◽  
Neck Disability

Background: Many studies have demonstrated improved arm pain (AP) following surgery for degenerative cervical radiculopathy (DCR); however, axial neck pain (NP) is generally not felt to improve. The purpose of this study was to determine whether surgery for DCR improves NP. Methods: A ambispective cohort study of the Canadian Spine Outcomes Research Network (CSORN) registry for patients who received 1-level, 2-level, 3-level ADCF (anterior cervical discectomy and fusion) or cervical disc arthroplasty (CDA) for DCR. Outcomes: 12-month post-operative Visual Analogue Scale for NP (VAS-NP), Neck Disability Index (NDI), VAS for AP (VAS-AP), Short-Form Physical Health Composite Scale (SF36-PCS), and Mental Health Composite Scale (SF36-MCS). Results: We identified 603 patients with DCR. CDA patients were the youngest (ANOVA; p<0.001). Patients reported similar pre-operative AP, NP, disability, and health-related quality of life, regardless of procedure (ANOVA; all P>0.05). All procedures offered a statistically significant reduction in VAS-NP, VAS-AP, and NDI (ANOVA; all P<0.001). Mean change from baseline in NP, AP, and disability, were similar across procedures. At 12 months, mean reduction in VAS-AP, VAS-NP, and NDI exceeded minimal clinically important differences for nearly all procedures. Conclusions: Patients undergoing surgery for DCR can expect a clinically significant, approximate 50% reduction in NP, AP, and neck-related disability.

scholarly journals Cervicalgia entre estudantes de medicina: uma realidade multifatorial

2019 ◽  
Vol 21 (2) ◽  
pp. 55-58
Author(s):  
Marcos Iae Sato ◽  
Luiz Fernando Aguiar ◽  
Melissa Nóbrega Vasques de Freitas ◽  
Isabella Guerra ◽  
José Eduardo Martinez
Keyword(s):  
Short Form ◽  
Neck Disability Index ◽  
Sao Paulo ◽  
Medical Outcome Study ◽  
Outcome Study ◽  
Medical Outcome ◽  
Short Form 36 ◽  
Sf 36 ◽  
Neck Disability ◽  
De Medicina

Introdução: A cervicalgia afeta cerca de 50% da população. Predomina em mulheres e se relaciona a esforços repetitivos e má postura. O tempo de estudos e a utilização de livros, computadores e tablets pode gerar posturas inadequadas que podem causar cervicalgia. Objetivo: Conhecer a prevalência dessa afecção nos alunos de medicina da Pontifícia Universidade Católica de São Paulo (PUC-SP) e o respectivo perfil. Materiais e métodos: Foram avaliados cem estudantes de medicina da PUC-SP e aplicados questionários sobre dados demográficos, características clínicas, o Neck Disability Index (NDI) e o Medical Outcome Study Short Form 36 Survey (SF-36). Resultados: A prevalência de cervicalgia foi de 34%, com predomínio feminino. O quadro foi referido como crônico em 16%, enquanto 19% apresentaram apenas 1 episódio. Em relação ao NDI, observa-se que, entre aqueles com 17 a 19 anos, 3 não apresentaram incapacidade e 3 tinham incapacidade leve. De 20 a 22 anos, 6 não apresentaram incapacidade e 12, leve. De 23 a 25 anos, 2 não apresentaram incapacidade, 7 tinham incapacidade leve e 1, moderada. Acima de 26 anos, 1 apresentou incapacidade leve. Houve impacto na qualidade de vida nos domínios aspectos físicos, dor e vitalidade. A análise mostrou que os escores do SF-36 se correlacionam com os valores do NDI, com exceção do domínio aspectos sociais para ambos os sexos e os domínios vitalidade e saúde mental para o sexo masculino. Conclusão: Existe uma prevalência relevante de cervicalgia entre os alunos do curso de medicina da PUC-SP, gerando impacto na qualidade de vida.

scholarly journals NuNec™ Cervical Disc Arthroplasty Improves Quality of Life in Cervical Radiculopathy and Myelopathy: A 2-yr Follow-up

Neurosurgery ◽  
2017 ◽  
Vol 83 (3) ◽  
pp. 422-428 ◽  
Author(s):  
Isobel Turner ◽  
David Choi
Keyword(s):  
Heterotopic Ossification ◽  
Clinical Outcomes ◽  
Short Form ◽  
Neck Disability Index ◽  
Disc Replacement ◽  
Cervical Disc ◽  
Range Of Movement ◽  
Short Form 36 ◽  
Cervical Disc Replacement ◽  
Neck Disability

Abstract BACKGROUND Anterior cervical disc replacement is an alternative to fusion for the treatment of selected cases of radiculopathy and myelopathy. We report clinical and radiological outcomes after disc replacement with the NuNec™ artificial cervical disc (Pioneer® Surgical Technology, Marquette, Michigan) with subgroup analysis. OBJECTIVE To review clinical and radiological outcomes after anterior cervical disc replacement with the NuNec™ artificial cervical disc. METHODS A consecutive case series of patients undergoing cervical disc replacement with the NuNec™ artificial disc was conducted. Clinical outcomes were assessed by questionnaires preoperatively and up to 2 yr postoperatively including neck and arm pain, Neck Disability Index, Euroqol 5-dimensions, and Short Form-36; x-rays from the same period were analyzed for range of movement and presence of heterotopic ossification. RESULTS A total of 44 NuNec™ discs were implanted in 33 patients. Clinical improvements were seen in all outcomes; significant improvements on the Neck Disability Index, Euroqol 5-dimensions, and physical domain of the Short Form-36 were maintained at 2 yr. There was a mean of 4° range of movement at the replacement disc level at 2 yr, a significant reduction from baseline; there was also progression in levels of heterotopic ossification. Complications included temporary dysphagia (10%) and progression of disease requiring foraminotomy (6%); no surgery for adjacent level disease was required. There was no significant difference in the outcomes of the radiculopathy and myelopathy groups. CONCLUSION Clinical outcomes using the NuNec™ disc replacement are comparable with other disc replacements. Although the range of movement is reduced, the reoperation rate is very low.

scholarly journals Predictive models for short-term and long-term improvement in women under physiotherapy for chronic disabling neck pain: a longitudinal cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e024557
Author(s):  
Tony Bohman ◽  
Matteo Bottai ◽  
Martin Björklund
Keyword(s):  
Cohort Study ◽  
Neck Pain ◽  
Predictive Models ◽  
Neck Disability Index ◽  
Longitudinal Cohort Study ◽  
Short Term ◽  
Longitudinal Cohort ◽  
Important Improvement ◽  
Neck Disability

ObjectivesTo develop predictive models for short-term and long-term clinically important improvement in women with non-specific chronic disabling neck pain during the clinical course of physiotherapy.DesignLongitudinal cohort study based on data from a randomised controlled trial evaluating short-term and long-term effects on sensorimotor function over 11 weeks of physiotherapy.Participants and settingsEighty-nine women aged 31–65 years with non-specific chronic disabling neck pain from Gävle, Sweden.MeasuresThe outcome, clinically important improvement, was measured with the Patient Global Impression of Change Scale (PGICS) and the Neck Disability Index (NDI), assessed by self-administered questionnaires at 3, 9 and 15 months from the start of the interventions (baseline). Twelve baseline prognostic factors were considered in the analyses. The predictive models were built using random-effects logistic regression. The predictive ability of the models was measured by the area under the receiver operating characteristic curve (AUC). Internal validity was assessed with cross-validation using the bootstrap resampling technique.ResultsFactors included in the final PGICS model were neck disability and age, and in the NDI model, neck disability, depression and catastrophising. In both models, the odds for short-term and long-term improvement increased with higher baseline neck disability, while the odds decreased with increasing age (PGICS model), and with increasing level of depression (NDI model). In the NDI model, higher baseline levels of catastrophising indicated increased odds for short-term improvement and decreased odds for long-term improvement. Both models showed acceptable predictive validity with an AUC of 0.64 (95% CI 0.55 to 0.73) and 0.67 (95% CI 0.59 to 0.75), respectively.ConclusionAge, neck disability and psychological factors seem to be important predictors of improvement, and may inform clinical decisions about physiotherapy in women with chronic neck pain. Before using the developed predictive models in clinical practice, however, they should be validated in other populations and tested in clinical settings.

scholarly journals Correlation between Short-Form 36 Scores and Neck Disability Index in Patients Undergoing Anterior Cervical Discectomy and Fusion

2018 ◽  
Vol 12 (4) ◽  
pp. 691-696 ◽  
Author(s):  
Sangbong Ko ◽  
Wonkee Choi ◽  
Seungbum Chae ◽  
Jaebum Kwon ◽  
Youngsik Lee
Keyword(s):  
Short Form ◽  
Neck Disability Index ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Short Form 36 ◽  
Neck Disability

scholarly journals The Short-Form Neck Disability index has adequate measurement properties in chronic neck pain patients

2021 ◽  
Author(s):  
André Pontes-Silva ◽  
Mariana Arias Avila ◽  
Cid André Fidelis-de-Paula-Gomes ◽  
Almir Vieira Dibai-Filho
Keyword(s):  
Neck Pain ◽  
Short Form ◽  
Neck Disability Index ◽  
Chronic Neck Pain ◽  
Measurement Properties ◽  
Neck Disability ◽  
Pain Patients ◽  
Adequate Measurement
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