布莱恩颈椎间盘置换术后的长期临床和影像学疗效:系统性文献综述。

Q2 Medicine
Andrea Perna, Calogero Velluto, Amarildo Smakaj, Matteo Caredda, Luca Proietti, Domenico Alessandro Santagada, Dario Candura, Maria Concetta Meluzio, Francesco Ciro Tamburrelli, Maurizio Genitiempo
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引用次数: 0

摘要

简介ː 在治疗颈椎间盘疾病方面,颈椎间盘关节置换术是颈椎前路减压和融合术的潜在替代手术。材料与方法ː 根据 PRISMA 指南,通过 PubMed 和 Embase、Scopus 和 Cochrane 图书馆数据库,使用以下关键词进行了系统性文献综述:"布莱恩假体"、"颈椎间盘关节置换术"、"结果 "和 "长期随访"。结果ː 共有 481 名患者参与了研究。由于存在多个治疗水平,共进行了 588 例关节置换术,具体情况如下:12 例 C3/4 颈椎间盘关节置换术(2.01%)、63 例 C4/5(10.71%)、325 例 C5/6(55.27%)和 188 例 C6/7(31.97%)。术前颈椎前凸的平均值为 13.6 ± 9.3°,而最后一次随访的值为 12.8 ± 8.7°。最后一次随访的平均节段活动范围为 8.2 ± 3.3°:讨论:最近的研究表明,对于健康的年轻椎间盘退变患者,如果将来可能需要进行翻修手术,应该安全地实施颈椎间盘关节置换术。结论ː 颈椎间盘关节置换术具有良好的长期装置存活率、活动度、邻近节段退变和临床效果。因此,它是治疗颈椎退行性病变的有效替代方法,尤其适用于年轻患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long-Term Clinical and Radiographic Outcomes After Bryan Cervical Disk Arthroplasty: A Systematic Literature Review.

Introductionː Cervical disk arthroplasty is a potential alternative procedure to anterior cervical decompression and fusion for the treatment of cervical disk disease. The aim of the study was to perform a systematic literature review on long-term clinical and radiological outcomes after Bryan cervical disk arthroplasty.Material and Methodsː A systematic literature review was performed according to PRISMA guidelines via PubMed and Embase, Scopus, and the Cochrane Library database by using the following keywords: "Bryan prosthesis"; "cervical disk arthroplasty"; "outcomes"; and "long-term follow-up." Eight articles with at least 10 years of follow-up were considered for eligibility.Resultsː In total, 481 patients were enrolled in the studies. Because of the occurrence of multiple treated levels, 588 arthroplasties were performed, divided as follows: 12 C3/4 cervical disk arthroplasties (2.01%), 63 C4/5 (10.71%), 325 C5/6 (55.27%), and 188 C6/7 (31.97%). The mean preoperative cervical lordosis was 13.6 ± 9.3°, whereas the last follow-up value was 12.8 ± 8.7°. In the last follow-up, the mean segmental range of motion was 8.2 ± 3.3°.Discussion: Recent studies have suggested that cervical disk arthroplasty should be safely performed in healthy young patients with disk degeneration who may need future revision surgery. The results suggest that this procedure preserves native cervical spinal biomechanics at long-term follow-up with acceptable adjacent segments disease and periprosthetic ossifications.Conclusionsː Cervical disk arthroplasty has good long-term device survival, motility, adjacent segment degeneration, and clinical outcomes. Therefore, it represents a valid alternative for the treatment of cervical spine degenerative pathologies, especially in young patients.

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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
2
期刊介绍: In addition to the regular journal, "Acta Neurochirurgica" publishes 3-4 supplement volumes per year. These comprise proceedings of international meetings or other material of general neurosurgical interest.
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