Range of motion change after cervical arthroplasty with ProDisc-C and Prestige artificial discs compared with anterior cervical discectomy and fusion

Ung Kyu Chang, Daniel H. Kim, Max C. Lee, Rafer Willenberg, Se-Hoon Kim, Jesse Lim

Research output: Contribution to journalArticle

76 Citations (Scopus)

Abstract

Object. Range of motion (ROM) changes were evaluated at the surgically treated and adjacent segments in cadaveric specimens treated with two different cervical artificial discs compared with those measured in intact spine and fusion models. Methods. Eighteen cadaveric human cervical spines were tested in the intact state for the different modes of motion (extension, flexion, lateral bending, and axial rotation) up to 2 Nm. Three groups of specimens (fitted with either the ProDisc-C or Prestige II cervical artificial disc or submitted to anterior cervical discectomy and fusion [ACDF]) were tested after implantation at C6-7 level. The ROM values were measured at treated and adjacent segments, and these values were then compared with those measured in the intact spine. Results. At the surgically treated segment, the ROM increased after arthroplasty compared with the intact spine in extension (54% in the ProDisc-C group, 47% in the Prestige group) and in flexion (27% in the ProDisc-C group, 10% in the Prestige group). In bending and rotation, the postarthroplasty ROMs were greater than those of the intact spine (10% in the ProDisc-C group and 55% in the Prestige group in bending, 17% in the ProDisc-C group and 50% in the Prestige group in rotation). At the adjacent levels the ROMs decreased in all specimens treated with either artificial disc in all modes of motion (< 10%) except for extension at the inferior the level (29% decrease for ProDisc-C implant, 12% decrease for Prestige disc). The ROM for all motion modes in the ACDF-treated spine decreased at the treated level (range 18-44%) but increased at the adjacent levels (range 3-20%). Conclusions. Both ProDisc-C and Prestige artificial discs were associated with increased ROM at the surgically treated segment compared with the intact spine with or without significance for all modes of testing. In addition, adjacent-level ROM decreased in all modes of motion except extension in specimens fitted with both artificial discs.

Original languageEnglish
Pages (from-to)40-46
Number of pages7
JournalJournal of Neurosurgery: Spine
Volume7
Issue number1
DOIs
Publication statusPublished - 2007 Jul 1
Externally publishedYes

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Diskectomy
Articular Range of Motion
Arthroplasty
Spine

Keywords

  • Adjacent-segment degeneration
  • Anterior cervical discectomy and fusion
  • Biomechanical testing
  • Cervical arthroplasty
  • Range of motion

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology

Cite this

Range of motion change after cervical arthroplasty with ProDisc-C and Prestige artificial discs compared with anterior cervical discectomy and fusion. / Chang, Ung Kyu; Kim, Daniel H.; Lee, Max C.; Willenberg, Rafer; Kim, Se-Hoon; Lim, Jesse.

In: Journal of Neurosurgery: Spine, Vol. 7, No. 1, 01.07.2007, p. 40-46.

Research output: Contribution to journalArticle

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title = "Range of motion change after cervical arthroplasty with ProDisc-C and Prestige artificial discs compared with anterior cervical discectomy and fusion",
abstract = "Object. Range of motion (ROM) changes were evaluated at the surgically treated and adjacent segments in cadaveric specimens treated with two different cervical artificial discs compared with those measured in intact spine and fusion models. Methods. Eighteen cadaveric human cervical spines were tested in the intact state for the different modes of motion (extension, flexion, lateral bending, and axial rotation) up to 2 Nm. Three groups of specimens (fitted with either the ProDisc-C or Prestige II cervical artificial disc or submitted to anterior cervical discectomy and fusion [ACDF]) were tested after implantation at C6-7 level. The ROM values were measured at treated and adjacent segments, and these values were then compared with those measured in the intact spine. Results. At the surgically treated segment, the ROM increased after arthroplasty compared with the intact spine in extension (54{\%} in the ProDisc-C group, 47{\%} in the Prestige group) and in flexion (27{\%} in the ProDisc-C group, 10{\%} in the Prestige group). In bending and rotation, the postarthroplasty ROMs were greater than those of the intact spine (10{\%} in the ProDisc-C group and 55{\%} in the Prestige group in bending, 17{\%} in the ProDisc-C group and 50{\%} in the Prestige group in rotation). At the adjacent levels the ROMs decreased in all specimens treated with either artificial disc in all modes of motion (< 10{\%}) except for extension at the inferior the level (29{\%} decrease for ProDisc-C implant, 12{\%} decrease for Prestige disc). The ROM for all motion modes in the ACDF-treated spine decreased at the treated level (range 18-44{\%}) but increased at the adjacent levels (range 3-20{\%}). Conclusions. Both ProDisc-C and Prestige artificial discs were associated with increased ROM at the surgically treated segment compared with the intact spine with or without significance for all modes of testing. In addition, adjacent-level ROM decreased in all modes of motion except extension in specimens fitted with both artificial discs.",
keywords = "Adjacent-segment degeneration, Anterior cervical discectomy and fusion, Biomechanical testing, Cervical arthroplasty, Range of motion",
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T1 - Range of motion change after cervical arthroplasty with ProDisc-C and Prestige artificial discs compared with anterior cervical discectomy and fusion

AU - Chang, Ung Kyu

AU - Kim, Daniel H.

AU - Lee, Max C.

AU - Willenberg, Rafer

AU - Kim, Se-Hoon

AU - Lim, Jesse

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N2 - Object. Range of motion (ROM) changes were evaluated at the surgically treated and adjacent segments in cadaveric specimens treated with two different cervical artificial discs compared with those measured in intact spine and fusion models. Methods. Eighteen cadaveric human cervical spines were tested in the intact state for the different modes of motion (extension, flexion, lateral bending, and axial rotation) up to 2 Nm. Three groups of specimens (fitted with either the ProDisc-C or Prestige II cervical artificial disc or submitted to anterior cervical discectomy and fusion [ACDF]) were tested after implantation at C6-7 level. The ROM values were measured at treated and adjacent segments, and these values were then compared with those measured in the intact spine. Results. At the surgically treated segment, the ROM increased after arthroplasty compared with the intact spine in extension (54% in the ProDisc-C group, 47% in the Prestige group) and in flexion (27% in the ProDisc-C group, 10% in the Prestige group). In bending and rotation, the postarthroplasty ROMs were greater than those of the intact spine (10% in the ProDisc-C group and 55% in the Prestige group in bending, 17% in the ProDisc-C group and 50% in the Prestige group in rotation). At the adjacent levels the ROMs decreased in all specimens treated with either artificial disc in all modes of motion (< 10%) except for extension at the inferior the level (29% decrease for ProDisc-C implant, 12% decrease for Prestige disc). The ROM for all motion modes in the ACDF-treated spine decreased at the treated level (range 18-44%) but increased at the adjacent levels (range 3-20%). Conclusions. Both ProDisc-C and Prestige artificial discs were associated with increased ROM at the surgically treated segment compared with the intact spine with or without significance for all modes of testing. In addition, adjacent-level ROM decreased in all modes of motion except extension in specimens fitted with both artificial discs.

AB - Object. Range of motion (ROM) changes were evaluated at the surgically treated and adjacent segments in cadaveric specimens treated with two different cervical artificial discs compared with those measured in intact spine and fusion models. Methods. Eighteen cadaveric human cervical spines were tested in the intact state for the different modes of motion (extension, flexion, lateral bending, and axial rotation) up to 2 Nm. Three groups of specimens (fitted with either the ProDisc-C or Prestige II cervical artificial disc or submitted to anterior cervical discectomy and fusion [ACDF]) were tested after implantation at C6-7 level. The ROM values were measured at treated and adjacent segments, and these values were then compared with those measured in the intact spine. Results. At the surgically treated segment, the ROM increased after arthroplasty compared with the intact spine in extension (54% in the ProDisc-C group, 47% in the Prestige group) and in flexion (27% in the ProDisc-C group, 10% in the Prestige group). In bending and rotation, the postarthroplasty ROMs were greater than those of the intact spine (10% in the ProDisc-C group and 55% in the Prestige group in bending, 17% in the ProDisc-C group and 50% in the Prestige group in rotation). At the adjacent levels the ROMs decreased in all specimens treated with either artificial disc in all modes of motion (< 10%) except for extension at the inferior the level (29% decrease for ProDisc-C implant, 12% decrease for Prestige disc). The ROM for all motion modes in the ACDF-treated spine decreased at the treated level (range 18-44%) but increased at the adjacent levels (range 3-20%). Conclusions. Both ProDisc-C and Prestige artificial discs were associated with increased ROM at the surgically treated segment compared with the intact spine with or without significance for all modes of testing. In addition, adjacent-level ROM decreased in all modes of motion except extension in specimens fitted with both artificial discs.

KW - Adjacent-segment degeneration

KW - Anterior cervical discectomy and fusion

KW - Biomechanical testing

KW - Cervical arthroplasty

KW - Range of motion

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