Can segmental mobility be increased by cervical arthroplasty?

Abstract:

:OBJECTIVE Many reports have successfully demonstrated that cervical disc arthroplasty (CDA) can preserve range of motion after 1- or 2-level discectomy. However, few studies have addressed the extent of changes in segmental mobility after CDA or their clinical correlations. METHODS Data from consecutive patients who underwent 1-level CDA were retrospectively reviewed. Indications for surgery were medically intractable degenerative disc disease and spondylosis. Clinical outcomes, including visual analog scale (VAS)-measured neck and arm pain, Neck Disability Index (NDI), and Japanese Orthopaedic Association (JOA) scores, were analyzed. Radiographic outcomes, including C2-7 Cobb angle, the difference between pre- and postoperative C2-7 Cobb angle (ΔC2-7 Cobb angle), sagittal vertical axis (SVA), the difference between pre- and postoperative SVA (ΔSVA), segmental range of motion (ROM), and the difference between pre- and postoperative ROM (ΔROM), were assessed for their association with clinical outcomes. All patients underwent CT scanning, by which the presence and severity of heterotopic ossification (HO) were determined during the follow-up. RESULTS A total of 50 patients (mean age 45.6 ± 9.33 years) underwent a 1-level CDA (Prestige LP disc) and were followed up for a mean duration of 27.7 ± 8.76 months. All clinical outcomes, including VAS, NDI, and JOA scores, improved significantly after surgery. Preoperative and postoperative ROM values were similar (mean 9.5° vs 9.0°, p > 0.05) at each indexed level. The mean changes in segmental mobility (ΔROM) were -0.5° ± 6.13°. Patients with increased segmental mobility after surgery (ΔROM > 0°) had a lower incidence of HO and HO that was less severe (p = 0.048) than those whose ΔROM was < 0°. Segmental mobility (ROM) was significantly lower in patients with higher HO grade (p = 0.012), but it did not affect the clinical outcomes. The preoperative and postoperative C2-7 Cobb angles and SVA remained similar. The postoperative C2-7 Cobb angles, SVA, ΔC2-7 Cobb angles, and ΔSVA were not correlated to clinical outcomes after CDA. CONCLUSIONS Segmental mobility (as reflected by the mean ROM) and overall cervical alignment (i.e., mean SVA and C2-7 Cobb angle) had no significant impact on clinical outcomes after 1-level CDA. Patients with increased segmental mobility (ΔROM > 0°) had significantly less HO and similarly improved clinical outcomes than those with decreased segmental mobility (ΔROM < 0°).

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Chang HK,Chang CC,Tu TH,Wu JC,Huang WC,Fay LY,Chang PY,Wu CL,Cheng H

doi

10.3171/2016.10.FOCUS16411

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

E3

issue

2

issn

1092-0684

journal_volume

42

pub_type

杂志文章
  • Sacral fractures.

    abstract::Sacral fractures are uncommon lesions and most often the result of high-energy trauma. Depending on the fracture location, neurological injury may be present in over 50% of cases. In this article, the authors conducted a comprehensive literature review on the epidemiology of sacral fractures, relevant anatomy of the s...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2014.5.FOCUS1474

    authors: Bydon M,Fredrickson V,De la Garza-Ramos R,Li Y,Lehman RA Jr,Trost GR,Gokaslan ZL

    更新日期:2014-01-01 00:00:00

  • Ossification of the posterior longitudinal ligament in non-Asians: demographic, clinical, and radiographic findings in 43 patients.

    abstract:OBJECT:Ossification of the posterior longitudinal ligament (OPLL) is a disorder afflicting as many as 2% of East Asians. However, reports of OPLL in non-Asians have been sporadic in the medical literature. This study describes clinical and radiographic findings with OPLL in non-Asians at a tertiary care center treating...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2010.12.FOCUS10277

    authors: Wang MY,Thambuswamy M

    更新日期:2011-03-01 00:00:00

  • Deep brain stimulation for the treatment of drug-refractory epilepsy in a patient with a hypothalamic hamartoma. Case report.

    abstract::Hypothalamic hamartomas (HHs) are developmental malformations associated with a range of neurological problems, including intractable seizures. There is increasing evidence of the epileptogenicity of the hamartoma and of the inhomogeneous distribution of the epileptic abnormalities within the malformation. The managem...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2010.11.FOCUS10241

    authors: Marras CE,Rizzi M,Villani F,Messina G,Deleo F,Cordella R,Franzini A

    更新日期:2011-02-01 00:00:00

  • Dr. Otto "Tiger" Freer: inventor and innovator.

    abstract::Every neurosurgeon develops his or her own standard approach to common intracranial pathologies in terms of the order in which different stages are performed and which instruments are used to perform individual tasks. The majority of the basic steps in performing a craniotomy are learned through repetition and practic...

    journal_title:Neurosurgical focus

    pub_type: 传,历史文章,杂志文章

    doi:10.3171/2012.6.FOCUS12137

    authors: Chittiboina P,Connor DE Jr,Nanda A

    更新日期:2012-08-01 00:00:00

  • Cellular therapy for childhood neurodegenerative disease. Part II: clinical trial design and implementation.

    abstract::Cellular replacement therapy attempts to improve functioning of the diseased human central nervous system (CNS). In this second installment of a 2-part review, the authors discuss the major challenges to the translation of in vitro and animal studies of neural stem cell (NSC) therapy in the clinical setting. This anal...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/FOC/2008/24/3-4/E22

    authors: Selden NR,Guillaume DJ,Steiner RD,Huhn SL

    更新日期:2008-01-01 00:00:00

  • Neurosurgery training in India during the COVID-19 pandemic: straight from the horse's mouth.

    abstract:OBJECTIVE:The COVID-19 pandemic has forced medical professionals throughout the world to adapt to the changing medical scenario. The objective of this survey was to assess the change in neurosurgical training in India following the COVID-19 pandemic. METHODS:Between May 7, 2020, and May 16, 2020, a validated questionn...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2020.9.FOCUS20537

    authors: Dash C,Venkataram T,Goyal N,Chaturvedi J,Raheja A,Singla R,Sardhara J,Gupta R

    更新日期:2020-12-01 00:00:00

  • Microsurgical clip reconstruction techniques for aneurysms with significant calcified neck.

    abstract::A common surgical complication of clipping aneurysms with a calcified neck is the calcified atheroma compromising the parent arteries after clipping the neck. Clips can slip downward at the calcified neck or cause calcified atheroma encroaching the parent arteries. This video demonstrates a reconstructive clip techniq...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2015.7.FocusVid.14615

    authors: H Turkmani A,Day AL,Kim DH,Chen PR

    更新日期:2015-07-01 00:00:00

  • Curative Onyx embolization of tentorial dural arteriovenous fistulas.

    abstract:OBJECT:The authors conducted a study to review their experience with tentorial dural arteriovenous fistulas (DAVFs) treated with transarterial endovascular embolization in which Onyx was used. METHODS:The authors reviewed prospectively collected data in 9 patients with tentorial DAVFs treated with Onyx embolization be...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2011.12.FOCUS11323

    authors: Puffer RC,Daniels DJ,Kallmes DF,Cloft HJ,Lanzino G

    更新日期:2012-05-01 00:00:00

  • Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines.

    abstract:OBJECT:Positional plagiocephaly (PP) has been on the rise in recent years. In this review, the authors' aim was to assess the effectiveness of current recommendations to parents on this exceedingly common problem through a comprehensive literature search. Additionally, the current treatment options and the most recent ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,meta分析,评审

    doi:10.3171/2013.8.FOCUS13261

    authors: Shweikeh F,Nuño M,Danielpour M,Krieger MD,Drazin D

    更新日期:2013-10-01 00:00:00

  • Conduits for cerebrovascular bypass and lessons learned from the cardiovascular experience.

    abstract::Direct cerebral revascularization is an important procedure in the treatment of certain complex aneurysms and skull base tumors when acute sacrifice of the internal carotid artery is required. It likely remains an appropriate treatment in a small subgroup of patients with cerebral ischemia refractory to maximal medica...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:

    authors: Liu JK,Kan P,Karwande SV,Couldwell WT

    更新日期:2003-03-15 00:00:00

  • Upward transtentorial herniation following frontoorbital advancement for syndromic craniosynostosis: case report.

    abstract::The authors describe the case of a boy with Muenke syndrome, an autosomal dominant disorder associated with craniosynostosis. The family history was significant for syndromic craniosynostosis in the patient's maternal grandmother, who died in adulthood after a craniofacial reconstruction. The patient, her grandson, un...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2015.2.FOCUS151

    authors: Mehta V,Bakhsheshian J,Dorafshar AH,Ahn ES

    更新日期:2015-05-01 00:00:00

  • Machine learning-based preoperative predictive analytics for lumbar spinal stenosis.

    abstract::OBJECTIVEPatient-reported outcome measures (PROMs) following decompression surgery for lumbar spinal stenosis (LSS) demonstrate considerable heterogeneity. Individualized prediction tools can provide valuable insights for shared decision-making. The authors aim to evaluate the feasibility of predicting short- and long...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2019.2.FOCUS18723

    authors: Siccoli A,de Wispelaere MP,Schröder ML,Staartjes VE

    更新日期:2019-05-01 00:00:00

  • Ultrastructure protection and attenuation of lipid peroxidation after blockade of presynaptic release of glutamate by lamotrigine in experimental spinal cord injury.

    abstract:OBJECT:Lamotrigine is an antiepileptic drug that inhibits presynaptic voltage-gated sodium channels and reduces the presynaptic release of glutamate in pathological states. Neuroprotective effects of this drug have already been demonstrated in cerebral ischemia models. The aim of the present study was to determine the ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/FOC.2008.25.11.E6

    authors: Tufan K,Oztanir N,Ofluoglu E,Ozogul C,Uzum N,Dursun A,Pasaoglu H,Pasaoglu A

    更新日期:2008-01-01 00:00:00

  • Review of meningioma histopathology.

    abstract::The histological appearance of a meningioma is an important predictor of tumor behavior and is frequently a factor in decisions concerning therapy. The relationship between histological features and prognosis is formalized in grading schemes such as those published by the World Health Organization (WHO), most recently...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/FOC-07/10/E3

    authors: Commins DL,Atkinson RD,Burnett ME

    更新日期:2007-01-01 00:00:00

  • Endovascular management of cerebral vasospasm.

    abstract::Cerebral vasospasm remains a feared complication from subarachnoid hemorrhage. Vasospasm typically occurs from three to fourteen days post-aneurysm rupture, with peak risk on Day 7. Up to 50% of patients with angiographic vasospasm will subsequently develop delayed cerebral ischemia; 15-20% of this subset will develop...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.V2.FOCUS14172

    authors: Kelman C,Reavey-Cantwell J

    更新日期:2014-07-01 00:00:00

  • Surgical approaches to hypothalamic hamartomas.

    abstract:OBJECT:Hypothalamic hamartomas (HHs) are devastating lesions causing refractory epilepsy, rage attacks, social ineptitude, and precocious puberty. Microsurgical and/or endoscopic resection offers an excellent risk/benefit profile for cure or improvement of epilepsy. METHODS:The authors reviewed a prospective database ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2010.11.FOCUS10250

    authors: Wait SD,Abla AA,Killory BD,Nakaji P,Rekate HL

    更新日期:2011-02-01 00:00:00

  • Clinical outcomes after minimal-access surgery for recurrent lumbar disc herniation.

    abstract:OBJECT:Experience with minimal-access surgical approaches for revision lumbar surgery has not been previously reported. METHODS:During a 7-month period, 10 consecutive patients with recurrent disc herniations underwent revision operations in which microendoscopic discectomy (MED) was performed. Perioperative data and ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2003.15.3.12

    authors: Le H,Sandhu FA,Fessler RG

    更新日期:2003-09-15 00:00:00

  • The impact of the reserve military neurosurgeon: practice, community, and service.

    abstract::OBJECTIVEPapers from 2002 to 2017 have highlighted consistent unique socioeconomic challenges and opportunities facing military neurosurgeons. Here, the authors focus on the reserve military neurosurgeon who carries the dual mission of both civilian and military responsibilities.METHODSSurvey solicitation of current a...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2018.9.FOCUS18378

    authors: Menger R,Mundell BF,Robbins JW,Letarte P,Bell R,in conjunction with Council of State Neurosurgical Societies and AANS\/CNS Joint Committee of Military Neurosurgeons.

    更新日期:2018-12-01 00:00:00

  • Retropleural thoracotomy. Technical note.

    abstract::Herniated thoracic discs, unlike their lumbar counterparts, are difficult to read and safely resect using traditional posterior approaches. Historically, the use of a laminectomy for thoracic disc resection has yielded poor clinical outcomes. Posterolateral and anterolateral approaches have become the standard surgica...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2001.10.1.9

    authors: Angevin PD,McCormick PC

    更新日期:2001-01-15 00:00:00

  • Differential angiogenesis function of CCM2 and CCM3 in cerebral cavernous malformations.

    abstract:OBJECT:Loss-of-function mutations in CCM genes are frequently detected in familial cerebral cavernous malformations (CCMs). However, the current functional studies of the CCM genes in vitro have been performed mostly in commercially purchased normal cell lines and the results appeared discrepant. The fact that the cere...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2010.5.FOCUS1090

    authors: Zhu Y,Wu Q,Xu JF,Miller D,Sandalcioglu IE,Zhang JM,Sure U

    更新日期:2010-09-01 00:00:00

  • Endovascular delivery of leads and stentrodes and their applications to deep brain stimulation and neuromodulation: a review.

    abstract::Neuromodulation and deep brain stimulation (DBS) have been increasingly used in many neurological ailments, including essential tremor, Parkinson's disease, epilepsy, and more. Yet for many patients and practitioners the desire to utilize these therapies is met with caution, given the need for craniotomy, lead inserti...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2018.4.FOCUS18130

    authors: Rajah G,Saber H,Singh R,Rangel-Castilla L

    更新日期:2018-08-01 00:00:00

  • Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa.

    abstract:OBJECT:The middle third of the clivus and the region around the petrous internal carotid artery (ICA) is a difficult area of the skull base in terms of access. This is a deep area rich with critical neurovascular structures, which is often host to typical skull base diseases. Expanded endoscopic endonasal approaches of...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:

    authors: Kassam AB,Gardner P,Snyderman C,Mintz A,Carrau R

    更新日期:2005-07-15 00:00:00

  • Indications for fusion following decompression for lumbar spinal stenosis.

    abstract::Degenerative lumbar spinal stenosis is a common condition affecting middle-aged and elderly people. Significant controversy exists concerning the appropriate indications for fusion following decompressive surgery. The purpose of this report is to compare the clinical outcomes of patients who were and were not treated ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.1997.3.2.5

    authors: Fox MW,Onofrio BM

    更新日期:1997-08-15 00:00:00

  • Selective embolization of ruptured feeding artery aneurysm followed by resection of arteriovenous malformation.

    abstract::This is the case of a man in his 40s who suffered sudden collapse into a deep coma as a result of a ruptured arteriovenous malformation (AVM) feeding artery aneurysm within the lateral ventricle. The ruptured aneurysm was successfully treated with Onyx embolization of the feeding pedicle. The AVM and the feeding arter...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2017.7.FocusVid.17127

    authors: Walcott BP,Russin JJ,Babadjouni R,Mack WJ

    更新日期:2017-07-01 00:00:00

  • A machine learning approach to predict early outcomes after pituitary adenoma surgery.

    abstract::OBJECTIVEPituitary adenomas occur in a heterogeneous patient population with diverse perioperative risk factors, endocrinopathies, and other tumor-related comorbidities. This heterogeneity makes predicting postoperative outcomes challenging when using traditional scoring systems. Modern machine learning algorithms can...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2018.8.FOCUS18268

    authors: Hollon TC,Parikh A,Pandian B,Tarpeh J,Orringer DA,Barkan AL,McKean EL,Sullivan SE

    更新日期:2018-11-01 00:00:00

  • Intraoperative MRI-based elastic fusion for anatomically accurate tractography of the corticospinal tract: correlation with intraoperative neuromonitoring and clinical status.

    abstract:OBJECTIVE:Tractography is a useful technique that is standardly applied to visualize subcortical pathways. However, brain shift hampers tractography use during the course of surgery. While intraoperative MRI (ioMRI) has been shown to be beneficial for use in oncology, intraoperative tractography can rarely be performed...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2020.10.FOCUS20774

    authors: Ille S,Schroeder A,Wagner A,Negwer C,Kreiser K,Meyer B,Krieg SM

    更新日期:2021-01-01 00:00:00

  • The strokes that killed Churchill, Roosevelt, and Stalin.

    abstract::From February 4 to 11, 1945, President Franklin D. Roosevelt of the United States, Soviet Union Premier Joseph Stalin, and British Prime Minister Winston Churchill met near Yalta in Crimea to discuss how post-World War II (WWII) Europe should be organized. Within 2 decades of this conference, all 3 men had died. Presi...

    journal_title:Neurosurgical focus

    pub_type: 传,历史文章,杂志文章

    doi:10.3171/2016.4.FOCUS1575

    authors: Ali R,Connolly ID,Li A,Choudhri OA,Pendharkar AV,Steinberg GK

    更新日期:2016-07-01 00:00:00

  • Results of halter cervical traction for the treatment of cervical radiculopathy: retrospective review of 81 patients.

    abstract:OBJECT:The percentage of patients responding to conservative treatment for cervical radiculopathy secondary to nerve root compression is not well quantified. To clarify this question, the authors retrospectively reviewed the records obtained over a 4-year period in patients with cervical radiculopathy to determine thei...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2002.12.2.4

    authors: Olivero WC,Dulebohn SC

    更新日期:2002-02-15 00:00:00

  • Comparison of conscious sedation and general anesthesia for motor mapping and resection of tumors located near motor cortex.

    abstract:OBJECT:The surgical treatment of tumors located near eloquent cortex carries a high risk of inducing worsening neurological deficits. Intraoperative electrocorticography techniques have been developed to help identify these areas at the time of surgery in an effort to minimize such risks. The optimal anesthetic techniq...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2003.15.1.8

    authors: Vitaz TW,Marx W,Victor JD,Gutin PH

    更新日期:2003-07-15 00:00:00

  • Molecular and cellular heterogeneity: the hallmark of glioblastoma.

    abstract::There has been increasing awareness that glioblastoma, which may seem histopathologically similar across many tumors, actually represents a group of molecularly distinct tumors. Emerging evidence suggests that cells even within the same tumor exhibit wide-ranging molecular diversity. Parallel to the discoveries of mol...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2014.9.FOCUS14521

    authors: Aum DJ,Kim DH,Beaumont TL,Leuthardt EC,Dunn GP,Kim AH

    更新日期:2014-12-01 00:00:00