Early effectiveness of cervical disc replacement by using Pretic-I_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 LIU Hao ¹ , DENG Yuxiao ¹ , LIU Ziyang ¹ , WANG Beiyu ¹ , DING Chen ¹ , HONG Ying ² , CHEN Hua ¹ , MA Litai ¹

1. Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;
2. Operating Room, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;

Corresponding?author：

LIU Hao, Email: liuhao6304@163.com

Keywords：

Pretic-I artificial disc; cervical disc replacement; cervical disc herniation

DOI：

10.7507/1002-1892.201612146

Video：

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Objective To observe the early effectiveness of cervical disc replacement with Pretic-I, a new type artificial disc. Methods A retrospective analysis was made on the clinical data of 10 patients who underwent single segmental cervical disc replacement with Pretic-I from June to December 2014. Among 10 patients, 4 were male and 6 were female, with an average age of 40 years (range, 27-51 years). The mean disease duration was 15.4 months (range, 4-36 months). Affected segments located at C_{4, 5} level in 1 case, at C_{5, 6} level in 8 cases, and at C_{6, 7} level in 1 case. The visual analogue scale (VAS), Japanese Orthopaedic Association (JOA) score, and neck disability index (NDI) were used to evaluate the clinical outcomes. Besides, the disc height and the range of motion (ROM) at operated level, and ROM of upper and lower adjacent level were measured to assess the function. Results The operation was successfully completed in all patients who were followed up for 12 months. No complications of aggravated nerve symptoms, vertebral artery injury, esophagotracheal fistula, cerebrospinal fluid leakage, incision infection, hematoma and prosthetic loosening were observed during follow-up. The VAS score, JOA score, and NDI significantly improved at each time point after operation when compared with preoperative scores (P<0.05). The height of intervertebral disc at operated level was significantly increased at immediate and 3 months after operation when compared with preoperative one (P<0.05), but no significant difference was found between at 6 months or 12 months after operation and at pre-operation (P>0.05). No significant difference was shown in the ROM at operated level, and ROM of upper and lower adjacent level between at pre-operation and at each time point after operation (P>0.05). Conclusion The early effctiveness of cervical disc replacement using Pretic-I is satisfactory. The symptoms can be relieved significantly and the dynamic features of the operated level, as well as the upper and lower adjacent levels, are well preserved.

Citation： LIU Hao, DENG Yuxiao, LIU Ziyang, WANG Beiyu, DING Chen, HONG Ying, CHEN Hua, MA Litai. Early effectiveness of cervical disc replacement by using Pretic-I. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(5): 513-518. doi: 10.7507/1002-1892.201612146 Copy

1.	?丁琛, 劉浩, 龔全, 等. 人工頸椎間盤置換與頸前路融合術治療脊髓型頸椎病 3 年隨訪結果報道. 中國矯形外科雜志, 2014, 22(3): 208-214.
2.	曹俊明, 申勇, 楊大龍, 等. Bryan 人工頸椎間盤置換與頸前路椎間融合術后軸性癥狀的對比分析. 中國修復重建外科雜志, 2008, 22(10): 1200-1204.
3.	田永福, 劉雅莉, 楊克虎, 等. 頸椎間盤置換與頸前路減壓植骨融合術治療單節段頸椎病療效的系統評價. 中國組織工程研究與臨床康復, 2009, 13(35): 6831-6835.
4.	Sasso RC, Best NM, Metcalf NH, et al. Motion analysis of bryan cervical disc arthroplasty versus anterior discectomy and fusion: results from a prospective, randomized, multicenter, clinical trial. J Spinal Disord Tech, 2008, 21(6): 393-399.
5.	Park DK, Lin EL, Phillips FM. Index and adjacent level kinematics after cervical disc replacement and anterior fusion:in vivo quantitative radiographic analysis. Spine (Phila Pa 1976), 2011, 36(9): 721-730.
6.	McAfee PC. The advantages of cervical disc replacement for the treatment of degenerative disc disease. Curr Opin Orthop, 2006, 17(3): 233-239.
7.	蔣濤, 任先軍, 王衛東, 等. 人工頸椎間盤置換對鄰近節段椎間盤的保護作用. 中國矯形外科雜志, 2010, 18(7): 529-533.
8.	Bhatnagar R, Bergin P, Yu W, et al. Cervical disc arthroplasty. Curr Orthop Pract, 2010, 21(3): 306-309.
9.	Kelly MP, Mok JM, Frisch RF, et al. Adjacent segment motion after anterior cervical discectomy and fusion versus Prodisc-c cervical total disk arthroplasty: analysis from a randomized, controlled trial. Spine (Phila Pa 1976), 2011, 36(15): 1171-1179.
10.	Thaler M, Hartmann S, Gst?ttner M, et al. Footprint mismatch in total cervical disc arthroplasty. Eur Spine J, 2013, 22(4): 759-765.
11.	Dong L, Tan MS, Yan QH, et al. Footprint mismatch of cervical disc prostheses with Chinese cervical anatomic dimensions. Chin Med J (Engl), 2015, 128(2): 197-202.
12.	羅成, 瞿霞, 陳波, 等. 頸椎間盤置換和椎間盤切除植骨融合修復單節段頸椎病: 隨機對照中期隨訪. 中國組織工程研究, 2015, 19(9): 1358-1364.
13.	劉文華, 朱兵, 劉曉偉, 等. 單節段 Bryan 人工頸椎間盤置換術后異位骨化的發生率和療效觀察. 中國修復重建外科雜志, 2012, 26(6): 699-702.
14.	鄧宇驍, 洪瑛, 劉浩, 等. 椎間盤置換中體位對假體置入后活動度的影響. 中國組織工程研究, 2012, 16(39): 7221-7226.
15.	婁紀剛, 劉浩, 龔全, 等. 單節段 Prestige LP 人工頸椎間盤置換術后置換節段活動度的影響因素分析. 頸腰痛雜志, 2015, 36(1): 20-24.
16.	丁琛, 劉浩, 胡韜, 等. Bryan 人工頸椎間盤置換治療頸椎病的中期臨床隨訪. 中國組織工程研究與臨床康復, 2011, 15(17): 3047-3052.
17.	Sasso RC, Best NM. Cervical kinematics after fusion and bryan disc arthroplasty. J Spinal Disord Tech, 2008, 21(1): 19-22.
18.	Park JJ, Quirno M, Cunningham MR, et al. Analysis of segmental cervical spine vertebral motion after prodisc-C cervical disc replacement. Spine (Phila Pa 1976), 2010, 35(8): E285-289.
19.	Snyder JT, Tzermiadianos MN, Ghanayem AJ, et al. Effect of uncovertebral joint excision on the motion response of the cervical spine after total disc replacement. Spine (Phila Pa 1976), 2007, 32(26): 2965-2969.
20.	Sasso RC, Smucker JD, Hacker RJ, et al. Artificial disc versus fusion: a prospective, randomized study with 2-year follow-up on 99 patients. Spine (Phila Pa 1976), 2007, 32(26): 2933-2940.
21.	Rabin D, Pickett GE, Bisnaire L, et al. The kinematics of anterior cervical discectomy and fusion versus artificial cervical disc: a pilot study. Neurosurgery, 2007, 61(3 Suppl): 100-105.
22.	Liu F, Cheng J, Komistek RD, et al.In vivo evaluation of dynamic characteristics of the normal, fused, and disc replacement cervical spines. Spine (Phila Pa 1976), 2007, 32(23): 2578-2584.
23.	Galbusera F, Bellini CM, Brayda-Bruno M, et al. Biomechanical studies on cervical total disc arthroplasty: a literature review. Clin Biomech (Bristol, Avon), 2008, 23(9): 1095-1104.
24.	洪瑛, 鄧宇驍, 劉浩, 等. 單節段頸椎間盤置換術中頸椎體位對術后頸椎中立位生理軸線重建的影響. 中國修復重建外科雜志, 2013, 27(1): 62-65.
25.	Hrabálek L, Vaverka M, Houdek M. Cervical disc arthroplasty (Prodisc-C): analysis of 3 to 4-year follow up results. Rozhl Chir, 2009, 88(11): 634-641.
26.	Miyazaki M, Hymanson HJ, Morishita Y, et al. Kinematic analysis of the relationship between sagittal alignment and disc degeneration in the cervical spine. Spine (Phila Pa 1976), 2008, 33(23): E870-876.
27.	Johnson JP, Lauryssen C, Cambron HO, et al. Sagittal alignment and the Bryan cervical artificial disc. Neurosurg Focus, 2004, 17(6): E14.

1. ?丁琛, 劉浩, 龔全, 等. 人工頸椎間盤置換與頸前路融合術治療脊髓型頸椎病 3 年隨訪結果報道. 中國矯形外科雜志, 2014, 22(3): 208-214.
2. 曹俊明, 申勇, 楊大龍, 等. Bryan 人工頸椎間盤置換與頸前路椎間融合術后軸性癥狀的對比分析. 中國修復重建外科雜志, 2008, 22(10): 1200-1204.
3. 田永福, 劉雅莉, 楊克虎, 等. 頸椎間盤置換與頸前路減壓植骨融合術治療單節段頸椎病療效的系統評價. 中國組織工程研究與臨床康復, 2009, 13(35): 6831-6835.
4. Sasso RC, Best NM, Metcalf NH, et al. Motion analysis of bryan cervical disc arthroplasty versus anterior discectomy and fusion: results from a prospective, randomized, multicenter, clinical trial. J Spinal Disord Tech, 2008, 21(6): 393-399.
5. Park DK, Lin EL, Phillips FM. Index and adjacent level kinematics after cervical disc replacement and anterior fusion:in vivo quantitative radiographic analysis. Spine (Phila Pa 1976), 2011, 36(9): 721-730.
6. McAfee PC. The advantages of cervical disc replacement for the treatment of degenerative disc disease. Curr Opin Orthop, 2006, 17(3): 233-239.
7. 蔣濤, 任先軍, 王衛東, 等. 人工頸椎間盤置換對鄰近節段椎間盤的保護作用. 中國矯形外科雜志, 2010, 18(7): 529-533.
8. Bhatnagar R, Bergin P, Yu W, et al. Cervical disc arthroplasty. Curr Orthop Pract, 2010, 21(3): 306-309.
9. Kelly MP, Mok JM, Frisch RF, et al. Adjacent segment motion after anterior cervical discectomy and fusion versus Prodisc-c cervical total disk arthroplasty: analysis from a randomized, controlled trial. Spine (Phila Pa 1976), 2011, 36(15): 1171-1179.
10. Thaler M, Hartmann S, Gst?ttner M, et al. Footprint mismatch in total cervical disc arthroplasty. Eur Spine J, 2013, 22(4): 759-765.
11. Dong L, Tan MS, Yan QH, et al. Footprint mismatch of cervical disc prostheses with Chinese cervical anatomic dimensions. Chin Med J (Engl), 2015, 128(2): 197-202.
12. 羅成, 瞿霞, 陳波, 等. 頸椎間盤置換和椎間盤切除植骨融合修復單節段頸椎病: 隨機對照中期隨訪. 中國組織工程研究, 2015, 19(9): 1358-1364.
13. 劉文華, 朱兵, 劉曉偉, 等. 單節段 Bryan 人工頸椎間盤置換術后異位骨化的發生率和療效觀察. 中國修復重建外科雜志, 2012, 26(6): 699-702.
14. 鄧宇驍, 洪瑛, 劉浩, 等. 椎間盤置換中體位對假體置入后活動度的影響. 中國組織工程研究, 2012, 16(39): 7221-7226.
15. 婁紀剛, 劉浩, 龔全, 等. 單節段 Prestige LP 人工頸椎間盤置換術后置換節段活動度的影響因素分析. 頸腰痛雜志, 2015, 36(1): 20-24.
16. 丁琛, 劉浩, 胡韜, 等. Bryan 人工頸椎間盤置換治療頸椎病的中期臨床隨訪. 中國組織工程研究與臨床康復, 2011, 15(17): 3047-3052.
17. Sasso RC, Best NM. Cervical kinematics after fusion and bryan disc arthroplasty. J Spinal Disord Tech, 2008, 21(1): 19-22.
18. Park JJ, Quirno M, Cunningham MR, et al. Analysis of segmental cervical spine vertebral motion after prodisc-C cervical disc replacement. Spine (Phila Pa 1976), 2010, 35(8): E285-289.
19. Snyder JT, Tzermiadianos MN, Ghanayem AJ, et al. Effect of uncovertebral joint excision on the motion response of the cervical spine after total disc replacement. Spine (Phila Pa 1976), 2007, 32(26): 2965-2969.
20. Sasso RC, Smucker JD, Hacker RJ, et al. Artificial disc versus fusion: a prospective, randomized study with 2-year follow-up on 99 patients. Spine (Phila Pa 1976), 2007, 32(26): 2933-2940.
21. Rabin D, Pickett GE, Bisnaire L, et al. The kinematics of anterior cervical discectomy and fusion versus artificial cervical disc: a pilot study. Neurosurgery, 2007, 61(3 Suppl): 100-105.
22. Liu F, Cheng J, Komistek RD, et al.In vivo evaluation of dynamic characteristics of the normal, fused, and disc replacement cervical spines. Spine (Phila Pa 1976), 2007, 32(23): 2578-2584.
23. Galbusera F, Bellini CM, Brayda-Bruno M, et al. Biomechanical studies on cervical total disc arthroplasty: a literature review. Clin Biomech (Bristol, Avon), 2008, 23(9): 1095-1104.
24. 洪瑛, 鄧宇驍, 劉浩, 等. 單節段頸椎間盤置換術中頸椎體位對術后頸椎中立位生理軸線重建的影響. 中國修復重建外科雜志, 2013, 27(1): 62-65.
25. Hrabálek L, Vaverka M, Houdek M. Cervical disc arthroplasty (Prodisc-C): analysis of 3 to 4-year follow up results. Rozhl Chir, 2009, 88(11): 634-641.
26. Miyazaki M, Hymanson HJ, Morishita Y, et al. Kinematic analysis of the relationship between sagittal alignment and disc degeneration in the cervical spine. Spine (Phila Pa 1976), 2008, 33(23): E870-876.
27. Johnson JP, Lauryssen C, Cambron HO, et al. Sagittal alignment and the Bryan cervical artificial disc. Neurosurg Focus, 2004, 17(6): E14.

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