Fusion versus Bryan Cervical Disc in two-level cervical disc disease: a prospective, randomised study
Fusion versus Bryan Cervical Disc in two-level cervical disc disease: a prospective, randomised study
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DOI：
10.1007/s00264-008-0655-3
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发表时间：
2009-10-01
影响因子：
2.7
通讯作者：
Hou, Yong
中科院分区：
文献类型：
--
作者：
Cheng, Lei;Nie, Lin;Hou, Yong
在这项前瞻性研究中，我们的目的是比较融合术和Bryan颈椎间盘置换术在治疗两节段颈椎间盘疾病中的功能结果和放射学结果。将65例双节段颈椎病患者随机分为两组，Bryan颈椎间盘置换术(31例)和颈椎前路植骨钢板融合术(34例)。采用视觉模拟评分(VAS)、简明36评定量表(SF-36)和颈部残疾指数(NDI)进行临床评价。放射学评估寻找假体的活动范围、稳定性和下沉的证据。两组患者的ndi评分均有显著下降，其中Bryan组的改善幅度更大(P=0.023)。两组患者的手臂疼痛VAS评分均有显著改善。Bryan人工颈椎间盘置换术治疗双节段颈椎病安全可靠。
In this prospective study, our aim was to compare the functional results and radiographic outcomes of fusion and Bryan Cervical Disc replacement in the treatment of two-level cervical disc disease. A total of 65 patients with two-level cervical disc disease were randomly assigned to two groups, those operated on with Bryan Cervical Disc replacement (31) and those operated on with anterior cervical fusion with an iliac crest autograft and plate (34). Clinical evaluation was carried out using the visual analogue scale (VAS), the Short Form 36 (SF-36) and the neck disability index (NDI) during a two year follow-up. Radiological evaluation sought evidence of range of motion, stability and subsidence of the prosthesis. Substantial reduction in NDI scores occurred in both groups, with greater percent improvement in the Bryan group (P=0.023). The arm pain VAS score improvement was substantial in both groups. Bryan artificial cervical disc replacement seems reliable and safe in the treatment of patients with two-level cervical disc disease.