Skip to main content
Top
Published in: International Orthopaedics 5/2009

01-10-2009 | Original Paper

Fusion versus Bryan Cervical Disc in two-level cervical disc disease: a prospective, randomised study

Authors: Lei Cheng, Lin Nie, Li Zhang, Yong Hou

Published in: International Orthopaedics | Issue 5/2009

Login to get access

Abstract

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.
Literature
1.
go back to reference Anderson PA, Sasso RC, Rouleau JP (2004) The Bryan Cervical Disc: wear properties and early clinical results. Spine J 4(6 Suppl):303S–309SPubMedCrossRef Anderson PA, Sasso RC, Rouleau JP (2004) The Bryan Cervical Disc: wear properties and early clinical results. Spine J 4(6 Suppl):303S–309SPubMedCrossRef
2.
go back to reference Auerbach JD, Wills BP, McIntosh TC (2007) Evaluation of spinal kinematics following lumbar total disc replacement and circumferential fusion using in vivo fluoroscopy. Spine 32(5):527–536PubMedCrossRef Auerbach JD, Wills BP, McIntosh TC (2007) Evaluation of spinal kinematics following lumbar total disc replacement and circumferential fusion using in vivo fluoroscopy. Spine 32(5):527–536PubMedCrossRef
3.
go back to reference Bertagnoli R, Yue JJ, Pfeiffer F (2005) Early results after ProDisc-C cervical disc replacement. J Neurosurg Spine 2:403–410PubMedCrossRef Bertagnoli R, Yue JJ, Pfeiffer F (2005) Early results after ProDisc-C cervical disc replacement. J Neurosurg Spine 2:403–410PubMedCrossRef
4.
go back to reference Bohlman HH, Emery SE, Goodfellow DB (1993) Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long-term follow-up of one hundred and twenty-two patients. J Bone Joint Surg Am 75:1298–1307PubMed Bohlman HH, Emery SE, Goodfellow DB (1993) Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long-term follow-up of one hundred and twenty-two patients. J Bone Joint Surg Am 75:1298–1307PubMed
5.
go back to reference Caspar W, Geisler FH, Pitzen T et al (1998) Anterior cervical plate stabilization in one- and two-level degenerative disease: overtreatment or benefit? J Spinal Disord 11:1–11PubMedCrossRef Caspar W, Geisler FH, Pitzen T et al (1998) Anterior cervical plate stabilization in one- and two-level degenerative disease: overtreatment or benefit? J Spinal Disord 11:1–11PubMedCrossRef
6.
go back to reference DiAngelo D, Foley K, Vossel K et al (2000) Anterior cervical plating reverses load transfer through multilevel strut-grafts. Spine 25:783–795PubMedCrossRef DiAngelo D, Foley K, Vossel K et al (2000) Anterior cervical plating reverses load transfer through multilevel strut-grafts. Spine 25:783–795PubMedCrossRef
7.
go back to reference Duggal N, Pickett GE, Mitsis DK et al (2004) Early clinical and biomechanical results following cervical arthroplasty. Neurosurg Focus 17:E9PubMedCrossRef Duggal N, Pickett GE, Mitsis DK et al (2004) Early clinical and biomechanical results following cervical arthroplasty. Neurosurg Focus 17:E9PubMedCrossRef
8.
go back to reference Goffin J, Casey A, Kehr P et al (2002) Preliminary clinical experience with the Bryan Cervical Disc Prosthesis. Neurosurgery 51:840–845PubMedCrossRef Goffin J, Casey A, Kehr P et al (2002) Preliminary clinical experience with the Bryan Cervical Disc Prosthesis. Neurosurgery 51:840–845PubMedCrossRef
9.
go back to reference Goffin J, Van Calenbergh V, van Loon J et al (2003) Intermediate follow-up after treatment of degenerative disc disease with the Bryan Cervical Disc Prosthesis: single-level and bi-level. Spine 28:2673–2678PubMedCrossRef Goffin J, Van Calenbergh V, van Loon J et al (2003) Intermediate follow-up after treatment of degenerative disc disease with the Bryan Cervical Disc Prosthesis: single-level and bi-level. Spine 28:2673–2678PubMedCrossRef
10.
go back to reference Hilibrand AS, Robbins M (2004) Adjacent segment degeneration and adjacent segment disease: the consequences of spinal fusion? Spine J 4(6 Suppl):190S–194SPubMedCrossRef Hilibrand AS, Robbins M (2004) Adjacent segment degeneration and adjacent segment disease: the consequences of spinal fusion? Spine J 4(6 Suppl):190S–194SPubMedCrossRef
11.
go back to reference Lafuente J, Casey ATH, Petzold A et al (2005) The Bryan cervical disc prosthesis as an alternative to arthrodesis in the treatment cervical spondylosis: 46 consecutive cases. J Bone Joint Surg Br 87(4):508–512PubMedCrossRef Lafuente J, Casey ATH, Petzold A et al (2005) The Bryan cervical disc prosthesis as an alternative to arthrodesis in the treatment cervical spondylosis: 46 consecutive cases. J Bone Joint Surg Br 87(4):508–512PubMedCrossRef
12.
go back to reference Silber JS, Anderson DG, Daffner SD et al (2003) Donor site morbidity after anterior iliac crest bone harvest for single-level anterior cervical discectomy and fusion. Spine 28:134–139PubMedCrossRef Silber JS, Anderson DG, Daffner SD et al (2003) Donor site morbidity after anterior iliac crest bone harvest for single-level anterior cervical discectomy and fusion. Spine 28:134–139PubMedCrossRef
13.
go back to reference Mehren C, Suchomel P, Grochulla F et al (2006) Heterotopic ossification in total cervical artificial disc replacement. Spine 31:2802–2806PubMedCrossRef Mehren C, Suchomel P, Grochulla F et al (2006) Heterotopic ossification in total cervical artificial disc replacement. Spine 31:2802–2806PubMedCrossRef
14.
go back to reference Pickett GE, Sekhon LH, Sears WR et al (2006) Complications with cervical arthroplasty. J Neurosurg Spine 4:98–105PubMedCrossRef Pickett GE, Sekhon LH, Sears WR et al (2006) Complications with cervical arthroplasty. J Neurosurg Spine 4:98–105PubMedCrossRef
15.
go back to reference Reitman CA, Hipp JA, Nguyen L et al (2004) Changes in segmental intervertebral motion adjacent to cervical arthrodesis: a prospective study. Spine 29:E221–E226PubMedCrossRef Reitman CA, Hipp JA, Nguyen L et al (2004) Changes in segmental intervertebral motion adjacent to cervical arthrodesis: a prospective study. Spine 29:E221–E226PubMedCrossRef
16.
go back to reference Sasso RC, Smucker JD, Hacker RJ et al (2007) Artificial disc versus fusion: a prospective, randomized study with 2-year follow-up on 99 patients. Spine 32:2933–2940PubMedCrossRef Sasso RC, Smucker JD, Hacker RJ et al (2007) Artificial disc versus fusion: a prospective, randomized study with 2-year follow-up on 99 patients. Spine 32:2933–2940PubMedCrossRef
17.
go back to reference Peng-Fei S, Yu-Hua J (2008) Cervical disc prosthesis replacement and interbody fusion: a comparative study. Int Orthop 32(1):103–106PubMedCrossRef Peng-Fei S, Yu-Hua J (2008) Cervical disc prosthesis replacement and interbody fusion: a comparative study. Int Orthop 32(1):103–106PubMedCrossRef
18.
go back to reference St John TA, Vaccaro AR, Sah AP et al (2003) Physical and monetary costs associated with autogenous bone graft harvesting. Am J Orthop 32:18–23PubMed St John TA, Vaccaro AR, Sah AP et al (2003) Physical and monetary costs associated with autogenous bone graft harvesting. Am J Orthop 32:18–23PubMed
19.
go back to reference Wigfield C, Gill S, Nelson R et al (2002) Influence of an artificial cervical joint compared with fusion on adjacent-level motion in the treatment of degenerative cervical disease. J Neurosurg 96(1 Suppl):17–21PubMed Wigfield C, Gill S, Nelson R et al (2002) Influence of an artificial cervical joint compared with fusion on adjacent-level motion in the treatment of degenerative cervical disease. J Neurosurg 96(1 Suppl):17–21PubMed
Metadata
Title
Fusion versus Bryan Cervical Disc in two-level cervical disc disease: a prospective, randomised study
Authors
Lei Cheng
Lin Nie
Li Zhang
Yong Hou
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 5/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0655-3

Other articles of this Issue 5/2009

International Orthopaedics 5/2009 Go to the issue