Clinical report of cervical arthroplasty in management of spondylotic myelopathy in Chinese
2006

Cervical Disc Replacement for Spondylotic Myelopathy in Chinese Patients

Sample size: 83 publication Evidence: moderate

Author Information

Author(s): Wang Yan, Zhang Xuesong, Xiao Songhua, Lu Ning, Wang Zheng, Zhou Mi

Primary Institution: Department of Orthopaedic Surgery, the PLA General Hospital, Beijing, China

Hypothesis

To investigate the clinical effects and operational points of Bryan cervical disc prosthesis in Chinese patients with cervical spondylotic myelopathy.

Conclusion

Bryan cervical disc prosthesis restored motion and achieved good stability and treatment effects in patients with cervical spondylotic myelopathy.

Supporting Evidence

  • All patients showed improvement according to Odom's scale.
  • JOA score increased from an average of 8.7 to 15.5.
  • No prosthesis subsidence was observed.
  • The replaced segment achieved stability and restored partial normal range of motion.

Takeaway

Doctors replaced discs in people's necks to help them move better and feel less pain, and it worked well for most of them.

Methodology

A prospective non-random clinical and radiographic study involving 83 patients who underwent Bryan disc prosthesis replacement.

Potential Biases

Potential selection bias as patients were not randomly selected.

Limitations

The study was not randomized and had a limited follow-up period for some patients.

Participant Demographics

43 males and 40 females, average age 48.9 years.

Statistical Information

Confidence Interval

4.73° (3.7°–5.9°) early postoperation and 8.12° (5.8°–13.6°) more than 12 months postoperation.

Digital Object Identifier (DOI)

10.1186/1749-799X-1-13

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