Coluna/Columna (Jun 2015)

Cervical disc prosthesis: 2-year follow-up

  • Romero Pinto de Oliveira Bilhar,
  • Alexandre Fogaça Cristante,
  • Raphael Martus Marcon,
  • Ivan Dias da Rocha,
  • Olavo Biraghi Letaif,
  • Tarcísio Eloy de Barros Filho

DOI
https://doi.org/10.1590/S1808-185120151402113265
Journal volume & issue
Vol. 14, no. 2
pp. 85 – 87

Abstract

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OBJECTIVE: To review the medical records of patients who underwent surgery for placement of cervical disc prosthesis after two years of postoperative follow-up, showing the basic epidemiological data, the technical aspects and the incidence of complications.METHODS: Medical records of seven patients who underwent surgery for placement of cervical disc prosthesis were reviewed after two years of follow-up, at the Institute of Orthopedics and Traumatology, Faculty of Medicine, University of São Paulo.RESULTS: The average age of patients participating in this study was 43.86 years. Six patients (85.7%) had one level approached while one patient (14.3%) had two levels addressed. The level C5-C6 has been approached in one patient (14.3%) while the C6-C7 level was addressed in five patients (71.4%). One patient (14.3%) had these two levels being addressed, C5-C6 and C6-C7. The mean operative time was 164.29±40 minutes. Three patients were hospitalized for 2 days and four for 3 days making an average of 2.57±0.535 days. Two patients (28.6%) underwent a new surgical intervention due to loosening of the prosthesis. The mean follow-up was 28.14±5.178 months (23-35 months).CONCLUSIONS: Although cervical arthroplasty appears to be a safe procedure and present promising results in our study as well as in many other studies, it requires long-term studies.

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