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Paper on role of cervical disc replacement surgery in cervical pivd patients in both elderly and young population and it’s comparison with anterior cervical dissectomy and fusion

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Original Article

Author Details : Dhrumil Patel*, Dhruv Patel, Khanjan Ayar

Volume : 5, Issue : 4, Year : 2023

Article Page : 114-118

https://doi.org/10.18231/j.jsas.2023.026

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Abstract

Introduction: spine degenerative diseases, including disc herniation and spondylosis, that are refractory to medical management. The high rates of success and patients’ satisfaction with ACDF has made the operation a standard of care in common neurosurgical practice, however, the advantages of cervical disc arthroplasty (CDA) over fusion including maintaining normal neck motion and reducing degeneration of adjacent segments of the cervical spine.

Aims and Objectives: To study the role of cervical disc replacement surgery in cervical pivd patients in both elderly and young population and it’s comparison with anterior cervical dissectomy and fusion with age variability taken into consideration.
Materials and Methods: The inclusion and exclusion criteria used, The operative procedure for both ACDF and CDA, The further follow up studies considering clinical as well as radiological outcome.
Observation and Results: The most commonly indexed levels of CDA were C4–5 and C5–6, accounting for 85%of the entire series.
The clinical outcomes, including VAS of neck and arm pain, NDI, and JOA scores were all similarly satisfactory after the surgery, during the follow-up.
Conclusion: CDAs has been demonstrated to preserve segmental motion at long-term followup and to decrease the incidence of adjacent-level surgery, as compared to ACDF. Cervical global alignment and the segmental angle at rest improves after cervical arthroplasty
Keywords: Anterior cervical discectomy and fusion (ACDF); Arthrodesis Arthroplasty, Artificial disc, Cervical disc arthroplasty (CDA), Cervical spine, Cervical spondylosis, Disc prosthesis, Replacement, Fusion, Myelopathy, Radiculopathy

How to cite : Patel D, Patel D, Ayar K, Paper on role of cervical disc replacement surgery in cervical pivd patients in both elderly and young population and it’s comparison with anterior cervical dissectomy and fusion. IP J Surg Allied Sci 2023;5(4):114-118

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