Restore cervical sagittal alignment by cervical disc arthroplasty and systematic total bilateral uncuscectomy in severe spondylosis: A prospective study.

ABSTRACT:

Introduction

Severe spondylosis is common and represents contraindication to achieve cervical disc arthroplasty (CDA).

Research question

Is it possible to restore cervical sagittal alignment using an adequate prosthetic model and performing systematic bilateral total uncuscectomy (or uncinectomy), even in cases of severe spondylosis ?

Material and methods

We propose a prospective clinical and radiological study comparing the evolution of preoperative and postoperative cervical sagittal balance 1 year after the interposition of a prosthesis with mobile bearing and systematic total uncuscectomy. VAS for brachialgia and cervicalgia, NDI, Odom's criteria, C2-C7 Cobb angle, C2-C7 SVA, T1 slope, C2 slope, C1-C2 Cobb angle, and segmental Cobb angle were analyzed preoperative

SUBMITTER: Pouleau HB 

PROVIDER: S-EPMC10668056 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature