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- Title
Revision Surgery for a Failed Artificial Disc.
- Authors
Kwang-Ryeol Kim; Dong-Kyu Chin; Keun-Su Kim; Yong-Eun Cho; Dong-Ah Shin; Keung-Nyun Kim; Sung-Uk Kuh
- Abstract
Purpose: This study aimed to present our experience with failures in C-TDR and revision surgery outcomes. Materials and Methods: We retrospectively examined patients who underwent revision surgery due to the failure of C-TDR between May 2005 to March 2019. Thirteen patients (8 males and 5 females) were included in this study. The mean age was 46.1 years (range: 22-61 years), and the average follow-up period was 19.5 months (range: 12-64 months). The outcome measures of pre- and post-operative neck and arm pain using a visual analogue scale (VAS) and functional impairment were assessed using a modified Japanese Orthopedic Association (JOA) scale and the Neck Disability Index (NDI). Results: The main complaints of patients were posterior neck pain (77%), radiculopathy (62%), and/or myelopathy (62%). The causes of failure of C-TDR were improper indications for the procedure, osteolysis and mobile implant use, inappropriate techniques, and postoperative infection. The most common surgical level was C5-6, followed by C4-5. After revision surgery, the neck and arm pain VAS (preoperative vs. postoperative: 5.46 vs. 1.31; 4.86 vs. 1.08), a modified JOA scale (14.46 vs. 16.69), and the NDI (29.77 vs. 9.31) scores were much improved. Conclusion: C-TDR is good surgical option. However, it is very important to adhere to strict surgical indications and contraindications to avoid failure of C-TDR. The results of reoperations were good regardless of the approach. Therefore, various reoperation options could be considered in patients with failed C-TDR.
- Subjects
SURGICAL indications; NECK pain; INTERVERTEBRAL disk prostheses; RADICULOPATHY; BONE resorption; REOPERATION
- Publication
Yonsei Medical Journal, 2021, Vol 62, Issue 3, p240
- ISSN
0513-5796
- Publication type
Article
- DOI
10.3349/ymj.2021.62.3.240