Revision Surgeries at the Index Level After Cervical Disc Arthroplasty - A Systematic Review

被引:15
|
作者
Joaquim, Andrei Fernandes [1 ]
Lee, Nathan J. [2 ]
Riew, K. Daniel [2 ]
机构
[1] Univ Estadual Campinas, Dept Neurosurg, UNICAMP, Campinas, SP, Brazil
[2] Columbia Univ, Spine Hosp, Dept Orthopaed, Med Ctr,New York Presbyterian, New York, NY USA
关键词
Cervical arthroplasty; Index level; Revision; Reoperations; Anterior cervical disc replacement; 7-YEAR FOLLOW-UP; ARTIFICIAL DISC; PRODISC-C; REPLACEMENT; DISKECTOMY; DISEASE; FUSION; MULTICENTER; OUTCOMES;
D O I
10.14245/ns.2040454.227
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To perform a systematic literature review on revision surgeries at the index level after cervical disc arthroplasty (CDA) failure. Methods: A systematic literature review was performed according to the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines. Prospective studies on patients who required a secondary surgery after CDA failure were included for analysis. The minimum follow-up for these studies was 5 years. Results: Out of 864 studies in the original search group, a total of 20 studies were included. From a total of 4,087 patients, 161 patients required a reoperation at the index level. A total of 170 surgeries were performed, as some patients required multiple surgeries. The most common secondary procedures were anterior cervical discectomy and fusion (ACDF) (68%, N=61) and posterior cervical fusion (15.5%, N=14), followed by other reoperation (13.3%, N=12). The associated outcomes for those who required a revision surgery were rarely mentioned in the included literature. Conclusion: The long-term revision rate at the index level of failed CDA surgery was 3.9%, with a minimum 5-year follow-up. ACDF was the most commonly performed procedure to salvage a failed CDA. Some patients who required a new surgery after CDA failure may require a more extensive salvage procedure and even subsequent surgeries.
引用
收藏
页码:34 / 44
页数:11
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