Surgical strategy used in multilevel cervical disc replacement and cervical hybrid surgery : Four case reports

©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved..

BACKGROUND: Multilevel artificial cervical disc replacement and anterior hybrid surgery have been introduced as reliable treatments for multilevel cervical degenerative disc disease. Surgical techniques are important for resolving patients' symptoms and maintaining the normal functioning of cervical implants. However, the use of inappropriate surgical strategies could lead to complications such as implant migration and neurological deficit. In this paper, we summarize our surgical strategies used in multilevel cervical disc replacement and hybrid surgery into five major notes.

CASE SUMMARY: We share the key notes and our surgical procedures in the form of four typical case presentations. All patients were diagnosed with cervical degenerative disc disease with myelopathy or radiculopathy and needed multilevel cervical spine surgery. The first case demonstrated that index levels indicating the presence of highly serious spinal cord compression required a prioritized decompression. The second case demonstrated that the disc replacement should be performed before fusion in cervical hybrid surgery. The third and forth cases demonstrated that a top-down implantation sequence was needed in continuous two-level cervical disc replacement. The symptoms of all patients were significantly relieved after surgery.

CONCLUSION: We hope that our surgical strategies can help improve the performance and outcomes of multilevel cervical spine surgery.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:8

Enthalten in:

World journal of clinical cases - 8(2020), 17 vom: 06. Sept., Seite 3890-3902

Sprache:

Englisch

Beteiligte Personen:

Wang, Xiao-Fei [VerfasserIn]
Meng, Yang [VerfasserIn]
Liu, Hao [VerfasserIn]
Hong, Ying [VerfasserIn]
Wang, Bei-Yu [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Case report
Cervical disc replacement
Cervical hybrid surgery
Implant migration
Multilevel cervical spine surgery
Surgical strategy

Anmerkungen:

Date Revised 28.09.2020

published: Print

Citation Status PubMed-not-MEDLINE

doi:

10.12998/wjcc.v8.i17.3890

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315252081