Is hybrid surgery of the cervical spine a good balance between fusion and arthroplasty? Pilot results from a single surgeon series
Identifieur interne : 000364 ( Main/Exploration ); précédent : 000363; suivant : 000365Is hybrid surgery of the cervical spine a good balance between fusion and arthroplasty? Pilot results from a single surgeon series
Auteurs : Hwee Weng Dennis Hey [Singapour] ; Choon Chiet Hong [Singapour] ; Ai Sha Long [Singapour] ; Hwan Tak Hee [Singapour]Source :
- European Spine Journal [ 0940-6719 ] ; 2012.
Abstract
Few studies have investigated the role of hybrid surgery (HS) that incorporates anterior cervical discectomy and fusion (ACDF) and artificial disc replacement (ADR) techniques. To our knowledge, this is the first study that provides a direct comparison of all three groups in terms of intra-operative parameters and outcomes with a minimum follow-up of 2 years.
Seven consecutive patients who underwent HS were matched with another seven patients who underwent ACDF and ADR based on levels of surgery. Prospective data on demographics, pre-operative and post-operative assessments, complications and functional scores (VAS, NDI, EQ-5D health score and index) were analysed using Mann–Whitney
Duration of surgery was significantly shorter for ACDF at 135 min (
HS is comparable to ACDF and ADR in terms of safety and feasibility. Findings of shorter in-hospital stay and earlier return to work in HS group may be further explored in large, randomised controlled trials.
Url:
DOI: 10.1007/s00586-012-2486-6
PubMed: 22922801
PubMed Central: 3540319
Affiliations:
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Pilot results from a single surgeon series</title><author><name sortKey="Hey, Hwee Weng Dennis" sort="Hey, Hwee Weng Dennis" uniqKey="Hey H" first="Hwee Weng Dennis" last="Hey">Hwee Weng Dennis Hey</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore</wicri:regionArea><wicri:noRegion>119228 Singapore</wicri:noRegion></affiliation></author><author><name sortKey="Hong, Choon Chiet" sort="Hong, Choon Chiet" uniqKey="Hong C" first="Choon Chiet" last="Hong">Choon Chiet Hong</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore</wicri:regionArea><wicri:noRegion>119228 Singapore</wicri:noRegion></affiliation></author><author><name sortKey="Long, Ai Sha" sort="Long, Ai Sha" uniqKey="Long A" first="Ai Sha" last="Long">Ai Sha Long</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore</wicri:regionArea><wicri:noRegion>119228 Singapore</wicri:noRegion></affiliation></author><author><name sortKey="Hee, Hwan Tak" sort="Hee, Hwan Tak" uniqKey="Hee H" first="Hwan Tak" last="Hee">Hwan Tak Hee</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Centre for Spine and Scoliosis Surgery, Paragon and Mount Elizabeth Medical Centre, Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Centre for Spine and Scoliosis Surgery, Paragon and Mount Elizabeth Medical Centre, Singapore</wicri:regionArea><wicri:noRegion>Singapore</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22922801</idno><idno type="pmc">3540319</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3540319</idno><idno type="RBID">PMC:3540319</idno><idno type="doi">10.1007/s00586-012-2486-6</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000090</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000090</idno><idno type="wicri:Area/Pmc/Curation">000089</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000089</idno><idno type="wicri:Area/Pmc/Checkpoint">000242</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000242</idno><idno type="wicri:Area/Ncbi/Merge">000225</idno><idno type="wicri:Area/Ncbi/Curation">000225</idno><idno type="wicri:Area/Ncbi/Checkpoint">000225</idno><idno type="wicri:doubleKey">0940-6719:2012:Hey H:is:hybrid:surgery</idno><idno type="wicri:Area/Main/Merge">000366</idno><idno type="wicri:Area/Main/Curation">000364</idno><idno type="wicri:Area/Main/Exploration">000364</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Is hybrid surgery of the cervical spine a good balance between fusion and arthroplasty? Pilot results from a single surgeon series</title><author><name sortKey="Hey, Hwee Weng Dennis" sort="Hey, Hwee Weng Dennis" uniqKey="Hey H" first="Hwee Weng Dennis" last="Hey">Hwee Weng Dennis Hey</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore</wicri:regionArea><wicri:noRegion>119228 Singapore</wicri:noRegion></affiliation></author><author><name sortKey="Hong, Choon Chiet" sort="Hong, Choon Chiet" uniqKey="Hong C" first="Choon Chiet" last="Hong">Choon Chiet Hong</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore</wicri:regionArea><wicri:noRegion>119228 Singapore</wicri:noRegion></affiliation></author><author><name sortKey="Long, Ai Sha" sort="Long, Ai Sha" uniqKey="Long A" first="Ai Sha" last="Long">Ai Sha Long</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Orthopaedic Surgery, National University Hospital, National University Singapore, National University Health System, 1E Kent Ridge Road, 119228 Singapore</wicri:regionArea><wicri:noRegion>119228 Singapore</wicri:noRegion></affiliation></author><author><name sortKey="Hee, Hwan Tak" sort="Hee, Hwan Tak" uniqKey="Hee H" first="Hwan Tak" last="Hee">Hwan Tak Hee</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Centre for Spine and Scoliosis Surgery, Paragon and Mount Elizabeth Medical Centre, Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Centre for Spine and Scoliosis Surgery, Paragon and Mount Elizabeth Medical Centre, Singapore</wicri:regionArea><wicri:noRegion>Singapore</wicri:noRegion></affiliation></author></analytic><series><title level="j">European Spine Journal</title><idno type="ISSN">0940-6719</idno><idno type="eISSN">1432-0932</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>Few studies have investigated the role of hybrid surgery (HS) that incorporates anterior cervical discectomy and fusion (ACDF) and artificial disc replacement (ADR) techniques. To our knowledge, this is the first study that provides a direct comparison of all three groups in terms of intra-operative parameters and outcomes with a minimum follow-up of 2 years.</p></sec><sec><title>Methods</title><p>Seven consecutive patients who underwent HS were matched with another seven patients who underwent ACDF and ADR based on levels of surgery. Prospective data on demographics, pre-operative and post-operative assessments, complications and functional scores (VAS, NDI, EQ-5D health score and index) were analysed using Mann–Whitney <italic>U</italic> test. Type I error was set at 5 %.</p></sec><sec><title>Results</title><p>Duration of surgery was significantly shorter for ACDF at 135 min (<italic>p</italic> = 0.025) compared with HS and ADR. ACDF also had greater blood loss when compared with ADR (<italic>p</italic> < 0.036). ADR has the shortest duration of hospitalization followed by HS and ACDF (<italic>p</italic> < 0.031). The HS group returned to work fastest (54 days) when compared with both ACDF (107 days) and ADR (73 days) with statistical significance seen between HS and ACDF (<italic>p</italic> = 0.035). Cervical range of motion (ROM) and functional scores did not show any significant differences.</p></sec><sec><title>Conclusion</title><p>HS is comparable to ACDF and ADR in terms of safety and feasibility. Findings of shorter in-hospital stay and earlier return to work in HS group may be further explored in large, randomised controlled trials.</p></sec></div></front></TEI><affiliations><list><country><li>Singapour</li></country></list><tree><country name="Singapour"><noRegion><name sortKey="Hey, Hwee Weng Dennis" sort="Hey, Hwee Weng Dennis" uniqKey="Hey H" first="Hwee Weng Dennis" last="Hey">Hwee Weng Dennis Hey</name></noRegion><name sortKey="Hee, Hwan Tak" sort="Hee, Hwan Tak" uniqKey="Hee H" first="Hwan Tak" last="Hee">Hwan Tak Hee</name><name sortKey="Hong, Choon Chiet" sort="Hong, Choon Chiet" uniqKey="Hong C" first="Choon Chiet" last="Hong">Choon Chiet Hong</name><name sortKey="Long, Ai Sha" sort="Long, Ai Sha" uniqKey="Long A" first="Ai Sha" last="Long">Ai Sha Long</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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