Cervical Disk Replacement Versus Anterior Cervical Diskectomy and Fusion: Effect of Procedural Variant on Patients With a Prolonged Preoperative Duration of Symptoms From Disk Herniation.
Timothy J HartmanJames W NieIshan KhoslaOmolabake O OyetayoKeith R MacGregorEileen ZhengFatima N AnwarAndrea M RocaAlexandra C LoyaSrinath S MedakkarVincent P FedericoDustin H MasselArash J SayariGregory D LopezKern SinghPublished in: The Journal of the American Academy of Orthopaedic Surgeons (2024)
Patients with prolonged PSD due to cervical DH demonstrated notable improvements in physical function, disability, pain, and mental health regardless of fusion versus arthroplasty techniques. Accounting for demographic variations, patients undergoing CDA demonstrated a greater magnitude of improvement and superior scores in physical function at the first postoperative follow-up. Rates of clinically tangible improvements in PROMs did not markedly vary by surgical procedure. Patients undergoing CDA may perceive greater early improvements to physical function compared with patients undergoing ACDF for prolonged PSD due to DH.