Byval'tsev V A, Kalinin A A, Stepanov I A, Pestryakov Yu Ya, Shepelev V V
Irkutsk State Medical University, Irkutsk, Russia; Railway Clinical Hospital, Irkutsk-Passenger Station, Irkutsk, Russia; Irkutsk Scientific Center of Surgery and Traumatology, Irkutsk, Russia; Irkutsk State Medical Academy of Postgraduate Education', Irkutsk, Russia.
Irkutsk State Medical University, Irkutsk, Russia; Railway Clinical Hospital, Irkutsk-Passenger Station, Irkutsk, Russia; Irkutsk Scientific Center of Surgery and Traumatology, Irkutsk, Russia.
Zh Vopr Neirokhir Im N N Burdenko. 2017;81(5):46-55. doi: 10.17116/neiro201781546-55.
Cervical spondylosis and intervertebral disc (IVD) degeneration are the most common cause for compression of the spinal cord and/or its roots. Total IVD arthroplasty, as a modern alternative to surgical treatment of IVD degeneration, is gaining popularity in many neurosurgical clinics around the world. Aim - the study aim was to conduct a multicenter analysis of cervical spine arthroplasty with an IVD prosthesis M6-C ('Spinal Kinetics', USA).
The study included 112 patients (77 males and 35 females). All patients underwent single-level discectomy with implantation of the artificial IVD prosthesis M6-C. The follow-up period was up to 36 months. Dynamic assessment of the prosthesis was based on clinical parameters (pain intensity in the cervical spine and upper extremities (visual analog scale - VAS); quality of life (Neck Disability Index - NDI)); and subjective satisfaction with the results of surgical treatment (Macnab scale) and instrumental data (range of motion in the operated spinal motion segment, degree of heterotopic ossification (McAfee-Suchomel classification), and time course of degenerative changes in the adjacent segments).
