The aim of this study is to examine the clinical outcome after anterior cervical decompression and fusion, and cervical disc prostheses in general. Additionally these two surgical methods for degenerative diseases of the cercival spine are analyzed comparatively in order to see whether one procedure should be preferred.
The study population consists of patients who are suffering from neck and cervicobrachial pain because of degenerative diseases of the cervical spine. In that population conservative treatment such as analgesia and physiotherapy is no more sufficient, so that surgery is necessary. For surgical treatment are chosen either total disc replacement with an cervical disc prostheses or anterior cervical decompression and fusion. In the context of this work the clinical success of these surgical methods should be analasied by means of the neck disability index (NDI), the visual analogue scale (VAS) in centimeter, clinical examinations, the satisfaction of patients with the surgery and the occurrence of adverse events. The included patients are examined and seen before and after the surgery. Furthermore the two different methods are compared to each other in order to detect a possible advantage of one type of surgery.
Study Type
OBSERVATIONAL
Enrollment
80
Cervical Fusion is performed with a titanium cage (Company Peter Brehm, Weisendorf, Germany) and a plating system (Company Aesculap, ABC plating system, Tuttlingen, Germany)
The total disc replacement is performed with eiter a Freedom® Cervical Disc, AxioMed Spine Corporation, Garfield Heights, Ohio, USA or Active® C, Company, Aesculap, Tuttlingen, Germany
Universitiy Hospital of Bonn
Bonn, North Rhine-Westphalia, Germany
RECRUITINGUniversity hospital Bonn
Bonn, Germany
RECRUITINGChange in pain as assessed by VAS
Pain objectified by the VAS
Time frame: Preoperative (baseline day 0), Follow up (24 months)
Change in Neck disability Index
Restrictions in patients' daily life objecitfied by the NDI (neck disabiliy index)
Time frame: Preoperative (baseline day 0), Follow up (24 months)
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