April 17, 2015
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One-level total disc replacement demonstrates effectiveness as alternative to ACDF

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SAN DIEGO — Compared with anterior cervical disc fusion at one-level, total disc replacement may not be an inferior treatment for symptomatic degenerative disc disease, a speaker said at the International Society for the Advancement of Spine Surgery Annual Meeting, here.

According to Michael S. Hisey, MD, similar improvements in neck disability index scores, VAS neck and arm pain scores, and SF-12 scores were evident in patients who received either one-level total disc replacement (TDR) or anterior cervical disc fusion (ACDF) at 60 months postoperatively.

“Five-year results support the safety and effectiveness of the Mobi-C disc as a noninferior alternative to ACDF for one-level treatment,” Hisey said.

Michael S. Hisey

A total of 164 patients received TDR with the Mobi-C Cervical Disc Prosthesis (LDR) and 81 patients underwent ACDF with anterior plate and allograft bone. The follow-up period began at 6 weeks postoperatively and ended at 60 months postoperatively.

Three percent of patients who underwent TDR had reoperations, compared with 11.1% of patients who underwent ACDF, according to Hisey. Additionally, patients who underwent TDR maintained their range of motion throughout the 60-month follow-up. – by Robert Linnehan

Reference:

Hisey MS, et al. Paper #169. Presented at: International Society for the Advancement of Spine Surgery Annual Meeting. April 15-17, 2015; San Diego.

Disclosure: Hisey reports receiving royalties from the LDR Mobi-C Training Faculty. He also owns stock options with 4-Web and is a member of the speakers bureau for LDR ROI-A and Zimmer Pathfinder.