Annals of Clinical and Experimental NeurologyAnnals of Clinical and Experimental NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-2533Eco-Vector57510.25692/ACEN.2019.1.3Original articlesОригинальные статьиUnknownCervical arthroplasty: 5-year follow-upШейная артропластика: 5-летнее наблюдениеGuschaArtyom O.ГущаАртем Олегович
Russian Federation
petrosyan.dv@gmail.comDrevalMaxim D.ДревальМаксим Дмитриевич
Russian Federation
petrosyan.dv@gmail.comPetrosyanDavid V.ПетросянДавид Вазгенович
Russian Federation
petrosyan.dv@gmail.comArestovSergey O.АрестовСергей Олегович
Russian Federation
petrosyan.dv@gmail.comKascheyevAlexey A.КащеевАлексей Алексеевич
Russian Federation
petrosyan.dv@gmail.comVershininAndrey V.ВершининАндрей Вячеславович
Russian Federation
petrosyan.dv@gmail.comPoltorakoYekaterina N.ПолторакоЕкатерина Николаевна
Russian Federation
petrosyan.dv@gmail.comResearch Center of NeurologyФГБНУ «Научный центр неврологии»15032019131263016032019Copyright ©; 2019, Guscha A.O., Dreval M.D., Petrosyan D.V., Arestov S.O., Kascheyev A.A., Vershinin A.V., Poltorako Y.N.Copyright ©; 2019, Guscha A.O., Dreval M.D., Petrosyan D.V., Arestov S.O., Kascheyev A.A., Vershinin A.V., Poltorako Y.N.2019Guscha A.O., Dreval M.D., Petrosyan D.V., Arestov S.O., Kascheyev A.A., Vershinin A.V., Poltorako Y.N.Guscha A.O., Dreval M.D., Petrosyan D.V., Arestov S.O., Kascheyev A.A., Vershinin A.V., Poltorako Y.N.https://creativecommons.org/licenses/by/4.0https://annaly-nevrologii.com/pathID/article/view/575

Research objective: analysis of the early and long-term outcomes of cervical intervertebral disc prosthetics, assessment of the amount of movement and of the regression of radicular symptoms within 5 years.

Materials and methods. Thirty patients (19 women and 11 men, average age 35.8 years) were operated on for a single-level degenerative lesion of the intervertebral disk. The amount of movement was assessed based on functional X-ray data. Regression of radicular pain symptoms was assessed using visual analogue scale (VAS).

Results. Good and excellent results were obtained. In the long-term period (60 months), local cervical pain syndrome ranged from 0 to 3 VAS points, with initial estimation at 6–8 points. Radicular pain was estimated at 0–2 VAS points, initially 5–8 points.

Conclusion. Arthroplasty is a highly effective method for the treatment of degenerative lesions of cervical intervertebral discs. The technique can definitely compete with rigid stabilization systems and proves its efficacy in treatment of the disease of the adjacent segment.

Цель исследования: анализ ранних и долгосрочных результатов протезирования шейных межпозвонковых дисков, оценка объема движения и регресса корешковой симптоматики в течение 5 лет.

Материал и методы. Прооперированы 30 пациентов (19 женщин и 11 мужчин, средний возраст 35,8 года) с одноуровневым дегенеративным поражением межпозвонкового диска. Объем движения оценивали на основании данных функциональной рентгенографии. Регресс болевой корешковой симптоматики оценивали по визуально-аналоговой шкале (ВАШ).

Результаты. Получены хорошие и отличные результаты. В отдаленном периоде (60 мес) локальный шейный болевой синдром составил 0–3 балла по ВАШ, исходно 6–8 баллов. Корешковая боль составила 0–2 балла по ВАШ, исходно 5–8 баллов.

Заключение. Артропластика является высокоэффективным методом лечения дегенеративных поражений шейных межпозвонковых дисков. Методика однозначно может конкурировать с ригидными системами стабилизации и доказывает свою эффективность в борьбе с болезнью смежного сегмента.

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