Artroplastia total de disco cervical com prótese de Bryan: resultados clínicos e funcionais

Abstract

OBJETIVO: Avaliar resultados da artroplastia total disco cervical com a prótese de Bryan para tratamento da cervicobraquialgia (radiculopatia) e da mielopatia compressiva. MÉTODOS: No período de 2002 a 2007, a equipe da CECOL operou 65 pacientes. Somente 28 pacientes foram localizados em 2010 para uma nova coleta de dados. Foi feita avaliação pré e pós-operatória, utilizando-se o questionário CSOQ (Cervical Spine Outcomes Questionnaire). Os critérios de Odom foram utilizados somente na avaliação pós-operatória. Ambos foram traduzidos e adaptados para cultura local. RESULTADOS: Houve melhora funcional e sintomática significativa na maioria dos pacientes. A atenuação da dor cervical (axial) e braquial (radicular) foi semelhante. Os critérios Odom indicaram 82,1% de bons e ótimos resultados, 10% satisfatórios e 7% ruins. Houve apenas uma complicação (3%), que foi revertida com a artrodese anterior. CONCLUSÕES: A artroplastia total de disco cervical demonstrou ser um método seguro e eficaz para tratamento de casos selecionados de hérnia de disco cervical associada a radiculopatia e/ou mielopatia a curto e médio prazo.

The Copenhagen Neck Functional Disability Scale – Cnfds: Translation and Cultural Adaptation to Brazilian Portuguese

“…These adaptations over time have meant that the very definition of health has undergone major revisions, since it was initially seen as merely the "absence of disease" and now has a much broader and more insightful concept which considers the capacity of people to adapt, respond to and manage challenges and changes in life. 18 To measure the impact that cervical pain can have on an individual as well as the limitations generated by it, several questionnaires and evaluation scales have been developed, often in the English language 19 , such as the Neck Disability Index (NDI) 20 , the Neck Pain and Disability Scale (NPDS) 21 , the Cervical Spine Outcomes Questionnaire (CSOQ) 22 and the North wick Park Neck Pain Questionnaire (NPK) 23 . Scales and self-assessment questionnaires, besides their scientific importance, can guide clinical practice 3,[24][25][26] .…”

“…In research related to cervical pain, the NDI (Neck Disability Index) questionnaire 20,[37][38][39][40] is often used as a functional evaluation tool in addition to others such as the CSOQ (Cervical Spine Outcomes Questionnaire) 22 or the NPK (Northwick Park Neck Pain Questionnaire) 23,41 . These, however, are instruments for patient assessment which are applied by an evaluator, and not directly answered by the patients.…”