Severity of Heterotopic Ossification in Relation to Cervical Prosthesis Type and Surgery-Related Factors

Noriega, David C.; Medrano, Belén García; Cortés, Jesus Manuel; Martínez, M.L. del Olmo; Hernández, Rubén Martín; Plata, M. Mancha de la; Brotat, M.

doi:10.1016/j.spinee.2012.08.351

Cited by 2 publications

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“…in a comparative study found Grade 1 or no HO in 67% cases of Baguera compared to 10.5% with Prodisc C. Advanced HO (Grade 3 or 4) was seen in 18.5% cases using Baguera compared to 73.8% using Prodisc and 65% using PCM. [ 32 ]…”

Section: Discussionmentioning

confidence: 99%

“…Placement of the device as posterior as possible to allow maximum motion of the device, avoiding unnecessary bony exposure, liberal use of bone wax, avoiding use of drill helps to prevent release of bone growth factors. [ 12 29 32 ] Additionally implant that are placed without the need of drilling or keel also help in reducing the incidence of HO due to reduction of release of bone growth factors from marrow. Baguera design avoids need of drilling and keel may assist in lesser incidence of higher grades of HO.…”

Section: Discussionmentioning

confidence: 99%

“…Noriega et al in a comparative study found Grade 1 or no HO in 67% cases of Baguera compared to 10.5% with Prodisc C. Advanced HO (Grade 3 or 4) was seen in 18.5% cases using Baguera compared to 73.8% using Prodisc and 65% using PCM. [32] Certain factors have been implicated to reduce the occurrence of HO. Placement of the device as posterior as possible to allow maximum motion of the device, avoiding unnecessary bony exposure, liberal use of bone wax, avoiding use of drill helps to prevent release of bone growth factors.…”

Section: Discussionmentioning

confidence: 99%

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Clinico-radiological outcome of single-level and hybrid total disc replacement with spineart Baguera®-C for cervical myeloradiculopathy: Minimum 2-year follow-up study in Indian population

et al. 2020

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Context: Cervical radiculopathy and myelopathy is one of the most frequent ailments encountered by spine surgeon. Motion-preserving surgeries in cervical spine is a standard of care due to its certain advantages such as biomechanical anatomical conformity, reduced chances of adjacent segment degeneration, and revision surgeries. While there is abundant data from some centers, data from developing countries are still limited. Aims: The aim was to study the clinico-radiological outcome of single-level and hybrid total disc replacement (TDR) with Spineart Baguera ® -C cervical prosthesis for cervical myeloradiculopathy. Settings and Design: Retrospective study. Materials and Methods: Retrospective analysis of the 29 consecutive patient undergoing single level TDR and hybrid fixation (i.e., TDR with anterior cervical discectomy and fusion) with Spineart Baguera ® -C cervical prosthesis for myeloradiculopathy from January 1, 2014 to December 31, 2017, was done. Radiological features and outcome were studied from data collected on Insta-picture archiving and communication system. Statistical Analysis Used: SAS 9.4 was used for all computations. Results on continuous measurements were presented as mean and standard deviation (min-max) and results on categorical measurements were presented as numbers (n) and percentages. Results: Twenty-nine patients were included in the study. The mean age was 43.31 ± 9.04 years with 14 males and 15 females. The most common level of TDR was C5-C6 (72.41%). The mean follow-up duration was 3.14 years ± 1.13 years (2–5 years). The mean hospital stay was 4.93 ± 2.12 days. The mean neck disability index (NDI) at admission was 27.24 ± 7.66 which decreased to 6.41 ± 4.29 at final follow-up. Conclusions: Two-year data on treatment with Spineart Baguera ® -C cervical prosthesis shows significantly improved NDI, visual analog scale (arm) with maintenance of movement of the prosthesis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinico-radiological outcome of single-level and hybrid total disc replacement with spineart Baguera®-C for cervical myeloradiculopathy: Minimum 2-year follow-up study in Indian population

et al. 2020

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“…Its occurrence has been influenced by patient selection, implant, and surgical technique. In a comparative study, Noriega et al [ 26 ] found grade I or no HO in 67% of the cases using Baguera compared to 10.5% with Prodisc C. Advanced HO (grade III or IV) was seen in 18.5% of the cases using Baguera compared to 73.8% using Prodisc and 65% using PCM [ 26 ]. Certain factors have been implicated in reducing HO.…”

Section: Discussionmentioning

confidence: 99%

Two-Level Anterior Cervical Discectomy and Fusion versus Hybrid Total Disc Replacement for Bilevel Pathology with Cervical Radiculopathy/Myelopathy: A Comparative Study with a Minimum 2-Year Follow-up in an Indian Population

et al. 2022

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Study Design: Retrospective study.Purpose: To study the outcomes of two-level anterior cervical discectomy and fusion (2L-ACDF) versus hybrid total disc replacement (H-TDR) for cervical myeloradiculopathy.Overview of Literature: For bilevel disc issues of the cervical spine, 2L-ACDF has been a historical tool with numerous implants used at different time frames. Recent developments in total disc replacement at mobile level with fusion at a spondylotic level known as hybrid fixation have added a new armamentarium for such disorders.Methods: An analysis of 49 consecutive patients who underwent 2L-ACDF (n=22) and H-TDR (n=27) from January 1, 2014 to December 31, 2017 was performed. Data were studied as retrieved from InstaPACS ver. 4.0 (Mediff Technologies Pvt. Ltd., Bengaluru, India) and medical records.Results: Twenty-two patients with 2L-ACDF and 27 patients with H-TDR were included. The mean±standard deviation (SD) follow-up duration was 4.0±1.5 years in H-TDR and 3.1±1.1 years in 2L-ACDF. The mean±SD Neck Disability Index (NDI) decreased from 26.1±7.6 to 6.5±3.9 in the H-TDR group and from 27.6±7.2 to 6.4±4.8 in the 2L-ACDF group at final follow-up. Disc height at suprajacent level in the 2L-ACDF group was 4.12±0.48 mm, 4.10±0.45 mm, and 4.05±0.48 mm preoperatively, at 1-year, and final follow-up, respectively. Disc height at supradjacent level in the H-TDR group was 4.28±0.36 mm, 4.20±0.32 mm, and 4.19±0.34 mm preoperatively, at 1-year, and final follow-up, respectively.Conclusions: There was significantly improved NDI in both groups. Adjacent segment disc height loss was greater in the 2L-ACDF group than in H-TDR but not statistically significant (<i>p</i> =0.304). Supradjacent segment range of motion was greater in the 2L-ACDF group than in the H-TDR group (<i>p</i> =0.003). Both findings supported radiographic adjacent segment degeneration (ASD), but symptomatic ASD was absent in both groups.

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Severity of Heterotopic Ossification in Relation to Cervical Prosthesis Type and Surgery-Related Factors

Cited by 2 publications

References 0 publications

Clinico-radiological outcome of single-level and hybrid total disc replacement with spineart Baguera®-C for cervical myeloradiculopathy: Minimum 2-year follow-up study in Indian population

Clinico-radiological outcome of single-level and hybrid total disc replacement with spineart Baguera®-C for cervical myeloradiculopathy: Minimum 2-year follow-up study in Indian population

Two-Level Anterior Cervical Discectomy and Fusion versus Hybrid Total Disc Replacement for Bilevel Pathology with Cervical Radiculopathy/Myelopathy: A Comparative Study with a Minimum 2-Year Follow-up in an Indian Population

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