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Research ArticleFull Length Article
Open Access

Initial clinical experience with a next-generation artificial disc for the treatment of symptomatic degenerative cervical radiculopathy

Alejandro Reyes-Sanchez, Victor Miramontes, Luis M. Rosales Olivarez, Armando Alpizar Aquirre, Alfredo Ortega Quiroz and Baron Zarate-Kalfopulos
International Journal of Spine Surgery January 2010, 4 (1) 9-15; DOI: https://doi.org/10.1016/j.esas.2010.01.002
Alejandro Reyes-Sanchez
Division de Cirugia Especial-Columna Vertebral, Instituto Nacional de Rehabilitacion/Ortopedia, Mexico City, Mexico
MD
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  • For correspondence: areyes@vertebrae.com.mx
Victor Miramontes
Division de Cirugia Especial-Columna Vertebral, Instituto Nacional de Rehabilitacion/Ortopedia, Mexico City, Mexico
MD
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Luis M. Rosales Olivarez
Division de Cirugia Especial-Columna Vertebral, Instituto Nacional de Rehabilitacion/Ortopedia, Mexico City, Mexico
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Armando Alpizar Aquirre
Division de Cirugia Especial-Columna Vertebral, Instituto Nacional de Rehabilitacion/Ortopedia, Mexico City, Mexico
MD
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Alfredo Ortega Quiroz
Division de Cirugia Especial-Columna Vertebral, Instituto Nacional de Rehabilitacion/Ortopedia, Mexico City, Mexico
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Baron Zarate-Kalfopulos
Division de Cirugia Especial-Columna Vertebral, Instituto Nacional de Rehabilitacion/Ortopedia, Mexico City, Mexico
MD
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  • Fig. 1
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    Fig. 1

    (A) Graphical illustration of the artificial cervical disc (M6-C artificial cervical disc, Spinal Kinetics, Sunnyvale, CA). (B) Cut-away image of the disc illustrating a compressible polymer core to simulate the nucleus surrounded by woven fibers arranged circumferentially to simulate the annulus.

  • Fig. 2
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    Fig. 2

    Mean Neck Disability Index (NDI) values pretreatment and at each follow-up interval for all patients (N = 25) as well as for patients with ≤48 months of symptoms (n = 21).

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    Fig. 3

    Mean arm (A) and neck (B) pain severity values pretreatment and at each follow-up interval.

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    Fig. 4

    Mean ROM values at the treated level (A) and globally for the entire neck (B) pretreatment and at each follow-up interval.

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    Fig. 5

    Mean disc height values pretreatment and at each follow-up interval.

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    Fig. 6

    Representative lateral radiographs illustrating a single level (A) and a 2-level (B) cervical disc replacement.

Tables

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    Table

    Patient baseline characteristics

    CharacteristicsValue (N = 25)
    Age, mean ± SD,44.5 ± 10.1
    Female, n(%)23 (92.0)
    Duration of non-operative treatment, mean ± SD, mo23.2 ± 16.6
    Number of treated levels, n(%)
     One12 (48.0)
     Two13 (52.0)
    Implant levels,* n(%)
     C3-41 (2.6)
     C4-510 (26.3)
     C5-618 (47.4)
     C6-79 (23.7)
    Previous treatment(s), n(%)
     Cervical traction6 (24.0)
     Bed rest/immobilization3 (12.0)
     Use of NSAIDS25 (100.0)
     Cervical collar11 (44.0)
     Physical therapy21 (84.0)
     Chiropractic care9 (36.0)
     Acupuncture7 (28.0)
    Smokers, n(%)13 (52.0)
    • ↵* N = 38.

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International Journal of Spine Surgery
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1 Jan 2010
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Initial clinical experience with a next-generation artificial disc for the treatment of symptomatic degenerative cervical radiculopathy
Alejandro Reyes-Sanchez, Victor Miramontes, Luis M. Rosales Olivarez, Armando Alpizar Aquirre, Alfredo Ortega Quiroz, Baron Zarate-Kalfopulos
International Journal of Spine Surgery Jan 2010, 4 (1) 9-15; DOI: 10.1016/j.esas.2010.01.002

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Initial clinical experience with a next-generation artificial disc for the treatment of symptomatic degenerative cervical radiculopathy
Alejandro Reyes-Sanchez, Victor Miramontes, Luis M. Rosales Olivarez, Armando Alpizar Aquirre, Alfredo Ortega Quiroz, Baron Zarate-Kalfopulos
International Journal of Spine Surgery Jan 2010, 4 (1) 9-15; DOI: 10.1016/j.esas.2010.01.002
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Keywords

  • cervical disc replacement
  • Cervical disc herniation
  • cervical stenosis
  • M6-C artificial cervical disc

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