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Related Experiment Videos

Preliminary clinical experience with the Bryan Cervical Disc Prosthesis.

Jan Goffin1, Adrian Casey, Pierre Kehr

  • 1Department of Neurosurgery, University Hospital Gasthuisberg, Leuven, Belgium. jan.goffin@uz.kuleuven.ac.be

Neurosurgery
|August 22, 2002
PubMed
Summary

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This study shows that the Bryan Cervical Disc Prosthesis effectively treats cervical disc disease, relieving symptoms and maintaining motion. Early results indicate a safe and beneficial alternative to spinal fusion.

Area of Science:

  • Orthopedics
  • Neurosurgery
  • Biomedical Engineering

Background:

  • Accelerated degeneration of adjacent disc levels is a known risk following cervical spine fusion due to increased stress.
  • Functional intervertebral disc prostheses aim to preserve motion and protect adjacent discs, offering an alternative to fusion.

Purpose of the Study:

  • To evaluate the efficacy of the Bryan Cervical Disc Prosthesis in treating single-level cervical degenerative disc disease.
  • To assess neurological symptom relief, functional improvement, pain reduction, and maintenance of motion post-implantation.

Main Methods:

  • A prospective, multicenter trial involving patients with symptomatic cervical radiculopathy/myelopathy.
  • Implantation of the Bryan Cervical Disc Prosthesis following anterior cervical discectomy.

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  • Evaluation of pain, neurological function, and range of motion at scheduled follow-up periods.
  • Main Results:

    • Clinical success rates of 86% at 6 months and 90% at 1 year, exceeding the 85% acceptance criterion.
    • No measurable device subsidence at 1 year; minimal evidence of migration in two patients.
    • Maintained mean range of motion of 9 +/- 5 degrees in flexion-extension, with no device explantations or revisions.

    Conclusions:

    • The Bryan prosthesis alleviates neurological symptoms and signs, comparable to anterior cervical discectomy and fusion.
    • Radiographic evidence supports preserved range of motion, indicating a safe procedure with rapid recovery.
    • Long-term follow-up (≥5 years) is necessary to confirm sustained functionality and assess effects on adjacent motion segments.