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Updated: Jul 13, 2026
11:30
Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability
Published on: July 25, 2025
[Clinical outcomes of multi-level cervical Bryan disc replacement]
1Department of Spine Surgery, Beijing Jishuitan Hospital, Beijing 100035, China.
Zhonghua Yi Xue Za Zhi
|August 10, 2007
Summary
Multi-level cervical Bryan disc replacement preserves cervical movement and curve, offering an alternative to anterior cervical fusion. This procedure shows significant improvements in patient outcomes and reduces adjacent segment degeneration.
Area of Science:
- Orthopedic Surgery
- Spinal Fusion Alternatives
- Cervical Spine Biomechanics
Context:
- Anterior cervical fusion is a common treatment for cervical spine diseases.
- Limited motion and adjacent segment degeneration are potential complications of fusion.
- Cervical disc replacement aims to preserve motion and reduce adjacent segment issues.
Purpose:
- To evaluate the clinical outcomes of multi-level cervical Bryan disc replacement.
- To assess the impact on cervical spine motion, curve, and adjacent segment health.
- To compare pre- and post-operative patient-reported outcomes.
Summary:
- Multi-level cervical Bryan disc replacement was performed on 20 patients.
- Radiographic analysis showed preservation of segment and overall cervical motion (86.2% and 87.3% respectively).
- Significant improvements were observed in Japanese Orthopaedic Association (JOA) and Neck Disability Index (NDI) scores, with 50% achieving excellent outcomes by Odom's standards.
Impact:
- Multi-level cervical disc replacement is a viable alternative to anterior cervical fusion.
- The procedure effectively preserves physiological cervical movement and spinal alignment.
- It demonstrates potential in mitigating adjacent segment degeneration, improving patient function and quality of life.
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