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Updated: Jun 28, 2026
06:11
Anterior Cervical Discectomy and Fusion in the Ovine Model
Published on: October 5, 2009
Fusion versus Bryan Cervical Disc in two-level cervical disc disease: a prospective, randomised study
1Orthopaedic and Trauma Department, Qilu Hospital of Shandong University, No. 107 Wenhua Xi Road, Jinan, Shandong, 250012, People's Republic of China. chengleiyx@126.com
International Orthopaedics
|October 29, 2008
Summary
Bryan Cervical Disc replacement offers comparable functional results to fusion for two-level cervical disc disease. This artificial disc replacement shows reliability and safety in treating this condition.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Two-level cervical disc disease presents a significant clinical challenge.
- Surgical options include anterior cervical fusion and artificial disc replacement.
- Comparing outcomes is crucial for treatment selection.
Purpose of the Study:
- To compare functional and radiographic outcomes of Bryan Cervical Disc replacement versus anterior cervical fusion.
- To evaluate the efficacy of artificial disc replacement for two-level cervical disc disease.
Main Methods:
- Prospective randomized study of 65 patients with two-level cervical disc disease.
- Patients randomly assigned to Bryan Cervical Disc replacement (31) or anterior cervical fusion (34).
- Clinical assessment using VAS, SF-36, and NDI; radiographic assessment of range of motion, stability, and subsidence over two years.
Main Results:
- Both groups showed substantial reduction in Neck Disability Index (NDI) scores.
- The Bryan Cervical Disc replacement group demonstrated a greater percent improvement in NDI (P = 0.023).
- Significant improvement in arm pain Visual Analogue Scale (VAS) scores was observed in both groups.
Conclusions:
- Bryan artificial cervical disc replacement is a reliable and safe option for two-level cervical disc disease.
- Artificial disc replacement may offer superior functional recovery compared to fusion in specific patient populations.
- Further research can explore long-term outcomes and patient-specific indications.
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