Our Summary

This research paper discusses a study conducted to compare the safety and effectiveness of two methods of treating cervical degenerative disc disease, a condition that affects the discs in the neck. The first method uses a “zero-profile” device, which is intended to reduce irritation to the esophagus during treatment. The second method uses a combination of a plate and cage.

The researchers analyzed data from eleven different studies. They found that compared to the plate and cage method, the zero-profile device is associated with a shorter operation time for two-level surgeries, less blood loss during surgery, a higher rate of the disc sinking back into its original place (subsidence), a higher score indicating better physical function and less difficulty swallowing in the short and long term.

However, there was no significant difference found in the angle of curvature in the spine (Cobb angle) for one-level and two-level surgeries, the rate of successful fusion of the disc, and the operation time for one-level and three-level surgeries.

In conclusion, both the zero-profile implantation and the plate and cage methods have their own pros and cons.

FAQs

  1. What is cervical degenerative disc disease and how is it typically treated?
  2. What are the advantages of using a zero-profile device in treating cervical degenerative disc disease?
  3. Was there any significant difference found between the zero-profile device and the plate and cage method in terms of the angle of curvature in the spine and the rate of successful fusion of the disc?

Doctor’s Tip

It is important for patients to have a thorough discussion with their doctor about the potential risks and benefits of each method before deciding on a treatment plan. Additionally, following post-operative instructions and participating in physical therapy as recommended by your doctor can help optimize your recovery and outcomes following a discectomy procedure.

Suitable For

Patients who are typically recommended for discectomy are those who have not responded to conservative treatments such as physical therapy, medications, and injections, and who are experiencing severe pain, weakness, numbness, or tingling in the arms or legs due to a herniated disc pressing on a nerve. These patients may also have difficulty performing daily activities or have decreased quality of life due to their symptoms. Additionally, patients with cervical degenerative disc disease, spinal stenosis, or other conditions that are causing compression of the spinal cord or nerves may also be recommended for discectomy.

Timeline

Before discectomy:

  1. Patient experiences symptoms of cervical degenerative disc disease such as neck pain, arm pain, numbness or weakness in the arms, and difficulty with fine motor skills.
  2. Patient undergoes diagnostic tests such as X-rays, MRI, or CT scans to confirm the diagnosis.
  3. Patient may undergo conservative treatments such as physical therapy, medication, or injections to manage symptoms.

After discectomy:

  1. Patient undergoes discectomy surgery to remove the damaged disc and relieve pressure on the nerves in the neck.
  2. Patient may experience some pain and discomfort immediately after surgery.
  3. Patient undergoes physical therapy to regain strength and range of motion in the neck.
  4. Patient gradually resumes normal activities and experiences improvement in symptoms such as reduced pain and improved function in the arms.
  5. Patient follows up with their healthcare provider to monitor their recovery and address any concerns.

What to Ask Your Doctor

Some questions a patient should ask their doctor about discectomy include:

  1. What are the potential risks and complications associated with the discectomy procedure?
  2. How long is the recovery period after a discectomy surgery?
  3. Will I need physical therapy or rehabilitation after the surgery?
  4. What is the success rate of discectomy for my specific condition?
  5. How long do the effects of the surgery last? Will I need additional treatments in the future?
  6. Are there any alternative treatments to discectomy that may be appropriate for my condition?
  7. How will the surgery affect my daily activities and quality of life?
  8. What type of anesthesia will be used during the surgery?
  9. How many discectomy surgeries have you performed, and what is your success rate?
  10. How soon can I expect to see improvement in my symptoms after the surgery?

Reference

Authors: Duan Y, Yang Y, Wang Y, Liu H, Hong Y, Gong Q, Song Y. Journal: J Clin Neurosci. 2016 Nov;33:11-18. doi: 10.1016/j.jocn.2016.01.046. Epub 2016 Jul 18. PMID: 27443497