cervical disc disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: * Single level C3-7 radiculopathy due to herniated disc, degenerative disc disease or spondylosis (confirmed by MRI) * Preserved motion at symptomatic level (confirmed by flexion/extension X-rays) * Failure of conservative treatment for at least 6 weeks * Age > 21 years * Written informed consent
Exclusion criteria
Exclusion criteria: * Cervical deformity (kyphosis or lordosis or congenital) * Loss of lordosis * Multilevel spondylosis * Disc height less than 50% * Cervical trauma and instability * Facet arthritis * Infections * Previous surgery at index level * Osteoporosis * Pregnancy (or plans to become pregnant during the study) * BMI > 30 * Metastases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome: Stability of both the upper and lower end plates of the Prodisc-C Vivo cervical disc replacement with regard to the adjacent cervical vertebrae. Stability is defined as the absence of micro-motion or migration. Migration is defined as the amount of translation in mm along the x-, y-, and z-axis and rotation in degrees around the x-, y-, and z-axis. As the accuracy is only acceptable for the translational component of migration, this is will be the main focus in this study. Migration will be measured using model-based radiostereometric analysis (MB-RSA). At 6 weeks, double RSA-measurements will be performed to assess the precision of the measurement method and to assess the level of *migration* that is no migration. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes * Neck Disability Index (NDI) * NRS pain (arm and neck) * Maximal flexion and maximal extension mobility of the cervical spine using radiographic motion in the sagittal plane was measured according to the method described by Frobin et al. | — |
Countries
Netherlands