Comparative Study between Anterior Cervical Discectomy with Fusion and Dynamic Cervical Disc Implant in Management of Single Level Cervical Disc Prolapse: A Prospective Randomized Controlled Trail

Abstract

Background: As a consequence of direct compression of nerve roots and associated inflammatory processes, cervical disc herniation is a prevalent cause of arm and neck painful (brachialgia) in cases. Objectives: To assess the surgical treatment of single-level cervical disc prolapse utilizing fixed and dynamic cervical implants, calculate the difference in clinical outcome between fixed and dynamic cervical implants and estimate the difference in radiological and biomechanical outcome between fixed and dynamic cervical implants. Patients and methods: Thirty cases with single-level cervical disc herniation have participated in this prospective investigation. An open anterior cervical surgery approach was utilized to operate on the cases. Admission and operation at Mansoura University Hospitals from 2018 to 2023. Results: In terms of postoperative neurological examination, there had been statistically insignificant distinction among the 2 groups, postoperative ODI, Postoperative visual pain analogue scale and postoperative neurological findings p>0.05. There was no degenerative cervical disease among patients in MRI postoperative and no osteophytes among patients in CT cervical postoperative, 12 patients (80%) had cervical curve in x-ray in control group and 11 patients (73.3%) in cases group. Conclusion: A safe and simple technique is using of the DCI implant to treat multiple or single level cervical disc disease. No implant-related morbidity or complications, immediate dynamic stability, and a positive clinical response are the primary benefits of this implant.