Rare Intractable Cervicalgia Related to Exaggerated Disc Height Distraction : Report of Two Cases and Literature Review
Journal of Korean Neurosurgical Society
;
: 530-536, 2018.
Article
in English
| WPRIM
| ID: wpr-765265
ABSTRACT
We present two cases of unexpected postoperative intractable cervicalgia due to over-sized implant insertion during simple anterior cervical decompression and fusion (ACDF) or artificial disc replacement (ADR). These patients experienced severe cervicalgia mostly related to their neck motion even after standard cervical operations. In both cases, the restored disc heights after the operations were prominently greater than the preoperative disc heights. The patients had not responded to any of the conservative treatments, and unloading of these excessively distracted segments through ultimate revision surgery led to dramatic pain relief. This report emphasizes the increase in distractional forces that takes place after a standard ACDF or ADR, as well as the importance of a proper sized implant. It also includes the reviews of other biomechanical or clinical reports dealing with this issue, thereby cautioning the surgeons not to disregard these factors, which might have an adverse effect in patients with cervicalgia even after radiographically successful cervical procedures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Neck Pain
/
Decompression
/
Total Disc Replacement
/
Allografts
/
Surgeons
/
Neck
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2018
Type:
Article
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