{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T20:57:44Z","timestamp":1793739464451,"version":"4.6.1"},"reference-count":90,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>This study aimed to retrospectively evaluate the long-term clinical and radiological outcomes following cervical disc arthroplasty (CDA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This study included 74 patients who underwent single- or two-level CDA between November 2004 and December 2013, with a minimum 10-year follow-up (22 in the Bryan disc group and 52 in the Prestige LP disc group). Patient-reported outcomes and radiological parameters were collected for comparisons. Additionally, the incidences of heterotopic ossification (HO), adjacent segment degeneration (ASD), prosthesis subsidence, and segmental kyphosis at the final follow-up were evaluated and analyzed. A 95% confidence interval (CI) for a mean difference or odds ratio (OR) was used for all general statistical calculations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>After 10 years of follow-up, patients with CDA continued to show significant improvement from baseline in patient-reported outcomes (p &lt; 0.001), with no significant differences between the two groups. However, the Bryan disc group had significantly higher global range of motion (ROM; 95% CI 4.8\u00b0\u201319.2\u00b0, p = 0.001) and segmental ROM (95% CI 1.3\u00b0\u20135.9\u00b0, p = 0.003) compared to the Prestige LP disc group. At 10 years postoperatively, the incidence of HO was 69.2%, including 29.7% ROM-limiting HO. The incidence of ASD was 55.4%. Segmental kyphosis was observed in 10 patients, with a 20.8% incidence in the Bryan disc group and an 8.1% incidence in the Prestige LP disc group (p = 0.072). In the univariate subgroup analysis, the age of the ASD group was significantly higher (95% CI 0.3\u20136.8, p = 0.034). However, no statistically significant parameters were identified between the HO and non-HO groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Through at least 10 years of follow-up, CDA can achieve satisfactory clinical outcomes while effectively preserving segmental mobility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2025.2.spine241185","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T22:23:09Z","timestamp":1749248589000},"page":"195-204","source":"Crossref","is-referenced-by-count":5,"title":["Long-term results of cervical disc arthroplasty: a single-center retrospective study with a minimum 10-year follow-up"],"prefix":"10.3171","volume":"43","author":[{"given":"Junbo","family":"He","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery and"},{"name":"Orthopedic Research Institute, West China Hospital, Sichuan University;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaling","family":"Li","sequence":"additional","affiliation":[{"name":"Operating Room, Department of Anesthesiology, West China Hospital, Sichuan University;"},{"name":"West China School of Nursing, Sichuan University, Chengdu, Sichuan, China; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwei","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and"},{"name":"Orthopedic Research Institute, West China Hospital, Sichuan University;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingjin","family":"Wang","sequence":"additional","affiliation":[{"name":"University Hospital Heidelberg, Baden-W\u00fcrttemberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingkui","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and"},{"name":"Orthopedic Research Institute, West China Hospital, Sichuan University;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"J Neurosurg Spine","first-page":"97","article-title":"Surgical management of cervical degenerative disease: the evidence related to indications, impact, and outcome","volume":"11","author":"Fehlings MG","year":"2009","unstructured":"Fehlings MG, Arvin B. 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