EFFECTIVENESS OF CERVICAL DISC ARTHROPLASTY IN CERVICAL VERTIGO
Journal of Turkish Spinal Surgery, cilt.36, sa.1, ss.29-34, 2025 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 36 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/jtss.galenos.2024.07269
- Dergi Adı: Journal of Turkish Spinal Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.29-34
- Anahtar Kelimeler: cervical disc arthroplasty, cervical disc degeneration, cervical disc herniation, Cervical vertigo, neck pain
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Cervical vertigo (CV) is commonly observed in cervical degenerative disc disease (CDDD) but is often overlooked. The current study aimed to investigate the efficacy of cervical disc arthroplasty (CDA) in CV for single-level CDDD. Materials and Methods: Between 2014 and 2021, we retrospectively analyzed patients with chronic neck and arm pain due to single-level CDDD on CV. All patients with CV underwent a detailed diagnostic work-up to investigate the cause of vertigo, and patients with vertigo due to etiologies other than CDDD were excluded. CV was analyzed pre-operatively and post-operatively using the CV evaluation scale (CVES); higher CVES scores reflected fewer vertigo complaints. The intensity of dizziness and neck pain was assessed using the Visual Analogue Scale (VAS). Results: A total of 50 patients who had CDDD with CV and underwent CDA were included in the study. The mean age of the patients was 48±8 years, and 58% were female. The vertigo and neck pain VAS scores significantly decreased 3 months post-operatively (6-4.6) and at the last follow-up period (3.8-3.0) compared with pre-operatively (6.8-5.6) (p<0.001). CVES scores showed a significant increase 3 months post-operatively (22.8) and at the last follow-up period (23.4) compared with pre-operatively (16.2) (p<0.001). The clinical scores showed more improvement in the upper cervical region than in the lower cervical region (p<0.001). Conclusion: CDDD single-level CDA is more effective in relieving cervicogenic dizziness symptoms at higher levels than at lower levels.