Hybrid disc replacement fusion surgery, which combines disc replacement at one or more levels with fusion at others, shows promising long-term success, particularly in treating multilevel cervical degenerative disc disease. Studies indicate significant pain relief and functional improvements, with a high degree of patient satisfaction. While long-term data is still emerging, initial reports suggest a favorable balance between motion preservation and spinal stabilization.
Long-term success factors and considerations:
• Patient selection:
Careful patient selection is crucial to ensure the hybrid approach is appropriate for the individual's specific condition and needs.
• Surgical technique:
Proper surgical technique and device selection are essential for optimal outcomes.
• Follow-up care:
Regular follow-up care is important to monitor the long-term performance of the hybrid construct and address any potential issues.
• Adjacent segment disease:
While hybrid surgery may reduce the risk of adjacent segment degeneration compared to ACDF, it's still a consideration.
• Long-term data:
Continued research and long-term follow-up studies are necessary to fully assess the durability and effectiveness of the hybrid approach.
Specific studies and findings:
• A study by Reyes-Sanchez et aldemonstrated improved neck and arm pain, disability scores, and range of motion at 24 months, with no serious adverse events.
• A prospective study found that cervical hybrid surgery resulted in clinically and statistically significant improvements in pain and disability scores that were sustained over the course of follow-up.
• A 10-year follow-up study showing that a large majority of patients (88.3%) were satisfied with their surgery, with similar levels of satisfaction maintained over time.
Overall, hybrid disc replacement fusion surgery offers a promising approach for treating multilevel cervical degenerative disc disease, with studies suggesting long-term benefits in terms of pain relief, functional improvement, and patient satisfaction
