Publications by authors named "G E Danielson"

Objectives: Early physical therapy (PT) with specific stabilization training has been shown to benefit individuals after lumbar spinal surgery but has not been studied in patients after cervical spine surgery. The primary purpose of this study was to compare clinical outcomes between early cervical spine stabilizer (ECS) training and usual care (UC) in patients after anterior cervical discectomy and fusion (ACDF) surgery. The secondary purpose was to determine test-retest reliability of strength and endurance tests of cervical spinal stabilizers in this patient population.

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Study Design: A prospective, randomized, multicenter Food and Drug Administration Investigation Device Exemption study using total disc replacement as surgical treatment of degenerative disc disease at 1 or 2 contiguous levels of the cervical spine.

Objective: To evaluate the safety and effectiveness of total disc replacement at single or 2 contiguous levels through 48 months of follow-up.

Summary Of Background Data: Cervical total disc replacement has been shown to be a safe and effective alternative to anterior cervical discectomy and fusion at 24 months.

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Object: The purpose of this study was to evaluate the safety and effectiveness of 2-level total disc replacement (TDR) using a Mobi-C cervical artificial disc at 48 months' follow-up.

Methods: A prospective randomized, US FDA investigational device exemption pivotal trial of the Mobi-C cervical artificial disc was conducted at 24 centers in the U.S.

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Article Synopsis
  • Prospective randomized clinical trials were conducted to evaluate and compare the clinical success rates and incidence of adjacent level disease (ALD) in patients undergoing total disc arthroplasty (TDA) versus anterior cervical fusion (ACDF) for cervical disc disease.
  • Previous studies suggested that ACDF might increase stress on nonoperated segments, potentially raising the risk of degeneration, while TDA was theorized to minimize ALD risk by preserving motion, though clinical validation was lacking.
  • After a median follow-up of 42 months, the incidence of adjacent segment disease was found to be similar between the two groups, with other factors like osteopenia and concurrent lumbar degenerative disease recognized as increasing risks for ASD.
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