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General considerations for cervical arthroplasty with technique for ProDisc-C.
John H Chi1, Christopher P Ames, Bobby Tay
1Department of Neurological Surgery, University of California, San Francisco, CA 94143, USA. chijo@neurosurg.ucsf.edu
Neurosurgery Clinics of North America
|December 6, 2005
Summary
Motion-preserving spinal arthroplasty offers a modern surgical solution for spinal conditions. While long-term safety is under investigation, short-term data suggests it is comparable to traditional fusion surgery.
Area of Science:
- Spine surgery
- Biomechanics
- Biomaterials
Background:
- Spinal arthroplasty has evolved over 50 years.
- It involves replacing intervertebral discs with prostheses.
- These prostheses aim to preserve spinal height, alignment, motion, and stability.
Purpose of the Study:
- To evaluate the role of motion-preserving spinal arthroplasty in spine surgery.
- To discuss the impact of artificial cervical discs on surgical practices.
Main Methods:
- Review of advancements in biomechanics, material sciences, and surgical techniques.
- Analysis of short-term follow-up studies comparing arthroplasty to fusion surgery.
Main Results:
- Cervical arthroplasty is fundamentally changing cervical spine surgery.
- Short-term studies indicate safety and effectiveness comparable to traditional fusion.
Conclusions:
- Motion-preserving spinal arthroplasty represents significant progress in joint arthroplasty.
- Artificial cervical discs are poised to become a standard surgical option despite ongoing research into long-term outcomes.