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Updated: Aug 11, 2026
05:30
Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
Complications with cervical arthroplasty
Gwynedd E Pickett1, Lali H S Sekhon, William R Sears
1Division of Neurosurgery, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada.
Journal of Neurosurgery. Spine
|March 2, 2006
Summary
The Bryan Cervical Disc prosthesis effectively preserves spinal motion for degenerative disc disease. Major complications were infrequent, though some patients experienced pain or kyphosis post-surgery.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Spinal arthroplasty is an emerging treatment for degenerative cervical disc disease.
- This technique offers potential advantages over spinal fusion but introduces new surgical challenges and complications.
Purpose of the Study:
- To assess the incidence and types of perioperative complications associated with the Bryan Cervical Disc prosthesis.
- To evaluate the early clinical and radiographic outcomes of Bryan prosthesis-based cervical arthroplasty.
Main Methods:
- Prospective data collection on operative details, complications, and outcomes in 74 patients undergoing one- to three-level Bryan arthroplasty.
- Ninety-six Bryan prostheses were implanted.
- Complication rates and outcomes were analyzed at two tertiary care centers.
Main Results:
- The overall perioperative complication rate was 6.2% per treated level.
- Complications included retropharyngeal hematoma, neurological worsening, prosthesis migration, and segmental kyphosis.
- Motion was preserved in 94 of 96 prostheses; however, 25% reported late neck/shoulder pain.
Conclusions:
- The Bryan prosthesis demonstrates effectiveness in maintaining spinal motion.
- Major perioperative and device-related complications were infrequent in this early series.
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