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Artificial cervical disc replacement: principles, types and techniques.

L H S Sekhon1, J R Ball

  • 1SpineNevada, 75 Pringle Way, Suite 605, Reno, NV 89502, USA. sekhon@spinenevada.com

Neurology India
|March 28, 2006
PubMed
Summary
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Cervical arthroplasty, an alternative to spinal fusion, shows comparable short-term safety and effectiveness. Further research is needed to determine the ideal prosthetic disc replacement device and long-term outcomes.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Anterior cervical fusion is a common treatment for cervical spine disease.
  • Cervical arthroplasty with prosthetic total disc replacement is an emerging alternative.
  • Four distinct cervical arthroplasty devices are currently available, each with unique characteristics.

Purpose of the Study:

  • To review current cervical arthroplasty devices and their clinical outcomes.
  • To discuss indications, surgical techniques, and potential pitfalls of cervical disc replacement.
  • To explore the future of cervical arthroplasty in managing cervical spine disease.

Main Methods:

  • Literature review of studies reporting clinical use of cervical arthroplasty devices.
  • Analysis of device-specific materials, range of motion, insertion techniques, and constraint.

Related Experiment Videos

  • Examination of early clinical experiences and complication rates.

    • Main Results:

    • Short-term studies suggest cervical arthroplasty has comparable complication rates and efficacy to anterior cervical fusion.
    • Significant variations exist among available cervical arthroplasty devices.
    • Long-term clinical results and ideal device selection remain undetermined.

    Conclusions:

    • Cervical arthroplasty presents a viable alternative to fusion in the short term.
    • Further refinement in device design, materials, and surgical indications is anticipated.
    • Long-term outcomes are crucial for establishing the definitive role of cervical arthroplasty.