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Complications of Bryan cervical disc replacement
Jun-ming Cao1, Ying-ze Zhang, Yong Shen
1Department of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Orthopaedic Surgery
|October 20, 2011
Summary
Cervical disc replacement aims to preserve motion and function, but the Bryan cervical disc has associated complications. Careful patient selection and anatomical knowledge are crucial to avoid adverse outcomes.
Area of Science:
- Spine surgery
- Orthopedic implants
- Biomechanical engineering
Background:
- Cervical disc replacement (CDR) aims to maintain spinal segment mobility and function, avoiding fusion.
- The Bryan cervical disc has been a preferred device for preserving motion in cervical spine surgery.
- Despite favorable outcomes, CDR, particularly with the Bryan disc, can involve complications.
Purpose of the Study:
- To outline the primary goals of cervical disc replacement.
- To discuss the role and outcomes of the Bryan cervical disc.
- To detail the complications associated with Bryan cervical disc arthroplasty.
Main Methods:
- Review of goals for cervical disc replacement.
- Discussion of the Bryan cervical disc as a device of choice.
- Enumeration of complications associated with Bryan cervical disc replacement.
Main Results:
- Cervical disc replacement seeks to prevent fusion, maintain mobility, and reduce adjacent-segment disease.
- The Bryan cervical disc is noted for preserving movement but carries risks.
- Complications include operative issues, device failure, kyphosis, heterotopic ossification, and spontaneous fusion.
Conclusions:
- Cervical disc replacement offers benefits but is associated with potential complications.
- The Bryan cervical disc, while effective in preserving motion, has specific risks.
- Strict patient selection and anatomical knowledge are essential for successful Bryan cervical disc arthroplasty and complication avoidance.
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