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Cervical disc replacement surgery: biomechanical properties, postoperative motion, and postoperative activity levels
Alfred Pisano1, Melvin Helgeson2
1Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, MD, 20889, USA.
Current Reviews in Musculoskeletal Medicine
|March 30, 2017
Summary
Cervical disc arthroplasty (CDA) maintains cervical motion and improves patient function for cervical disc disease. Further long-term data is needed to fully evaluate this evolving treatment.
Area of Science:
- Spine surgery
- Orthopedics
- Biomechanics
Background:
- Cervical disc arthroplasty (CDA) is an emerging surgical technique for cervical disc disease.
- Evaluating the efficacy of CDA requires understanding its biomechanical effects, impact on cervical motion, and patient activity levels.
Purpose of the Study:
- To review biomechanical studies on CDA kinematics.
- To assess the effect of CDA on cervical motion.
- To determine postoperative patient activity levels after CDA.
Main Methods:
- Review of recent biomechanical studies.
- Analysis of radiographic data on cervical motion.
- Evaluation of clinical outcome data for postoperative activity and function.
Main Results:
- Biomechanical studies suggest CDA maintains motion, potentially altering facet biomechanics.
- Radiographic data confirms reliable short- and medium-term maintenance of cervical motion.
- Clinical outcomes show reliable improvements in pain and function post-CDA.
Conclusions:
- Cervical disc arthroplasty is an effective treatment for cervical disc disease symptoms.
- CDA demonstrates reliable maintenance of motion and improved patient function.
- Long-term clinical outcome data is needed for a comprehensive evaluation of CDA.
