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Surgical Technique for the Implantation of a Biomimetic Artificial Intervertebral Disc in a Goat Animal Model
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Cervical disc replacement surgery: indications, technique, and technical pearls.

Dante Leven1,2, Joshua Meaike3, Kris Radcliff4

  • 1Nassau University Medical Center, East Meadow, NY, USA. danteleven@gmail.com.

Current Reviews in Musculoskeletal Medicine
|May 12, 2017
PubMed
Summary

Cervical disc replacement (CDR) offers a motion-preserving alternative to fusion for select patients. Understanding indications and surgical technique is key to maximizing success and minimizing complications with CDR.

Keywords:
Anterior cervical discectomy and fusion (ACDF)Cervical degenerative disc diseaseCervical disc arthroplastyDisc replacementMyelopathyRadiculopathy

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spinal Surgery

Background:

  • Cervical disc replacement (CDR) is a surgical option for specific spinal conditions.
  • High success rates are reported, but complications can arise from patient selection and surgical technique.

Purpose of the Study:

  • To guide surgeons in understanding factors influencing cervical disc replacement outcomes.
  • To review current cervical disc replacement devices and techniques.

Main Methods:

  • Literature review of studies published within the last five years.
  • Analysis of meta-analyses and mid-term follow-up studies comparing CDR to other procedures.

Main Results:

  • CDR is comparable or favorable to anterior cervical discectomy and fusion.
  • CDR preserves motion and minimizes complications associated with fusion.
  • Improvements in implant design have increased CDR utilization despite technical challenges.

Conclusions:

  • CDR is a viable option for appropriately indicated patients.
  • Careful patient selection and technical proficiency are crucial for successful CDR outcomes.
  • Ongoing advancements in implant technology continue to enhance CDR efficacy.