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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 instability following artificial disc replacement.

Ki Joon Kim¹, Mun Soo Gang², Jung-Sik Bae²

¹Department of Neurosurgery, Nanoori Hospital Suwon, Suwon-si, Gyeonggi-do.

Surgical Neurology International

|October 23, 2019

Summary

Artificial disc replacement (ADR) in the cervical spine can lead to complications like instability, necessitating revision surgery. Careful patient selection and surgical technique are crucial for successful ADR outcomes.

Keywords:

Artificial disc replacement Cervical instability Fusion

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Area of Science:

Spine surgery
Biomaterials in medicine
Degenerative disc disease

Background:

Cervical artificial disc replacement (ADR) is increasingly used for degenerative disc disease.
Limited data exists on complication and reoperation rates following cervical ADR.

Observation:

A 52-year-old male received a C5-C6 cervical ADR for disc disease and foraminal stenosis.
One year post-surgery, the patient developed severe neck pain due to ADR construct instability.
This instability required the removal of the C5-C6 ADR and subsequent spinal fusion.

Findings:

Cervical ADR can be associated with late-onset instability.
Instability of the artificial disc construct may necessitate revision surgery with fusion.
Reoperation may be required to address complications arising from cervical ADR.

Implications:

Careful patient selection is paramount for successful cervical ADR.
Adherence to strict surgical criteria, including device selection and technique, is critical.
Proper preservation of supporting structures and adequate decompression are essential for ADR success.