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Complications and Complication Avoidance With Cervical Total Disc Replacement.

Jonathan M Parish¹, Anthony M Asher², Domagoj Coric³

¹Department of Neurological Surgery, Carolinas Medical Center, Charlotte, North Carolina.

International Journal of Spine Surgery

|September 30, 2020

Summary

This summary is machine-generated.

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Cervical arthroplasty complications stem from poor patient selection and surgical errors. Identifying unsuitable candidates and refining surgical techniques are key to preventing adverse outcomes in artificial disc surgery.

Area of Science:

Spine surgery
Orthopedics
Neurosurgery

Background:

Cervical arthroplasty is a surgical procedure to replace a damaged cervical disc.
Complications can arise from patient selection and surgical technique.
Anterior cervical approaches carry inherent risks.

Purpose of the Study:

To identify and discuss complications unique to cervical arthroplasty.
To highlight factors contributing to adverse outcomes.
To differentiate arthroplasty-specific complications from general surgical risks.

Main Methods:

Review of existing literature on cervical arthroplasty complications.
Analysis of patient factors influencing outcomes.
Evaluation of surgical technique-related complications.

Keywords:

cervical arthroplasty cervical artificial disc total disc replacement

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Main Results:

Poor patient selection (advanced spondylosis, facet arthropathy, osteoporosis, deformity, instability) increases complication risk.
Suboptimal surgical technique can lead to subsidence, expulsion, kyphosis, and heterotopic ossification.
Complications specific to cervical arthroplasty require careful consideration.

Conclusions:

Careful patient selection is crucial for successful cervical arthroplasty.
Adherence to proper surgical techniques minimizes unique complications.
Understanding arthroplasty-specific risks improves patient safety and outcomes.