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Cervical Total Disc Replacement: Complications and Complication Avoidance.

Richard L Price¹, Domagoj Coric², Wilson Z Ray³

¹Department of Neurological Surgery, Washington University School of Medicine, Campus Box 8057, 660 South Euclid Avenue, St Louis, MO 63110, USA; Swedish Neuroscience Institute, Seattle, WA, USA.

Neurosurgery Clinics of North America

|September 20, 2021

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Cervical total disc replacement (CTDR) is a popular motion-preserving surgery. Understanding CTDR complications and careful patient selection are vital for successful outcomes and avoiding revision surgery.

Area of Science:

Orthopedics
Neurosurgery
Spine Surgery

Background:

Cervical total disc replacement (CTDR) has increased in popularity over the past two decades.
CTDR offers a motion-preserving alternative to anterior cervical discectomy and fusion (ACDF).
Growing patient and surgeon preference highlights the need to understand CTDR-specific complications.

Purpose of the Study:

To emphasize the importance of recognizing and managing complications unique to cervical total disc replacement.
To underscore the critical role of patient selection and surgical technique in minimizing adverse events.
To outline the necessity of vigilant post-operative monitoring for early detection of complications.

Main Methods:

Review of current literature and clinical practices regarding cervical total disc replacement.

Keywords:

Complications Focal device kyphosis Heterotopic ossification Osteolysis Subsidence

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Analysis of complications specifically associated with CTDR procedures.

Emphasis on diagnostic methods and management strategies for CTDR-related issues.

Main Results:

Complications unique to CTDR require specific attention and management strategies.
Meticulous patient selection and surgical technique are paramount in preventing complications.
Routine post-operative flexion/extension X-rays are crucial for early detection of potential issues.

Conclusions:

Successful and durable outcomes in CTDR depend on a thorough understanding of its unique complications.
Proactive patient selection, precise surgical execution, and diligent follow-up are essential for mitigating risks.
Surgeons must be adept at identifying complications and determining the necessity of revision surgery.