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Cervical disc arthroplasty at C2-3: illustrative case
Jason Ku1, Johnson Ku1, Hsuan-Kan Chang2,3,4
11Department of Life Sciences, University of California, Los Angeles, California.
Journal of Neurosurgery. Case Lessons
|September 22, 2022
Summary
Cervical disc arthroplasty (CDA) is a viable option for C2-3 disc herniation and multi-level disc replacement. This case report demonstrates successful CDA at three consecutive cervical levels, including C2-3, with preserved motion.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Cervical disc arthroplasty (CDA) is an alternative to anterior cervical discectomy and fusion for disc issues.
- Clinical trials typically involve one- or two-level herniations at C3-7.
- The efficacy of CDA for C2-3 disc herniation remains uncertain.
Purpose of the Study:
- To evaluate the viability of CDA for C2-3 disc herniation.
- To assess the safety and efficacy of multi-level CDA, including C2-3.
Main Methods:
- A 52-year-old male with refractory myelopathic symptoms underwent anterior discectomies and artificial disc replacement.
- The procedure involved three consecutive levels: C2-3, C3-4, and C4-5.
- Postoperative assessment included neurological evaluation and radiographic analysis at 24 months.
Main Results:
- Surgical intervention provided prompt relief of neurological symptoms.
- Radiographs at 24 months showed preserved range of motion at all treated levels.
- The patient experienced successful outcomes following multi-level CDA.
Conclusions:
- This is the first reported case of CDA at the C2-3 level.
- Multi-level CDA, including C2-3, appears to be a viable option for cervical disc disease.
- CDA may offer a safe and effective treatment for complex cervical disc pathologies.
