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Updated: Aug 23, 2025

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Cervical Disk Arthroplasty: Surgical Technique.

Karim Shafi1, Andrew G Kim, Sheeraz Qureshi

  • 1Department of Orthopaedic Surgery, Hospital for Special Surgery,New York, NY.

Clinical Spine Surgery
|October 27, 2022
PubMed
Summary
This summary is machine-generated.

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Cervical disk arthroplasty (CDA) offers a motion-sparing alternative for cervical disc degeneration. This technique, detailed here, involves careful patient selection and surgical execution for optimal outcomes.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Cervical disk degeneration causing neurological symptoms necessitates effective treatment.
  • Anterior cervical discectomy and fusion (ACDF) is a traditional approach.
  • Cervical disk arthroplasty (CDA) is an emerging alternative to ACDF.

Observation:

  • This manuscript details the senior author's preferred surgical technique for single-level CDA.
  • The procedure utilizes a standard Smith Robinson approach with complete discectomy and neuroforaminal decompression.
  • A case presentation of a 43-year-old woman with C6 radiculopathy treated with C5-C6 CDA is included.

Findings:

  • CDA provides a motion-sparing option compared to ACDF.
  • The surgical technique emphasizes careful endplate preparation and implant placement.

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  • Postoperative management includes a soft collar and early discharge.

    • Implications:

    • CDA may reduce the incidence of adjacent segment disease.
    • Further research is needed to fully establish the benefits and indications for CDA.
    • Optimizing outcomes relies on careful patient selection and precise surgical technique.