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Preservation of Motion in Spine Surgery
Gordon Preston1, Jacob Hoffmann, Alexander Satin
1From the Cleveland Clinic Akron General Medical Center, Akron, OH (Preston and Hoffmann), Texas Back Institute, Plano, TX (Satin and Derman), and William Beaumont Hospital, Royal Oak, MI (Khalil).
Summary
Spinal fusion surgery risks like pseudarthrosis are being addressed by motion-preserving techniques. This review discusses innovations in cervical and lumbar spine surgery, including artificial disc alternatives (ADA) and motion preservation devices.
Area of Science:
- Orthopedics and Spine Surgery
- Biomedical Engineering
- Neurosurgery
Background:
- Spinal fusion procedures are increasing, yet carry risks such as pseudarthrosis and adjacent segment disease.
- Adjacent segment disease and pseudarthrosis remain significant challenges in spinal fusion outcomes.
- Innovations aim to mitigate fusion complications by preserving spinal motion.
Approach:
- This review examines novel motion-preserving techniques in cervical and lumbar spine surgery.
- Techniques discussed include cervical laminoplasty, cervical artificial disc arthroplasty (ADA), posterior lumbar motion preservation devices, and lumbar disk ADA.
- The advantages and disadvantages of each motion-preserving approach are critically evaluated.
Key Points:
- Motion preservation strategies offer potential solutions to fusion-related complications.
- Cervical and lumbar spine motion preservation devices and arthroplasty techniques are evolving.
- Understanding the trade-offs of each technique is crucial for patient selection and surgical planning.
Conclusions:
- Motion-preserving technologies represent a significant advancement in spine surgery.
- These techniques aim to improve long-term patient outcomes by reducing fusion-associated morbidities.
- Further research and clinical data are essential to fully establish the role of these innovative spinal procedures.
