Technique Pearls for Successful Cervical Disc Arthroplasty From More Than 20 Years of Surgical Experience.
Journal
Clinical spine surgery
ISSN: 2380-0194
Titre abrégé: Clin Spine Surg
Pays: United States
ID NLM: 101675083
Informations de publication
Date de publication:
01 Nov 2023
01 Nov 2023
Historique:
received:
15
05
2023
accepted:
10
08
2023
medline:
10
11
2023
pubmed:
22
9
2023
entrez:
22
9
2023
Statut:
ppublish
Résumé
Surgical technique paper. To describe tips and pearls for cervical disc arthroplasty (CDA). CDA has proven to be an effective means of treatment for degenerative cervical disc disease and cervical radiculopathy in properly selected patients who have previously failed non-operative treatment. Surgical tips and pearls garnered from more than 20 years of experience with CDA surgery are described. This discussion focuses on pearls for successful procedures, including patient selection, patient positioning, surgical technique, and postoperative protocols. In correctly selected patients, CDA can be effective in treating cervical degenerative disc disease and radiculopathy. The techniques described here can increase the chance of success and decrease complications.
Sections du résumé
STUDY DESIGN
METHODS
Surgical technique paper.
OBJECTIVE
OBJECTIVE
To describe tips and pearls for cervical disc arthroplasty (CDA).
BACKGROUND
BACKGROUND
CDA has proven to be an effective means of treatment for degenerative cervical disc disease and cervical radiculopathy in properly selected patients who have previously failed non-operative treatment.
METHODS
METHODS
Surgical tips and pearls garnered from more than 20 years of experience with CDA surgery are described.
RESULTS
RESULTS
This discussion focuses on pearls for successful procedures, including patient selection, patient positioning, surgical technique, and postoperative protocols.
CONCLUSIONS
CONCLUSIONS
In correctly selected patients, CDA can be effective in treating cervical degenerative disc disease and radiculopathy. The techniques described here can increase the chance of success and decrease complications.
Identifiants
pubmed: 37735767
doi: 10.1097/BSD.0000000000001529
pii: 01933606-202311000-00002
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
335-338Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
J.Y: Medtronic – education grant. B.B.: Medtronic – consulting payments and research funding. R.S.: Research support-Medtronic, Stryker, AO, Cerapedics, Smith & Nephew, Lilly, Simplify Medical, OrthoFix, Empirical Spine, Royalties-Medtronic, Nuvasive, Saunders Elsevier. The remaining authors declare no conflict of interest.
Références
Sasso WR, Smucker JD, Sasso MP, et al. Long-term clinical outcomes of cervical disc arthroplasty: a prospective, randomized, controlled trial. Spine. 2017;42:209–216.
Radcliff K, Davis RJ, Hisey MS, et al. Long-term evaluation of cervical disc arthroplasty with the Mobi-C © cervical disc: a randomized, prospective, multicenter clinical trial with seven-year follow-up. Int J Spine Surg. 2017;11:244–262.
Gornet MF, Burkus JK, Shaffrey ME, et al. Cervical disc arthroplasty: 10-year outcomes of the Prestige LP cervical disc at a single level. J Neurosurg Spine. 2019;31:317–325.
Kim K, Hoffman G, Bae H, et al. Ten-year outcomes of 1-and 2-level cervical disc arthroplasty from the Mobi-C investigational device exemption clinical trial. Neurosurgery. 2021;88:497–505.
Ye J, Foley D, Smucker JD. Multilevel cervical disc arthroplasty: Safety profile and outcomes of 2 or more levels. Seminars in Spine Surgery. 2023;35. doi:10.1016/j.semss.2023.101011