TY - JOUR
T1 - Cervical disc arthroplasty
T2 - What we know in 2020 and a literature review
AU - Shin, Jun Jae
AU - Kim, Kwang Ryeol
AU - Son, Dong Wuk
AU - Shin, Dong Ah
AU - Yi, Seong
AU - Kim, Keung Nyun
AU - Yoon, Do Heum
AU - Ha, Yoon
AU - Riew, K. Daniel
N1 - Publisher Copyright:
© The Author(s) 2021.
PY - 2021
Y1 - 2021
N2 - Cervical disc arthroplasty (CDA) is a safe and effective option to improve clinical outcomes (e.g., NDI, VAS, and JOA) in degenerative cervical disc disease and compressive myelopathy. CDA’s two main purported benefits have been that it maintains physiologic motion and thereby minimizes the biomechanical stresses placed on adjacent segments as compared to an ACDF. CDA might reduce the degeneration of adjacent segments, and the need for adjacent-level surgery. Reoperation rates of CDA have been reported to range from 1.8% to 5.4%, with a minimum 5-year follow-up. As the number of CDA procedures performed continues to increase, the need for revision surgery is also likely to increase. When performed skillfully in appropriate patients, CDA is an effective surgical technique to optimize clinical outcomes and radiological results. This review may assist surgical decision-making and enable a more effective and safer implementation of cervical arthroplasty for cervical degenerative disease.
AB - Cervical disc arthroplasty (CDA) is a safe and effective option to improve clinical outcomes (e.g., NDI, VAS, and JOA) in degenerative cervical disc disease and compressive myelopathy. CDA’s two main purported benefits have been that it maintains physiologic motion and thereby minimizes the biomechanical stresses placed on adjacent segments as compared to an ACDF. CDA might reduce the degeneration of adjacent segments, and the need for adjacent-level surgery. Reoperation rates of CDA have been reported to range from 1.8% to 5.4%, with a minimum 5-year follow-up. As the number of CDA procedures performed continues to increase, the need for revision surgery is also likely to increase. When performed skillfully in appropriate patients, CDA is an effective surgical technique to optimize clinical outcomes and radiological results. This review may assist surgical decision-making and enable a more effective and safer implementation of cervical arthroplasty for cervical degenerative disease.
KW - artificial disc replacement
KW - cervical disc arthroplasty
KW - cervical disc replacement
KW - degenerative cervical disc disease
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U2 - 10.1177/23094990211006934
DO - 10.1177/23094990211006934
M3 - Article
C2 - 34581615
AN - SCOPUS:85116008528
SN - 1022-5536
VL - 29
JO - Journal of Orthopaedic Surgery
JF - Journal of Orthopaedic Surgery
IS - 1_suppl
ER -