Medknow Publications on behalf of the Neurological Society of India
Vol. 53, No. 4, 2005, pp. 445-450
Bioline Code: ni05149
Full paper language: English
Document type: Research Article
Document available free of charge
Neurology India, Vol. 53, No. 4, 2005, pp. 445-450
© Copyright 2005 Neurology India.
Artificial cervical disc replacement: Principles, types and techniques|
Sekhon LH.S, Ball JR
Cervical arthroplasty after anterior decompression with insertion of a prosthetic total disc replacement has been suggested as an alternate to anterior cervical fusion. Currently there are four cervical arthroplasty devices available on the market whose results in clinical use have been reported. Each device varies in terms of materials, range of motion, insertion technique and constraint. It is not known which device is ideal. Early studies suggest that in the short term, the complication rate and efficacy is no worse than fusion surgery. Long-term results have not yet been reported. This review examines the current prostheses available on the market as well as discussing issues regarding indications and technique. Pitfalls are discussed and early experiences reviewed. In time, it is hoped that a refinement of cervical arthroplasty occurs in terms of both materials and design as well as in terms of indications and clinical outcomes as spinal surgeons enter a new era of the management of cervical spine disease.
Arthroplasty; Bryan ®; cervical; fusion; surgery
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