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Cervical disc arthroplasty: tips and tricks.

TitleCervical disc arthroplasty: tips and tricks.
Publication TypeJournal Article
Year of Publication2019
AuthorsMakhni MC, Osorio JA, Park PJ, Lombardi JM, Riew KDaniel
JournalInt Orthop
Volume43
Issue4
Pagination777-783
Date Published2019 04
ISSN1432-5195
KeywordsArthroplasty, Cervical Vertebrae, Humans, Intervertebral Disc Degeneration, Radiculopathy, Range of Motion, Articular, Spinal Cord Diseases, Spinal Diseases, Spinal Fusion, Treatment Outcome
Abstract

Cervical disc arthroplasty (CDA) is a powerful, motion-sparing treatment option for managing cervical radiculopathy or myelopathy. While CDA can be an excellent surgery for properly indicated patients, it is also less forgiving than cervical fusion. Optimally resolving patient symptoms while maintaining range of motion relies on near perfection in the surgical technique. Different CDA options exist on the market, with some having long-term proven success and others in early stages of clinical trials. We discuss the different options available for use, as well as strategies of positioning, approach, disc space preparation, implantation, and fusion prevention that we believe can help improve performance and outcomes of CDA.

DOI10.1007/s00264-018-4259-2
Alternate JournalInt Orthop
PubMed ID30519869