An incomplete paraplegia following the dislocation of an artificial cervical total disc replacement

2013 ◽  
Vol 18 (3) ◽  
pp. 255-259 ◽  
Author(s):  
Lennart Viezens ◽  
Christian Schaefer ◽  
Jörg Beyerlein ◽  
Roland Thietje ◽  
Nils Hansen-Algenstaedt
Keyword(s):  
Spinal Cord ◽  
Intervertebral Disc ◽  
Gold Standard ◽  
Spinal Canal ◽  
Total Disc Replacement ◽  
Anterior Cervical Discectomy ◽  
Disc Replacement ◽  
Cervical Total Disc Replacement ◽  
Cervical Discectomy ◽  
Applied Method

Replacement of the cervical intervertebral disc by artificial implants, known as cervical total disc replacement (CTDR), is becoming a generally applied method instead of using the gold standard of the anterior cervical discectomy and fusion. Hypothetically, the preserved mobility results in the protection of the neighboring segments. There is growing evidence that results in patients who underwent CTDR were not inferior when compared to results in patients who underwent anterior cervical discectomy and fusion. The authors report a case of a healthy 53-year-old man who suffered an incomplete paraplegia below C-6 following the dislocation of an artificial CTDR device into the spinal canal with consequent compression of the spinal cord.

Cervical Total Disc Replacement and Anterior Cervical Discectomy and Fusion: A Comparison of One- and Two-Level Treatment

2014 ◽  
Vol 14 (11) ◽  
pp. S41
Author(s):  
Hyun W. Bae ◽  
Reginald J. Davis ◽  
Michael S. Hisey ◽  
Kee Kim ◽  
Pierce D. Nunley ◽  
...  
Keyword(s):  
Total Disc Replacement ◽  
Anterior Cervical Discectomy ◽  
Disc Replacement ◽  
Cervical Total Disc Replacement ◽  
Cervical Discectomy

scholarly journals Subsequent surgery rates after cervical total disc replacement using a Mobi-C Cervical Disc Prosthesis versus anterior cervical discectomy and fusion: a prospective randomized clinical trial with 5-year follow-up

2016 ◽  
Vol 24 (5) ◽  
pp. 734-745 ◽  
Author(s):  
Robert J. Jackson ◽  
Reginald J. Davis ◽  
Gregory A. Hoffman ◽  
Hyun W. Bae ◽  
Michael S. Hisey ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Degenerative Disc Disease ◽  
Surgical Intervention ◽  
Total Disc Replacement ◽  
Anterior Cervical Discectomy ◽  
Disc Replacement ◽  
Disc Disease ◽  
Cervical Total Disc Replacement ◽  
Cervical Discectomy ◽  
Surgery Rates

OBJECTIVE Cervical total disc replacement (TDR) has been shown in a number of prospective clinical studies to be a viable treatment alternative to anterior cervical discectomy and fusion (ACDF) for the treatment of symptomatic degenerative disc disease. In addition to preserving motion, evidence suggests that cervical TDR may result in a lower incidence of subsequent surgical intervention than treatment with fusion. The goal of this study was to evaluate subsequent surgery rates up to 5 years in patients treated with TDR or ACDF at 1 or 2 contiguous levels between C-3 and C-7. METHODS This was a prospective, multicenter, randomized, unblinded clinical trial. Patients with symptomatic degenerative disc disease were enrolled to receive 1- or 2-level treatment with either TDR as the investigational device or ACDF as the control treatment. There were 260 patients in the 1-level study (179 TDR and 81 ACDF patients) and 339 patients in the 2-level study (234 TDR and 105 ACDF patients). RESULTS At 5 years, the occurrence of subsequent surgical intervention was significantly higher among ACDF patients for 1-level (TDR, 4.5% [8/179]; ACDF, 17.3% [14/81]; p = 0.0012) and 2-level (TDR, 7.3% [17/234]; ACDF, 21.0% [22/105], p = 0.0007) treatment. The TDR group demonstrated significantly fewer index- and adjacent-level subsequent surgeries in both the 1- and 2-level cohorts. CONCLUSIONS Five-year results showed treatment with cervical TDR to result in a significantly lower rate of subsequent surgical intervention than treatment with ACDF for both 1 and 2 levels of treatment. Clinical trial registration no.: NCT00389597 (clinicaltrials.gov)

scholarly journals M6-C artificial disc placement

2017 ◽  
Vol 42 (videosuppl1) ◽  
pp. V6
Author(s):  
Domagoj Coric ◽  
John Parish ◽  
Margaret O. Boltes
Keyword(s):  
Surgical Technique ◽  
Total Disc Replacement ◽  
Anterior Cervical Discectomy ◽  
Disc Replacement ◽  
Artificial Disc ◽  
Cervical Total Disc Replacement ◽  
Cervical Discectomy ◽  
Investigational Device Exemption ◽  
Quality Of Motion

There has been a steady evolution of cervical total disc replacement (TDR) devices over the last decade resulting in surgical technique that closely mimics anterior cervical discectomy and fusion as well as disc design that emphasizes quality of motion. The M6-C TDR device is a modern-generation artificial disc composed of titanium endplates with tri-keel fixation as well as a polyethylene weave with a polyurethane core. Although not yet approved by the FDA, M6-C has finished a pilot and pivotal US Investigational Device Exemption (IDE) study. The authors present the surgical technique for implantation of a 2-level M6-C cervical TDR device.The video can be found here: https://youtu.be/rFEAqINLRCo.

Comparison between Cervical Total Disc Replacement and Anterior Cervical Discectomy and Fusion of 1-2 Levels from 2002-2009

2013 ◽  
Vol 13 (9) ◽  
pp. S103
Author(s):  
Sreeharsha V. Nandyala ◽  
Steven J. Fineberg ◽  
Alejandro Marquez-Lara ◽  
Matthew W. Oglesby ◽  
Miguel A. Pelton ◽  
...  
Keyword(s):  
Total Disc Replacement ◽  
Anterior Cervical Discectomy ◽  
Disc Replacement ◽  
Cervical Total Disc Replacement ◽  
Cervical Discectomy

Cervical Total Disc Replacement and Anterior Cervical Discectomy and Fusion Have Similar Short-Term Complication Rates

2015 ◽  
Vol 15 (10) ◽  
pp. S232
Author(s):  
Bryce Basques ◽  
Adam M. Lukasiewicz ◽  
Matthew L. Webb ◽  
Andre Samuel ◽  
Daniel D. Bohl ◽  
...  
Keyword(s):  
Total Disc Replacement ◽  
Anterior Cervical Discectomy ◽  
Disc Replacement ◽  
Complication Rates ◽  
Short Term ◽  
Cervical Total Disc Replacement ◽  
Cervical Discectomy
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