Long-term Results of Surgery for Cervical Disc Disease: Anterior vs Posterior Approaches

✓ In the past 50 years tremendous advances have been made in the treatment of cervical disc disease with cervical fusion. Fusion rates have surpassed 95% after application of anterior cervical implants. Adjacent-segment degeneration, however, has plagued the long-term clinical success of cervical fusion. Cervical arthroplasty has been introduced to maintain cervical motion and potentially avoid or minimize adjacent-segment degeneration. If cervical arthroplasty is successful, the long-term results of surgery for cervical disc disease may improve; however, there are associated drawbacks that must be overcome. Implant wear, fatigue, and failure have been reported in cases of large-joint arthroplasty, and research is underway to limit these problems in cervical arthroplasty. In this article the authors trace the evolution of cervical fusion and the new technique of cervical arthroplasty. The nomenclature of cervical arthroplasty will also be introduced.

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Mid- to Long-Term Outcomes of Cervical Disc Arthroplasty versus Anterior Cervical Discectomy and Fusion for Treatment of Symptomatic Cervical Disc Disease: A Systematic Review and Meta-Analysis of Eight Prospective Randomized Controlled Trials

PLoS ONE ◽

10.1371/journal.pone.0149312 ◽

2016 ◽

Vol 11 (2) ◽

pp. e0149312 ◽

Cited By ~ 39

Author(s):

Yan Hu ◽

Guohua Lv ◽

Siying Ren ◽

Daniel Johansen

Keyword(s):

Meta Analysis ◽

Cervical Disc ◽

Cervical Disc Arthroplasty ◽

Controlled Trials ◽

Long Term Outcomes ◽

Cervical Disc Disease ◽

Disc Disease ◽

Disc Arthroplasty ◽

Randomized Controlled

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The future in the care of the cervical spine: interbody fusion and arthroplasty

Journal of Neurosurgery Spine ◽

10.3171/spi.2004.1.2.0155 ◽

2004 ◽

Vol 1 (2) ◽

pp. 155-159 ◽

Cited By ~ 64

Author(s):

Praveen V. Mummaneni ◽

Regis W. Haid

Keyword(s):

Adjacent Segment Degeneration ◽

Cervical Disc ◽

Adjacent Segment ◽

Cervical Fusion ◽

Cervical Disc Disease ◽

Disc Disease ◽

Cervical Arthroplasty ◽

Content Type ◽

Fine Print

✓ In the past 50 years tremendous advances have been made in the treatment of cervical disc disease with cervical fusion. Fusion rates have surpassed 95% after application of anterior cervical implants. Adjacent-segment degeneration, however, has plagued the long-term clinical success of cervical fusion. Cervical arthroplasty has been introduced to maintain cervical motion and potentially avoid or minimize adjacent-segment degeneration. If cervical arthroplasty is successful, the long-term results of surgery for cervical disc disease may improve; however, there are associated drawbacks that must be overcome. Implant wear, fatigue, and failure have been reported in cases of large-joint arthroplasty, and research is underway to limit these problems in cervical arthroplasty. In this article the authors trace the evolution of cervical fusion and the new technique of cervical arthroplasty. The nomenclature of cervical arthroplasty will also be introduced.

Download Full-text