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Published in: Current Reviews in Musculoskeletal Medicine 2/2017

01-06-2017 | Motion Preserving Spine Surgery (C Kepler, section editor)

Cervical disc replacement surgery: indications, technique, and technical pearls

Authors: Dante Leven, Joshua Meaike, Kris Radcliff, Sheeraz Qureshi

Published in: Current Reviews in Musculoskeletal Medicine | Issue 2/2017

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Abstract

Purpose of review

Cervical disc replacement (CDR) is a surgical option for appropriately indicated patients, and high success rates have been reported in the literature. Complications and failures are often associated with patient indications or technical variables, and the goal of this review is to assist surgeons in understanding these factors.

Recent findings

Several investigations have been published in the last 5 years supporting the use of CDR in specific patient populations. CDR has been shown to be comparable or favorable to anterior cervical discectomy and fusion in several meta-analyses and mid-term follow-up studies.

Summary

CDR was developed as a technique to preserve motion following a decompression procedure while minimizing several of the complications associated with fusion and posterior cervical spine procedures. Though success with cervical fusion and posterior foraminotomy has been well documented in the literature, high rates of mid- and long-term complications have been clearly established. CDR has also been associated with several complications and challenges with regard to surgical technique, though improvements in implant design have lead to an increase in utilization. Several devices currently exist and vary in terms of material, design, and outcomes. This review paper discusses indications, surgical technique, and technical pearls and reviews the CDR devices currently available.
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Metadata
Title
Cervical disc replacement surgery: indications, technique, and technical pearls
Authors
Dante Leven
Joshua Meaike
Kris Radcliff
Sheeraz Qureshi
Publication date
01-06-2017
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 2/2017
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-017-9398-3

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Motion Preserving Spine Surgery (C Kepler, section editor)

Interspinous implants to treat spinal stenosis

Social Media and Orthopedics (P Sculco, section editor)

The future of social media in orthopedic surgery

Motion Preserving Spine Surgery (C Kepler, section editor)

Lumbar disc replacement surgery—successes and obstacles to widespread adoption

Motion Preserving Spine Surgery (C Kepler, section editor)

Temporary stabilization of unstable spine fractures

Social Media and Orthopedics (P Sculco, section editor)

Social media: physicians-to-physicians education and communication

Orthopaedic Health Policy (A Miller, section editor)

Current concepts of shared decision making in orthopedic surgery