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European Spine Journal

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01-11-2015 | Review Article

Cervical spine alignment in disc arthroplasty: should we change our perspective?

Authors: Alberto Di Martino, Rocco Papalia, Erika Albo, Leonardo Cortesi, Luca Denaro, Vincenzo Denaro

Published in: European Spine Journal | Special Issue 7/2015

Abstract

Purpose

The alignment at the cervical spine has been considered a determinant of degeneration at the adjacent disc, but this issue in cervical disc replacement surgery is poorly explored and discussed in this patient population. The aim of this systematic review is to compare anterior cervical fusion and total disc replacement (TDR) in terms of preservation of the overall cervical alignment and complications.

Methods

A systematic review of the current literature was performed, together with the evaluation of the methodological quality of all the retrieved studies.

Results

In most of the retrieved studies, a tendency towards a more postoperative kyphotic alignment in TDR was reported. The reported mean complication rate was of 12.5 % (0–66.2 %). Complications associated with cervical prosthesis included heterotopic ossification, device migration, mechanical instability, failure, implant removal, reoperations and revision.

Conclusions

Even though cervical disc arthroplasty leads to similar outcomes compared to arthrodesis in the middle term follow-up, no evidence of superiority of cervical TDR is available up to date. We understand that the overall cervical alignment after TDR tends towards the loss of lordosis, but only longer follow-up can determine its influence on the clinical results.

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Title: Cervical spine alignment in disc arthroplasty: should we change our perspective?
Authors: Alberto Di Martino
Rocco Papalia
Erika Albo
Leonardo Cortesi
Luca Denaro
Vincenzo Denaro
Publication date: 01-11-2015
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue Special Issue 7/2015
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-015-4258-6

At a glance: The STEP trials

Springer Medicine

Cervical spine alignment in disc arthroplasty: should we change our perspective?

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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