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 REVIEW ARTICLE
Year : 2005  |  Volume : 53  |  Issue : 4  |  Page : 445--450

Artificial cervical disc replacement: Principles, types and techniques


Department of Neurosurgery and Spinal Injuries Unit, Royal North Shore Hospital, University of Sydney, Sydney, NSW, Australia

Correspondence Address:
L H.S Sekhon
Department of Neurosurgery and Spinal Injuries Unit, Royal North Shore Hospital, University of Sydney, Sydney, NSW
Australia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.22611

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Cervical arthroplasty after anterior decompression with insertion of a prosthetic total disc replacement has been suggested as an alternate to anterior cervical fusion. Currently there are four cervical arthroplasty devices available on the market whose results in clinical use have been reported. Each device varies in terms of materials, range of motion, insertion technique and constraint. It is not known which device is ideal. Early studies suggest that in the short term, the complication rate and efficacy is no worse than fusion surgery. Long-term results have not yet been reported. This review examines the current prostheses available on the market as well as discussing issues regarding indications and technique. Pitfalls are discussed and early experiences reviewed. In time, it is hoped that a refinement of cervical arthroplasty occurs in terms of both materials and design as well as in terms of indications and clinical outcomes as spinal surgeons enter a new era of the management of cervical spine disease.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow