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Erschienen in: International Orthopaedics 6/2016

08.04.2016 | Review Article

Cervical disc replacement — emerging equivalency to anterior cervical discectomy and fusion

verfasst von: Aaron J. Buckland, Joseph F. Baker, Ryan P. Roach, Jeffrey M. Spivak

Erschienen in: International Orthopaedics | Ausgabe 6/2016

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Abstract

Purpose

Cervical disc replacement has become an acceptable alternative to anterior cervical fusion for the surgical treatment of cervical spine spondylosis resulting in radiculopathy or myelopathy following anterior discectomy and decompression. This concise overview considers the current state of knowledge regarding the continued debate of the role of cervical disc replacement with an update in light of the latest clinical trial results.

Methods

A literature review was performed identifying clinical trials pertaining to the use of cervical disc replacement compared to cervical discectomy and fusion. Single level disease and two level disease were considered. Outcome data from the major clinical trials was reviewed and salient points identified.

Results

With lengthier follow-up data becoming available, the equivalence of CDR in appropriately selected cases is becoming clear. This is chiefly manifested by reduced re-operation rates and reduced incidence of adjacent level disease in those treated with arthroplasty.

Conclusion

Cervical disc replacement shows emerging equivalence in outcomes compared to the gold standard anterior cervical discectomy and fusion. Further longer term results are anticipated to confirm this trend.
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Metadaten
Titel
Cervical disc replacement — emerging equivalency to anterior cervical discectomy and fusion
verfasst von
Aaron J. Buckland
Joseph F. Baker
Ryan P. Roach
Jeffrey M. Spivak
Publikationsdatum
08.04.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 6/2016
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-016-3181-8

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