Skip to main content
Erschienen in: Neurosurgical Review 2/2018

27.07.2016 | Review

Does design matter? Cervical disc replacements under review

verfasst von: Michael D. Staudt, Kaushik Das, Neil Duggal

Erschienen in: Neurosurgical Review | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

The present article reviews the design rationale of currently available cervical disc replacements. Recent prospective randomized control trials comparing cervical disc replacement and anterior fusion have demonstrated safety as well as equal or superior clinical results. Increasingly, more devices are becoming available on the market. Understanding design rationale will provide context for the surgeon to optimize decision making for the most appropriate prosthesis. Cervical arthroplasty is a technique that is undergoing rapid design refinement and development. Further improvements in device design will enable patient-specific device selection. Understanding the design rationale and complication profile of each device will improve clinical and radiographic outcomes.
Literatur
1.
Zurück zum Zitat Agrillo U, Faccioli F, Fachinetti P, Gambardella G, Guizzardi G, Profeta G (1999) Guidelines for the diagnosis and management of the degenerative diseases of cervical spine. J Neurosurg Sci 43:11–14PubMed Agrillo U, Faccioli F, Fachinetti P, Gambardella G, Guizzardi G, Profeta G (1999) Guidelines for the diagnosis and management of the degenerative diseases of cervical spine. J Neurosurg Sci 43:11–14PubMed
4.
Zurück zum Zitat Coric D, Nunley PD, Guyer RD, Musante D, Carmody CN, Gordon CR, Lauryssen C, Ohnmeiss DD, Boltes MO (2011) Prospective, randomized, multicenter study of cervical arthroplasty: 269 patients from the Kineflex|C artificial disc investigational device exemption study with a minimum 2-year follow-up: clinical article. J Neurosurg Spine 15:348–358. doi:10.3171/2011.5.SPINE10769 CrossRefPubMed Coric D, Nunley PD, Guyer RD, Musante D, Carmody CN, Gordon CR, Lauryssen C, Ohnmeiss DD, Boltes MO (2011) Prospective, randomized, multicenter study of cervical arthroplasty: 269 patients from the Kineflex|C artificial disc investigational device exemption study with a minimum 2-year follow-up: clinical article. J Neurosurg Spine 15:348–358. doi:10.​3171/​2011.​5.​SPINE10769 CrossRefPubMed
6.
Zurück zum Zitat Davis RJ, Kim KD, Hisey MS, Hoffman GA, Bae HW, Gaede SE, Rashbaum RF, Nunley PD, Peterson DL, Stokes JK (2013) Cervical total disc replacement with the Mobi-C cervical artificial disc compared with anterior discectomy and fusion for treatment of 2-level symptomatic degenerative disc disease: a prospective, randomized, controlled multicenter clinical trial: clinical article. J Neurosurg Spine 19:532–545. doi:10.3171/2013.6.SPINE12527 CrossRefPubMed Davis RJ, Kim KD, Hisey MS, Hoffman GA, Bae HW, Gaede SE, Rashbaum RF, Nunley PD, Peterson DL, Stokes JK (2013) Cervical total disc replacement with the Mobi-C cervical artificial disc compared with anterior discectomy and fusion for treatment of 2-level symptomatic degenerative disc disease: a prospective, randomized, controlled multicenter clinical trial: clinical article. J Neurosurg Spine 19:532–545. doi:10.​3171/​2013.​6.​SPINE12527 CrossRefPubMed
9.
Zurück zum Zitat Gornet MF, Burkus JK, Shaffrey ME, Argires PJ, Nian H, Harrell FE Jr (2015) Cervical disc arthroplasty with PRESTIGE LP disc versus anterior cervical discectomy and fusion: a prospective, multicenter investigational device exemption study. J Neurosurg Spine 31:1–16. doi:10.3171/2015.1.SPINE14589 Gornet MF, Burkus JK, Shaffrey ME, Argires PJ, Nian H, Harrell FE Jr (2015) Cervical disc arthroplasty with PRESTIGE LP disc versus anterior cervical discectomy and fusion: a prospective, multicenter investigational device exemption study. J Neurosurg Spine 31:1–16. doi:10.​3171/​2015.​1.​SPINE14589
10.
Zurück zum Zitat Head WC, Bauk DJ, Emerson RH, Jr. (1995) Titanium as the material of choice for cementless femoral components in total hip arthroplasty. Clin Orthop Relat Res 311:85–90 Head WC, Bauk DJ, Emerson RH, Jr. (1995) Titanium as the material of choice for cementless femoral components in total hip arthroplasty. Clin Orthop Relat Res 311:85–90
11.
Zurück zum Zitat Heller JG, Sasso RC, Papadopoulos SM, Anderson PA, Fessler RG, Hacker RJ, Coric D, Cauthen JC, Riew DK (2009) Comparison of BRYAN cervical disc arthroplasty with anterior cervical decompression and fusion: clinical and radiographic results of a randomized, controlled, clinical trial. Spine 34:101–107. doi:10.1097/BRS.0b013e31818ee263 CrossRefPubMed Heller JG, Sasso RC, Papadopoulos SM, Anderson PA, Fessler RG, Hacker RJ, Coric D, Cauthen JC, Riew DK (2009) Comparison of BRYAN cervical disc arthroplasty with anterior cervical decompression and fusion: clinical and radiographic results of a randomized, controlled, clinical trial. Spine 34:101–107. doi:10.​1097/​BRS.​0b013e31818ee263​ CrossRefPubMed
12.
Zurück zum Zitat Hilibrand AS, Carlson GD, Palumbo MA, Jones PK, Bohlman HH (1999) Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis. J Bone Joint Surg Am 81:519–528CrossRefPubMed Hilibrand AS, Carlson GD, Palumbo MA, Jones PK, Bohlman HH (1999) Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis. J Bone Joint Surg Am 81:519–528CrossRefPubMed
13.
Zurück zum Zitat Hisey MS, Bae HW, Davis R, Gaede S, Hoffman G, Kim K, Nunley PD, Peterson D, Rashbaum R, Stokes J (2014) Multi-center, prospective, randomized, controlled investigational device exemption clinical trial comparing Mobi-C Cervical Artificial Disc to anterior discectomy and fusion in the treatment of symptomatic degenerative disc disease in the cervical spine. Int J Spine Surg 8. doi:10.14444/1007 Hisey MS, Bae HW, Davis R, Gaede S, Hoffman G, Kim K, Nunley PD, Peterson D, Rashbaum R, Stokes J (2014) Multi-center, prospective, randomized, controlled investigational device exemption clinical trial comparing Mobi-C Cervical Artificial Disc to anterior discectomy and fusion in the treatment of symptomatic degenerative disc disease in the cervical spine. Int J Spine Surg 8. doi:10.14444/1007
15.
Zurück zum Zitat Kepler CK, Brodt ED, Dettori JR, Albert TJ (2012) Cervical artificial disc replacement versus fusion in the cervical spine: a systematic review comparing multilevel versus single-level surgery. Evid-Based Spine-Care J 3:19–30. doi:10.1055/s-0031-1298605 PubMedPubMedCentral Kepler CK, Brodt ED, Dettori JR, Albert TJ (2012) Cervical artificial disc replacement versus fusion in the cervical spine: a systematic review comparing multilevel versus single-level surgery. Evid-Based Spine-Care J 3:19–30. doi:10.​1055/​s-0031-1298605 PubMedPubMedCentral
16.
Zurück zum Zitat Kim SW, Shin JH, Arbatin JJ, Park MS, Chung YK, McAfee PC (2008) Effects of a cervical disc prosthesis on maintaining sagittal alignment of the functional spinal unit and overall sagittal balance of the cervical spine. Eur Spine J 17:20–29. doi:10.1007/s00586-007-0459-y CrossRefPubMed Kim SW, Shin JH, Arbatin JJ, Park MS, Chung YK, McAfee PC (2008) Effects of a cervical disc prosthesis on maintaining sagittal alignment of the functional spinal unit and overall sagittal balance of the cervical spine. Eur Spine J 17:20–29. doi:10.​1007/​s00586-007-0459-y CrossRefPubMed
18.
Zurück zum Zitat Lauryssen C, Coric D, Dimmig T, Musante D, Ohnmeiss DD, Stubbs HA (2012) Cervical total disc replacement using a novel compressible prosthesis: results from a prospective Food and Drug Administration-regulated feasibility study with 24-month follow-up. Int J Spine Surg 6:71–77. doi:10.1016/j.ijsp.2012.02.001 CrossRefPubMedPubMedCentral Lauryssen C, Coric D, Dimmig T, Musante D, Ohnmeiss DD, Stubbs HA (2012) Cervical total disc replacement using a novel compressible prosthesis: results from a prospective Food and Drug Administration-regulated feasibility study with 24-month follow-up. Int J Spine Surg 6:71–77. doi:10.​1016/​j.​ijsp.​2012.​02.​001 CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Lazaro BC, Yucesoy K, Yuksel KZ, Kowalczyk I, Rabin D, Fink M, Duggal N (2010) Effect of arthroplasty design on cervical spine kinematics: analysis of the Bryan Disc, ProDisc-C, and Synergy disc. Neurosurg Focus 28:E6. doi:10.3171/2010.3.FOCUS1058 CrossRefPubMed Lazaro BC, Yucesoy K, Yuksel KZ, Kowalczyk I, Rabin D, Fink M, Duggal N (2010) Effect of arthroplasty design on cervical spine kinematics: analysis of the Bryan Disc, ProDisc-C, and Synergy disc. Neurosurg Focus 28:E6. doi:10.​3171/​2010.​3.​FOCUS1058 CrossRefPubMed
22.
Zurück zum Zitat McAfee PC, Reah C, Gilder K, Eisermann L, Cunningham B (2012) A meta-analysis of comparative outcomes following cervical arthroplasty or anterior cervical fusion: results from 4 prospective multicenter randomized clinical trials and up to 1226 patients. Spine 37:943–952. doi:10.1097/BRS.0b013e31823da169 CrossRefPubMed McAfee PC, Reah C, Gilder K, Eisermann L, Cunningham B (2012) A meta-analysis of comparative outcomes following cervical arthroplasty or anterior cervical fusion: results from 4 prospective multicenter randomized clinical trials and up to 1226 patients. Spine 37:943–952. doi:10.​1097/​BRS.​0b013e31823da169​ CrossRefPubMed
24.
Zurück zum Zitat Mummaneni PV, Burkus JK, Haid RW, Traynelis VC, Zdeblick TA (2007) Clinical and radiographic analysis of cervical disc arthroplasty compared with allograft fusion: a randomized controlled clinical trial. J Neurosurg Spine 6:198–209. doi:10.3171/spi.2007.6.3.198 CrossRefPubMed Mummaneni PV, Burkus JK, Haid RW, Traynelis VC, Zdeblick TA (2007) Clinical and radiographic analysis of cervical disc arthroplasty compared with allograft fusion: a randomized controlled clinical trial. J Neurosurg Spine 6:198–209. doi:10.​3171/​spi.​2007.​6.​3.​198 CrossRefPubMed
26.
Zurück zum Zitat Murrey D, Janssen M, Delamarter R, Goldstein J, Zigler J, Tay B, Darden B (2009) Results of the prospective, randomized, controlled multicenter Food and Drug Administration investigational device exemption study of the ProDisc-C total disc replacement versus anterior discectomy and fusion for the treatment of 1-level symptomatic cervical disc disease. Spine J 9:275–286. doi:10.1016/j.spinee.2008.05.006 CrossRefPubMed Murrey D, Janssen M, Delamarter R, Goldstein J, Zigler J, Tay B, Darden B (2009) Results of the prospective, randomized, controlled multicenter Food and Drug Administration investigational device exemption study of the ProDisc-C total disc replacement versus anterior discectomy and fusion for the treatment of 1-level symptomatic cervical disc disease. Spine J 9:275–286. doi:10.​1016/​j.​spinee.​2008.​05.​006 CrossRefPubMed
29.
Zurück zum Zitat Phillips FM, Lee JY, Geisler FH, Cappuccino A, Chaput CD, DeVine JG, Reah C, Gilder KM, Howell KM, McAfee PC (2013) A prospective, randomized, controlled clinical investigation comparing PCM cervical disc arthroplasty with anterior cervical discectomy and fusion. 2-year results from the US FDA IDE clinical trial. Spine 38:E907–918. doi:10.1097/BRS.0b013e318296232f CrossRefPubMed Phillips FM, Lee JY, Geisler FH, Cappuccino A, Chaput CD, DeVine JG, Reah C, Gilder KM, Howell KM, McAfee PC (2013) A prospective, randomized, controlled clinical investigation comparing PCM cervical disc arthroplasty with anterior cervical discectomy and fusion. 2-year results from the US FDA IDE clinical trial. Spine 38:E907–918. doi:10.​1097/​BRS.​0b013e318296232f​ CrossRefPubMed
30.
Zurück zum Zitat Pickett GE, Mitsis DK, Sekhon LH, Sears WR, Duggal N (2004) Effects of a cervical disc prosthesis on segmental and cervical spine alignment. Neurosurg Focus 17:E5CrossRefPubMed Pickett GE, Mitsis DK, Sekhon LH, Sears WR, Duggal N (2004) Effects of a cervical disc prosthesis on segmental and cervical spine alignment. Neurosurg Focus 17:E5CrossRefPubMed
31.
Zurück zum Zitat Pickett GE, Rouleau JP, Duggal N (2005) Kinematic analysis of the cervical spine following implantation of an artificial cervical disc. Spine 30:1949–1954CrossRefPubMed Pickett GE, Rouleau JP, Duggal N (2005) Kinematic analysis of the cervical spine following implantation of an artificial cervical disc. Spine 30:1949–1954CrossRefPubMed
34.
Zurück zum Zitat Ren C, Song Y, Xue Y, Yang X (2014) Mid- to long-term outcomes after cervical disc arthroplasty compared with anterior discectomy and fusion: a systematic review and meta-analysis of randomized controlled trials. Eur Spine J 23:1115–1123. doi:10.1007/s00586-014-3220-3 CrossRefPubMed Ren C, Song Y, Xue Y, Yang X (2014) Mid- to long-term outcomes after cervical disc arthroplasty compared with anterior discectomy and fusion: a systematic review and meta-analysis of randomized controlled trials. Eur Spine J 23:1115–1123. doi:10.​1007/​s00586-014-3220-3 CrossRefPubMed
35.
Zurück zum Zitat Rozankovic M, Marasanov SM, Vukic M (2014) Cervical disc replacement with discover versus fusion in a single level cervical disc disease: a prospective single center randomized trial with a minimum two-year follow-up. J Spinal Disord Tech. doi:10.1097/BSD.0000000000000170 Rozankovic M, Marasanov SM, Vukic M (2014) Cervical disc replacement with discover versus fusion in a single level cervical disc disease: a prospective single center randomized trial with a minimum two-year follow-up. J Spinal Disord Tech. doi:10.​1097/​BSD.​0000000000000170​
37.
Zurück zum Zitat Sears WR, McCombe PF, Sasso RC (2006) Kinematics of cervical and lumbar total disc replacement. Semin Spine Surg 18:117–129CrossRef Sears WR, McCombe PF, Sasso RC (2006) Kinematics of cervical and lumbar total disc replacement. Semin Spine Surg 18:117–129CrossRef
41.
Zurück zum Zitat Thomas S, Willems K, Van den Daelen L, Linden P, Ciocci MC, Bocher P (2013) The M6-C Cervical Disc Prosthesis: first clinical experience in 33 patients. J Spinal Disord Tech. doi:10.1097/BSD.0000000000000025 Thomas S, Willems K, Van den Daelen L, Linden P, Ciocci MC, Bocher P (2013) The M6-C Cervical Disc Prosthesis: first clinical experience in 33 patients. J Spinal Disord Tech. doi:10.​1097/​BSD.​0000000000000025​
42.
Zurück zum Zitat Vaccaro A, Beutler W, Peppelman W, Marzluff JM, Highsmith J, Mugglin A, DeMuth G, Gudipally M, Baker KJ (2013) Clinical outcomes with selectively constrained SECURE-C cervical disc arthroplasty: two-year results from a prospective, randomized, controlled, multicenter investigational device exemption study. Spine 38:2227–2239. doi:10.1097/BRS.0000000000000031 CrossRefPubMed Vaccaro A, Beutler W, Peppelman W, Marzluff JM, Highsmith J, Mugglin A, DeMuth G, Gudipally M, Baker KJ (2013) Clinical outcomes with selectively constrained SECURE-C cervical disc arthroplasty: two-year results from a prospective, randomized, controlled, multicenter investigational device exemption study. Spine 38:2227–2239. doi:10.​1097/​BRS.​0000000000000031​ CrossRefPubMed
Metadaten
Titel
Does design matter? Cervical disc replacements under review
verfasst von
Michael D. Staudt
Kaushik Das
Neil Duggal
Publikationsdatum
27.07.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Neurosurgical Review / Ausgabe 2/2018
Print ISSN: 0344-5607
Elektronische ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-016-0765-0

Weitere Artikel der Ausgabe 2/2018

Neurosurgical Review 2/2018 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.