Cervical disc arthroplasty: tips and tricks

被引：15
作者：
Makhni, Melvin C. [1 ]
Osorio, Joseph A. [2 ]
Park, Paul J. [2 ]
Lombardi, Joseph M. [2 ]
Riew, Kiehyun Daniel [2 ]
机构：
[1] Harvard Med Sch, Brigham & Womens Hosp, Dept Orthopaed Surg, Boston, MA 02115 USA
[2] Columbia Univ, Med Ctr, Dept Orthoped Surg, Daniel & Jane Och Spine Hosp, New York, NY USA
来源：
INTERNATIONAL ORTHOPAEDICS | 2019年 / 43卷 / 04期
关键词：
Cervical disc arthroplasty; Cervical disc replacement; Artificial disc replacement; 7-YEAR FOLLOW-UP; ARTIFICIAL DISC; PRODISC-C; FUSION; REPLACEMENT; DISKECTOMY; DISEASE; OUTCOMES; TRENDS;
D O I：
10.1007/s00264-018-4259-2
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Cervical disc arthroplasty (CDA) is a powerful, motion-sparing treatment option for managing cervical radiculopathy or myelopathy. While CDA can be an excellent surgery for properly indicated patients, it is also less forgiving than cervical fusion. Optimally resolving patient symptoms while maintaining range of motion relies on near perfection in the surgical technique. Different CDA options exist on the market, with some having long-term proven success and others in early stages of clinical trials. We discuss the different options available for use, as well as strategies of positioning, approach, disc space preparation, implantation, and fusion prevention that we believe can help improve performance and outcomes of CDA.
引用
收藏
页码：777 / 783
页数：7
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