Cervical Disc Arthroplasty: A Complete Overview of Single-Stage, Multilevel, and Hybrid Procedures.
World Backbone J. 2018 Feb;eight(1):78-83
Authors: Laratta JL, Shillingford JN, Saifi C, Riew KD
Research Design: Systematic overview.
Aims: Degenerative disc illness and spondylosis leading to radiculopathy and retrodiscal myelopathy are among the many most continuously encountered cervical spinal issues. Historically, anterior cervical discectomy and fusion (ACDF) has efficiently achieved neural decompression and restored intradiscal top in these situations. Sadly, nonunion and iatrogenic adjoining phase pathology related to fusion procedures within the cervical backbone has led to an curiosity in motion-preserving procedures. Cervical disc arthroplasty (CDA) was developed in hopes of preserving cervical biomechanics whereas mitigating the problems related to ACDF. By means of a scientific overview of each revealed and ongoing research on single- and multilevel CDA, and hybrid surgical procedures, we intention to offer proof for his or her security and efficacy within the therapy of varied cervical pathologies.
Strategies: A scientific search of a number of giant databases, together with Cochrane Central, PubMed, ClinicalTrials.gov, and the World Well being Group Worldwide Scientific Trials Registry was performed to determine revealed research and ongoing scientific trials on CDA and hybrid surgical procedure.
Outcomes: Among the many related research reviewed, three had been randomized managed trials, 2 systematic evaluations, in addition to a number of potential case collection, biomechanical research, and meta-analyses.
Conclusion: Over the previous decade, a number of high-quality research have proven that single-level CDA can supply equal scientific outcomes with a discount in secondary procedures and complete value when in comparison with ACDF. Nonetheless, extra just lately there was an rising prevalence of 2-level CDA and hybrid surgical procedure. Though the info concerning these multilevel procedures is much less sturdy, it seems that they might be as efficient as their single-level counterparts.
PMID: 29456918 [PubMed]