The article discusses the complications that can arise after cervical disc arthroplasty (CDA) for cervical degenerative disc disease. While CDA is a popular treatment option, there is limited research on complications such as osteolysis. The authors present two cases of patients who experienced worsening myelopathy due to posterior vertebral body osteolysis after CDA. The patients underwent posterior decompression and fusion without removing the prosthesis, and their symptoms gradually improved postoperatively. The article highlights the importance of recognizing and being alert to this rare but potentially fatal complication of osteolysis after CDA
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated day surgery hospital in UK
Published article
Cervical disc arthroplasty (CDA) has become more widespread and diverges from the conventional technique used in anterior cervical fusion for cervical degenerative disc disease. As arthroplasty has become a popular treatment option, few complications have been reported in the literature. These include subsidence, expulsion, posterior avulsion fractures, heterotopic ossification, and osteolysis. One of the critical complications is osteolysis, but current studies on this subject are limited in…
Cervical Disc Arthroplasty Surgery Expert. Best Spinal Surgeon UK
Abstract Cervical disc arthroplasty (CDA) has become more widespread and diverges from the conventional technique used in anterior cervical fusion for cervical degenerative disc disease. As arthroplasty has become a popular treatment option, few complications have been reported in the literature. These include subsidence, expulsion, posterior avulsion fractures, heterotopic ossification, and osteolysis. One of the,
Abstract
Cervical disc arthroplasty (CDA) has become more widespread and diverges from the conventional technique used in anterior cervical fusion for cervical degenerative disc disease. As arthroplasty has become a popular treatment option, few complications have been reported in the literature. These include subsidence, expulsion, posterior avulsion fractures, heterotopic ossification, and osteolysis. One of the critical complications is osteolysis, but current studies on this subject are limited in terms of not elucidating the incidence, etiology, and consequences. The authors present two cases, who presented with clinical signs of gradually worsening myelopathy induced by posterior vertebral body osteolysis, 2 years after CDA. Subsequently, the patient underwent posterior decompression and fusion without prosthesis removal. Postoperatively, the clinical symptoms gradually resolved, with no severe deficits. The present rare cases highlight the osteolysis that occurs after CDA, which can cause cervical myelopathy, and suggest spine surgeons to be alert to this fatal complication.
Keywords: Arthroplasty; Cervical vertebrae; Myelopathy; Osteolysis.
The London Spine Unit : the highest rated day surgery hospital in UK
Read the original publication:
Cervical Myelopathy Induced by Posterior Vertebral Body Osteolysis after Cervical Disc Arthroplasty
