The London Spine Unit : most advanced day surgery spinal centre in UKPublished articleCONCLUSIONS: The current published data do not conclusively prove that the patients excluded from CDA by strict adherence to FDA indications would benefit from CDA surgery over anterior cervical discectomy and fusion. As surgeons, it is a difficult decision regarding when to expand indications to include off-label use of CDA. In our practice, generally CDA patient selection agrees with the FDA indications and contraindications, as there is a lack of level 1 evidence to confirm effectiveness of…Cervical Disc Replacement Expert. Best Spinal Surgeon UKThe London Spine Unit is a specialist clinic for Cervical Disc Replacement as Day Surgery.
Abstract
Methods: A PubMed literature search was completed using the keywords “cervical disc arthroplasty” and “cervical disc replacement.” The articles were evaluated by the authors for patient selection criteria.
Conclusions: The current published data do not conclusively prove that the patients excluded from CDA by strict adherence to FDA indications would benefit from CDA surgery over anterior cervical discectomy and fusion. As surgeons, it is a difficult decision regarding when to expand indications to include off-label use of CDA. In our practice, generally CDA patient selection agrees with the FDA indications and contraindications, as there is a lack of level 1 evidence to confirm effectiveness of CDA outside of the current FDA indications. We will likely need more well-constructed studies to include prospective and controlled trials that specifically evaluate the “off-label” applications before US surgeons are convinced to expand indications and insurance companies agree to reimburse.
Keywords: TDR; cervical spine surgery; off-label spine surgery; surgical indications; total disc replacement.
The London Spine Unit : most advanced day surgery spinal centre in UKRead the original publication from Pubmed : Patient Selection in Cervical Disc Arthroplasty