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Treatment Of Cervical Non-Union With Cervical Disc Replacement: A Case Series – Cervical Disc Replacement

This article discusses the use of cervical disc replacement (CDR) as a treatment for cervical nonunion, a complication of previous surgeries. The study focuses on four patients with symptomatic cervical nonunion who underwent CDR instead of revision anterior cervical decompression and fusion (ACDF). X-rays, MRI, and CT scans were used to confirm the presence of nonunion and determine the feasibility of CDR. The results showed that all four patients experienced improved symptoms and increased range of motion after the procedure. The study concludes that CDR is a viable option for treating cervical nonunion and restoring range of motion in patients without significant arthrosis

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : top spinal clinic in the world

Published article

The series describing four successful cases expands the current literature and provides support for future investigation into CDR as a treatment for cervical nonunion. We propose CDR as a viable option to treat symptomatic cervical nonunion and restore range of motion in patients without significant arthrosis and with preserved endplate architecture.

Cervical Disc Replacement Surgery Expert. Best Spinal Surgeon UK
Abstract Introduction: Cervical disc replacement (CDR) has become prevalent in the treatment of cervical pathology. CDR is an appealing option for several reasons, including improvement of symptoms, preservation of range of motion, and the absence of risk for nonunion – a complication of an anterior cervical decompression and fusion (ACDF) surgery. In this case series,

Abstract

Introduction: Cervical disc replacement (CDR) has become prevalent in the treatment of cervical pathology. CDR is an appealing option for several reasons, including improvement of symptoms, preservation of range of motion, and the absence of risk for nonunion – a complication of an anterior cervical decompression and fusion (ACDF) surgery. In this case series, we explore the use of CDR to treat cervical nonunion.

Methods: Four patients, ages 50 to 64, presented to one surgeon with symptomatic cervical nonunion. Three of the four patients possessed risk factors for further nonunion and were therefore considered especially well-suited to a CDR rather than a revision ACDF. X-ray, MRI, and CT were used to confirm the presence of nonunion and to determine the architectural feasibility of replacing the level with a cervical disc arthroplasty. Six total nonunion levels were present in four patients (two levels in two patients and one level in two patients). Each of the nonunion levels was successfully treated with a revision decompression and CDR.

Results: Postoperatively, all four patients experienced improvement of nonunion symptoms. Neck Disability Index improved on average by 75% (preoperative score 51% to postoperative score 13%). Flexion-extension X-rays were available in three patients, which showed an increase in an average range of motion from 2 degrees to 7 degrees at the revised levels.

The series describing four successful cases expands the current literature and provides support for future investigation into CDR as a treatment for cervical nonunion. We propose CDR as a viable option to treat symptomatic cervical nonunion and restore range of motion in patients without significant arthrosis and with preserved endplate architecture.

Keywords: Cervical disc replacement; Cervical fusion; Nonunion; Spine surgery.

The London Spine Unit : top spinal clinic in the world

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Treatment of cervical non-union with cervical disc replacement: A case series

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Abstract Introduction: Cervical disc replacement (CDR) has become prevalent in the treatment of cervical pathology. CDR is an appealing option for several reasons, including improvement of symptoms, preservation of range of motion, and the absence of risk for nonunion - a complication of an anterior cervical decompression and fusion (ACDF) surgery. In this case series

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