NYMC Faculty Publications

Does Design Matter? Cervical Disc Replacements Under Review

DOI

10.1007/s10143-016-0765-0

Journal Title

Neurosurgical Review

First Page

399

Last Page

407

Document Type

Article

Publication Date

April 2018

Department

Neurosurgery

Keywords

Biocompatible Materials, Cervical Vertebrae--surgery, Intervertebral Disc--surgery, Postoperative Complications--etiology, Prospective Studies, Prosthesis Design, Spinal Fusion--methods, Total Disc Replacement--instrumentation, Treatment Outcome

Disciplines

Medicine and Health Sciences

Abstract

The present article reviews the design rationale of currently available cervical disc replacements. Recent prospective randomized control trials comparing cervical disc replacement and anterior fusion have demonstrated safety as well as equal or superior clinical results. Increasingly, more devices are becoming available on the market. Understanding design rationale will provide context for the surgeon to optimize decision making for the most appropriate prosthesis. Cervical arthroplasty is a technique that is undergoing rapid design refinement and development. Further improvements in device design will enable patient-specific device selection. Understanding the design rationale and complication profile of each device will improve clinical and radiographic outcomes.

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