scholarly journals Two-Level Anterior Cervical Discectomy and Fusion Versus Cervical Disc Arthroplasty—Long-Term Evidence Update

10.14444/7089 ◽  
2020 ◽  
Vol 14 (s2) ◽  
pp. S36-S40
Author(s):  
Zachary H Goldstein ◽  
Barrett Boody ◽  
Rick Sasso
Author(s):  
Siraj Gibani ◽  
Jeffrey Badday

The present article reviews updated research, patient selection, complications associated with types of cervical disc implants, and its use in patients with multilevel cervical spondylosis. Recent metanalysis comparing Cervical Disc Arthroplasty (CDA) and Anterior Cervical Discectomy and Fusion (ACDF) has demonstrated safety and equal or superior clinical outcomes based on SF-36 NDI and VAS scores. Recent studies show similar outcomes for using CDA in two-level cervical disc disease of those suffering radiculopathy and/or /myelopathy. Long-term studies are more available to show decreased rates of adjacent segment disease and reoperation rates following cervical disc replacement. Cervical arthroplasty continues to be a promising technique for which now there is growing level 1a evidence. Further long-term data is awaited to investigate two-level CDA and reoperation rates specifically due to adjacent level disease, subsidence, implant migration, and heterotropic ossification.


Spine ◽  
2016 ◽  
Vol 41 (12) ◽  
pp. E733-E741 ◽  
Author(s):  
Yuhang Zhu ◽  
Zhishen Tian ◽  
Bitao Zhu ◽  
Wenjing Zhang ◽  
Youqiong Li ◽  
...  

2014 ◽  
Vol 21 (11) ◽  
pp. 1905-1908 ◽  
Author(s):  
Robert W. Tracey ◽  
Daniel G. Kang ◽  
John P. Cody ◽  
Scott C. Wagner ◽  
Michael K. Rosner ◽  
...  

2015 ◽  
Vol 15 (10) ◽  
pp. S127-S128 ◽  
Author(s):  
Matthew F. Gornet ◽  
J. Kenneth Burkus ◽  
Mark E. Shaffrey ◽  
Hui Nian ◽  
Frank E. Harrell

2011 ◽  
Vol 11 (10) ◽  
pp. S82
Author(s):  
Christian Hoelscher ◽  
Daniel Warren ◽  
Pedro Ricart-Hoffiz ◽  
John Bendo ◽  
Jeffrey Goldstein

Sign in / Sign up

Export Citation Format

Share Document