Update on design and biomechanics of cervical disc arthroplasty

Q4 Medicine

Seminars in Spine Surgery Pub Date : 2023-03-01 DOI:10.1016/j.semss.2023.101009

Omri Maayan , Karim Shafi , Sheeraz Qureshi

引用次数: 0

Abstract

Anterior cervical discectomy and fusion (ACDF) has been considered the mainstay of care for cervical spondylosis despite its association with decreased spinal mobility, altered kinematics, and risk of adjacent segment disease. Cervical disc arthroplasty (CDA) has recently emerged as a potential alternative that allows for preservation of motion and restoration of physiologic load distribution at both the index and adjacent levels. The growing interest and strong clinical evidence supporting the use of CDA has led to several changes in implant design. This review aims to discuss the implementation of CDA as an alternative to ACDF as well as provide an update on advancements in implant design and their influence of spinal biomechanics.

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颈椎间盘置换术的设计与生物力学研究进展

颈椎前路椎间盘切除融合术（ACDF）被认为是治疗颈椎病的主要方法，尽管它与脊柱活动能力下降、运动学改变和邻近节段疾病的风险有关。颈椎间盘置换术（CDA）最近成为一种潜在的替代方案，可以在指数和邻近水平上保持运动和恢复生理负荷分布。越来越多的兴趣和强有力的临床证据支持CDA的使用，导致植入物设计发生了一些变化。这篇综述旨在讨论CDA作为ACDF的替代方案的实施，并提供植入物设计的最新进展及其对脊柱生物力学的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Spine Surgery Medicine-Surgery

CiteScore

0.50

自引率

0.00%

发文量

审稿时长

2 days

期刊介绍： Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.