{"title":"Update on design and biomechanics of cervical disc arthroplasty","authors":"Omri Maayan , Karim Shafi , Sheeraz Qureshi","doi":"10.1016/j.semss.2023.101009","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>Anterior cervical discectomy and fusion<span><span> (ACDF) has been considered the mainstay of care for cervical spondylosis despite its association with decreased </span>spinal mobility, altered kinematics, and risk of adjacent segment disease. Cervical disc </span></span>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 </span>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.</p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 1","pages":"Article 101009"},"PeriodicalIF":0.0000,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Spine Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1040738323000035","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/1/26 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
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.
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.
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