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. 2020 Aug;14(s2):S50-S56.
doi: 10.14444/7091.

Complications and Complication Avoidance With Cervical Total Disc Replacement

Jonathan M Parish  1 , Anthony M Asher  2 , Domagoj Coric  3
Affiliations

Complications and Complication Avoidance With Cervical Total Disc Replacement

Jonathan M Parish et al. Int J Spine Surg. 2020 Aug.

Abstract

Complications with cervical arthroplasty can be generalized to errors in patient selection or surgical technique. Patients with advanced spondylosis or osteophytic disease, severe facet arthropathy, osteoporosis, sagittal deformity, or preoperative instability are poor candidates for arthroplasty and are more prone to complications. Poor surgical technique can result in subsidence, expulsion, and kyphosis, and it can contribute to heterotopic ossification. Additionally, all of the inherent complications from an anterior cervical approach may occur with cervical artificial disc placement. This article will focus on the complications uniquely associated with cervical arthroplasty.

Keywords: cervical arthroplasty; cervical artificial disc; total disc replacement.

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Conflict of interest statement

Disclosures and COI: Dr Coric is a consultant for or receives royalties from Globus Medical, Spine Wave, Medtronic, Stryker Spine, and Integrity Implants; receives royalties from RTI Surgical; is a consultant for or holds stock in Premia Spine; and is on the Spine Advisory Board for United Healthcare.

Figures

Figure 1
Figure 1
(A) Anteroposterior and (B) lateral radiographs of implant dislocation.
Figure 2
Figure 2
(A) Lateral radiograph and (B) sagittal computed tomography showing heterotopic ossification resulting in complete fusion.
See this image and copyright information in PMC

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