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Review
. 2021 Oct;32(4):461-472.
doi: 10.1016/j.nec.2021.05.007. Epub 2021 Jul 29.

Cervical Total Disc Replacement: Long-Term Outcomes

Gregory Callanan  1 , Kristen E Radcliff  2
Affiliations
Review

Cervical Total Disc Replacement: Long-Term Outcomes

Gregory Callanan et al. Neurosurg Clin N Am. 2021 Oct.

Abstract

Degenerative disc disease and associated cervical spondylosis or stenosis are common conditions encountered in clinical practice. These conditions may cause progressive cervical radicular or myelopathic symptoms leading to significant impairment. Although anterior cervical discectomy and fusion (ACDF) has been a reliable surgical treatment of cervical myelopathy and radiculopathy, but limitations include loss of cervical range of motion, the concern for adjacent segment degeneration and disease, pseudoarthrosis, complications related to the choice of intervertebral graft, dysphagia, as well as standard anterior cervical approach risk. Cervical total disc arthroplasty has emerged as an alternative operative procedure to ACDF.

Keywords: Anterior cervical discectomy and fusion (ACDF); Cervical degenerative disc disease; Cervical disc arthroplasty; Disc replacement; Myelopathy; Radiculopathy.

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Conflict of interest statement

Disclosure K.E. Radcliff reports the following disclosures: 4 Web Medical, stock or stock options; 4Web, paid consultant; AAOS, board or committee member; Aesculap/B. Braun, research support; Bioventus, other financial or material support; Cervical Spine Research Society, board or committee member; DePuy, A Johnson & Johnson Company, other financial or material support; Globus Medical, intellectual property royalties; Innovative Spine Devices, intellectual property royalties; ISASS, board or committee member; North American Spine Society, board or committee member; Nuvasive, other financial or material support; Orthofix, Inc., research support; Rothman Institute, stock or stock options; Simplify Medical, research support; SMISS, board or committee member; Stryker, paid consultant; Synaptive Surgical, other financial or material support; Zimmer, unpaid consultant. G. Callanan reports no disclosures.

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