Cervical disc replacement — emerging equivalency to anterior cervical discectomy and fusion

• Published in: International orthopaedics 2016-06, Vol.40 (6), p.1329-1334
• Main Authors: Buckland, Aaron J., Baker, Joseph F., Roach, Ryan P., Spivak, Jeffrey M.
• Format: Article
• Language: English
• Subjects: Cervical Vertebrae - surgery; Decompression, Surgical - methods; Diskectomy - adverse effects; Diskectomy - methods; Female; Humans; Male; Medicine; Medicine & Public Health; Orthopedics; Review Article; Spinal Cord Diseases - surgery; Spinal Fusion - adverse effects; Spinal Fusion - methods; Total Disc Replacement - adverse effects; Total Disc Replacement - methods; Treatment Outcome
• ISSN: 0341-2695; 1432-5195
• DOI: 10.1007/s00264-016-3181-8

Purpose Cervical disc replacement has become an acceptable alternative to anterior cervical fusion for the surgical treatment of cervical spine spondylosis resulting in radiculopathy or myelopathy following anterior discectomy and decompression. This concise overview considers the current state of knowledge regarding the continued debate of the role of cervical disc replacement with an update in light of the latest clinical trial results. Methods A literature review was performed identifying clinical trials pertaining to the use of cervical disc replacement compared to cervical discectomy and fusion. Single level disease and two level disease were considered. Outcome data from the major clinical trials was reviewed and salient points identified. Results With lengthier follow-up data becoming available, the equivalence of CDR in appropriately selected cases is becoming clear. This is chiefly manifested by reduced re-operation rates and reduced incidence of adjacent level disease in those treated with arthroplasty. Conclusion Cervical disc replacement shows emerging equivalence in outcomes compared to the gold standard anterior cervical discectomy and fusion. Further longer term results are anticipated to confirm this trend.