Cervical Disc Replacement: A Systematic Review of Medline Indexed Literature - International Journal of Clinical Medicine

IJCM > Vol.4 No.7, July 2013

Cervical Disc Replacement: A Systematic Review of Medline Indexed Literature ()

HTML

Download as PDF (Size: 85KB) PP. 34-39

DOI: 10.4236/ijcm.2013.47A1006 4,406 Downloads 6,790 Views Citations

Author(s)

Sudarshan Munigangaiah, John P. McCabe

Affiliation(s)

Spine Service, Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, Galway, Ireland..

ABSTRACT

Anterior Cervical Discectomy and Fusion (ACDF) currently remains as the gold standard treatment for cervical disc herniation and Degenerative Disc Disease (DDD) refractory to conservative management. Even though anterior cervical fusion provides excellent clinical results, it has been implicated in abnormal kinematic strain on adjacent disc level resulting in symptomatic adjacent segment disease. Anterior cervical disc replacement (ACDR) is an alternative procedure to anterior cervical discectomy and fusion. The aims of cervical disc replacement were to preserve the motion at the index level and to protect the adjacent levels from accelerated symptomatic degeneration. The aim of this systematic review was to evaluate the outcomes of cervical disc replacement published in MEDLINE indexed literature. A literature search was carried out in medical electronic database MEDLINE. Keywords used for the search were Cervical vertebrae, Cervical spine, Neck, Intervertebral disc, Total disc replacement, Arthroplasty, Replacement, Treatment outcome. Two authors reviewed titles and abstracts of all two hundred and thirty six hits. The articles that satisfied the inclusion criteria were critically appraised while remaining articles were discarded. Anterior cervical disc replacement is a relatively new technology in spinal surgery. There are several short and intermediate term follow-up studies to prove the safety and efficacy of ACDR with satisfactory clinical and radiological outcomes. More intermediate to long-term follow-up studies are needed to prove the safety and efficacy of ACDR.

KEYWORDS

Cervical Vertebrae; Cervical Spine; Neck; Intervertebral Disc; Total Disc Replacement; Arthroplasty; Replacement; Treatment Outcome

Share and Cite:

S. Munigangaiah and J. McCabe, "Cervical Disc Replacement: A Systematic Review of Medline Indexed Literature," International Journal of Clinical Medicine, Vol. 4 No. 7A, 2013, pp. 34-39. doi: 10.4236/ijcm.2013.47A1006.

Journals Menu

Follow SCIRP

	+1 323-425-8868
	customer@scirp.org
	+86 18163351462(WhatsApp)
	1655362766

	Paper Publishing WeChat

Journals Menu

Home

About SCIRP

Service

Policies