Open AccessComparing Anterior Cervical Discectomy Fusion with Cervical Disc Arthroplasty in Cervical Spondylosis
Author(s) -
Siraj Gibani,
Jeffrey Badday
Publication year - 2021
Publication title -
medical journal of southern california clinicians
Language(s) - English
Resource type - Journals
eISSN - 2576-1897
pISSN - 2576-1889
DOI - 10.38206/140104
Subject(s) - medicine , anterior cervical discectomy and fusion , cervical spondylosis , arthroplasty , myelopathy , degenerative disc disease , surgery , diskectomy , implant , foraminotomy , cervical spine , spinal cord , lumbar , lumbar vertebrae , alternative medicine , pathology , psychiatry
The present article reviews updated research, patient selection, complicationsassociated with types of cervical disc implants, and its use in patients with multilevelcervical spondylosis. Recent metanalysis comparing Cervical Disc Arthroplasty (CDA)and Anterior Cervical Discectomy and Fusion (ACDF) has demonstrated safety andequal or superior clinical outcomes based on SF-36 NDI and VAS scores. Recentstudies show similar outcomes for using CDA in two-level cervical disc disease of thosesuffering radiculopathy and/or /myelopathy. Long-term studies are more available toshow decreased rates of adjacent segment disease and reoperation rates followingcervical disc replacement. Cervical arthroplasty continues to be a promising techniquefor which now there is growing level 1a evidence. Further long-term data is awaitedto investigate two-level CDA and reoperation rates specifically due to adjacent leveldisease, subsidence, implant migration, and heterotropic ossification.