A meta-analysis comparing the short- and mid- to long-term outcomes of artificial cervical disc replacement(ACDR) with anterior cervical discectomy and fusion (ACDF) for the treatment of cervical degenerative disc disease

Peng, Zihan; Hong, Ying; Meng, Yang; Líu, Hao

doi:10.1007/s00264-022-05318-z

Cited by 19 publications

(14 citation statements)

References 58 publications

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“…T he popularity of CDA as a motion-preserving treatment of degenerative disc disease has increased since its introduction in the early 2000s, with favorable outcomes compared with ACDF [4][5][6][7][8][9][10] . Given that it is a relatively new technology, our understanding of its durability and potential complications that may arise in the future is limited.…”

Section: Discussionmentioning

confidence: 99%

An Atypical Presentation of Early Periprosthetic Infection After Cervical Disc Arthroplasty

Nigh

Finkel

Sayari

et al. 2023

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Case: A 22-year-old woman with Klippel-Feil syndrome who underwent cervical disc arthroplasty (CDA) presented 3 months postoperatively with worsening neck pain and radiculopathy. Work-up was negative for infection, but single-photon emission computed tomography revealed increased metabolic activity in the vertebral body below the implant. During revision, the implant was grossly loose and multiple cultures grew Cutibacterium acnes. She was treated with an antibiotic course and conversion to anterior fusion without recurrence. Conclusion: This report highlights the rare presentation of an early periprosthetic infection after CDA caused by C. acnes.

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Section: Discussionmentioning

confidence: 99%

An Atypical Presentation of Early Periprosthetic Infection After Cervical Disc Arthroplasty

Nigh

Finkel

Sayari

et al. 2023

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“…Toward investigating the impact of anterior cervical interbody fusion and the influence of over-distraction (i.e., using larger interbody cages) on the biomechanics of the lower cervical spine, post-operative (Post-op) FE models were reconstructed for all 20 patients. Four clinical scenarios were predicted for each patient and the relevant post-op FE models were developed including ( Zagra et al, 2013 ) No-distraction, ( Robinson, 1955 ), 1 mm distraction, ( Jacobs et al, 2011 ), 2 mm distraction, and ( Peng et al, 2022 ) 3 mm distraction ( Figure 1D ). To achieve this aim, we have adopted the pre-op index disc height as a key parameter for defining the interbody height in the first scenario (i.e., No-distraction).…”

Section: Methodsmentioning

confidence: 99%

“…Anterior cervical discectomy and fusion (ACDF) is widely acknowledged as the gold standard and has been consistently cited as one of the most effective and safe surgical interventions in cases where conservative management techniques prove ineffective ( Robinson, 1955 ; Jacobs et al, 2011 ; Zagra et al, 2013 ). This procedure has garnered substantial recognition for its successful outcomes in relieving symptoms and addressing various cervical spine pathologies, such as disc herniation, spinal stenosis, and degenerative disc disease ( Peng et al, 2022 ). The remarkable efficacy and safety profile of ACDF have contributed to its widespread adoption by clinicians and have made it a preferred option for patients who require surgical intervention to alleviate cervical spine-related conditions ( Tsalimas et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

The influence of over-distraction on biomechanical response of cervical spine post anterior interbody fusion: a comprehensive finite element study

Cheng

Chiu

Chen

et al. 2023

Front. Bioeng. Biotechnol.

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Introduction: Anterior cervical discectomy and fusion (ACDF) has been considered as the gold standard surgical treatment for cervical degenerative pathologies. Some surgeons tend to use larger-sized interbody cages during ACDF to restore the index intervertebral disc height, hence, this study evaluated the effect of larger-sized interbody cages on the cervical spine with ACDF under both static and cyclic loading.Method: Twenty pre-operative personalized poro-hyperelastic finite element (FE) models were developed. ACDF post-operative models were then constructed and four clinical scenarios (i.e., 1) No-distraction; 2) 1 mm distraction; 3) 2 mm distraction; and 4) 3 mm distraction) were predicted for each patient. The biomechanical responses at adjacent spinal levels were studied subject to static and cyclic loading. Non-parametric Friedman statistical comparative tests were performed and the p values less than 0.05 were reflected as significant.Results: The calculated intersegmental range of motion (ROM) and intradiscal pressure (IDP) from 20 pre-operative FE models were within the overall ranges compared to the available data from literature. Under static loading, greater ROM, IDP, facet joint force (FJF) values were detected post ACDF, as compared with pre-op. Over-distraction induced significantly higher IDP and FJF in both upper and lower adjacent levels in extension. Higher annulus fibrosus stress and strain values, and increased disc height and fluid loss at the adjacent levels were observed in ACDF group which significantly increased for over-distraction groups.Discussion: it was concluded that using larger-sized interbody cages (the height of ≥2 mm of the index disc height) can result in remarkable variations in biomechanical responses of adjacent levels, which may indicate as risk factor for adjacent segment disease. The results of this comprehensive FE investigation using personalized modeling technique highlight the importance of selecting the appropriate height of interbody cage in ACDF surgery.

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“…Besides, there has been robust evidence of cervical arthroplasty showing favorable outcomes with artificial disc replacement. 44 Therefore, anterior endoscopic cervical discectomy (AECD) is usually considered when patients with a high risk of general anesthesia have cervical myelopathy or radiculopathy caused by soft disc herniation. The preliminary series showed comparable outcomes comparing the conventional anterior cervical discectomy with fusion.…”

Section: Indications Of Ess For Cervical Spinementioning

confidence: 99%

Current Indications for Spinal Endoscopic Surgery and Potential for Future Expansion

et al. 2023

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Endoscopic spine surgery (ESS) has evolved as a safe, effective, and efficient alternative for minimally invasive spine surgery (MISS). The innovation of full-endoscopic systems makes definitive decompression surgery through different approaches feasible. The approach can be determined according to the location of the target lesion or the surgeon's preference. During the past 2 decades, ESS has expanded its indications from lumbar to cervical spines. Except for decompression, endoscopy-assisted fusion surgery is also developing. However, ESS is still evolving and has a steep learning curve. The revolution of technologies and ESS techniques will enable surgeons to treat various spinal diseases more practically. In recent years, the application of the computer-assisted navigation system and augmented reality have reformed imaging quality and interpretation. The endoscopic rhizotomy techniques have opened a new way for MISS of chronic low back pain. This review introduces the current indications of ESS and its potential future expansion.

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A meta-analysis comparing the short- and mid- to long-term outcomes of artificial cervical disc replacement(ACDR) with anterior cervical discectomy and fusion (ACDF) for the treatment of cervical degenerative disc disease

Cited by 19 publications

References 58 publications

An Atypical Presentation of Early Periprosthetic Infection After Cervical Disc Arthroplasty

An Atypical Presentation of Early Periprosthetic Infection After Cervical Disc Arthroplasty

The influence of over-distraction on biomechanical response of cervical spine post anterior interbody fusion: a comprehensive finite element study

Current Indications for Spinal Endoscopic Surgery and Potential for Future Expansion

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