Surgical experience with an implanted artificial cervical joint

Cummins, Brian H.; Robertson, James T.; Gill, Steven

doi:10.3171/jns.1998.88.6.0943

Cited by 247 publications

(118 citation statements)

References 6 publications

Supporting

Mentioning

115

Contrasting

Unclassified

Order By: Relevance

“…In a small case series, Cummins et al 5 demonstrated that cervical arthroplasty was safe, effective, and preserved segmental motion. Recently, the 5-year outcomes for the Prestige ST (Medtronic Sofamor Danek) were presented showing improved outcomes for patients receiving a TDR versus an ACDF.…”

mentioning

confidence: 99%

“…13,16 Several case series have demonstrated that multilevel cervical arthroplasty for the treatment of radiculopathy and myelopathy can be an alternative with good outcomes. 5,15 In a prospective study, Pimenta et al 14 demonstrated that multilevel cervical arthroplasty had improved outcomes over singlelevel arthroplasty. Several clear advantages to performing multilevel cervical arthroplasty are preserved motion, decreased adjacent-level biomechanical stressors, and potentially better outcomes.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Multilevel cervical arthroplasty with artificial disc replacement

Cardoso¹,

Rosner²

2010

FOC

View full text Add to dashboard Cite

Object In this study, the authors review the technique for inserting the Prestige ST in a contiguous multilevel cervical disc arthroplasty in patients with radiculopathy and myelopathy. They describe the preoperative planning, surgical technique, and their experience with 10 patients receiving a contiguous Prestige ST implant. They present contiguous multilevel cervical arthroplasty as an alternative to multilevel arthrodesis. Methods After institutional board review approval was obtained, the authors performed a retrospective review of all contiguous multilevel cervical disc arthroplasties with the Prestige ST artificial disc between August 2007 and November 2009 at a single institution by a single surgeon. Clinical criteria included patients who had undergone a multilevel cervical disc arthroplasty performed for radiculopathy and myelopathy without the presence of a previous cervical fusion. Between August 2007 and November 2009, 119 patients underwent cervical arthroplasty. Of the 119 patients, 31 received a Hybrid construct (total disc resection [TDR]–anterior cervical decompression and fusion [ACDF] or TDR-ACDF-TDR) and 24 received a multilevel cervical arthroplasty. The multilevel cervical arthroplasty group consisted of 14 noncontiguous and 10 contiguous implants. This paper examines patients who received contiguous Prestige ST implants. Results Ten men with an average age of 45 years (range 25–61 years) were treated. Five patients presented with myelopathy, 3 presented with radiculopathy, and 2 presented with myeloradiculopathy. Twenty-two 6 × 16–mm Prestige ST TDRs were implanted. Six patients received 2-level Prestige ST implants. Five patients received TDRs at C5–6 and C6–7, and 1 patient received TDRs at C3–4 and C4–5. One patient received a TDR at C3–4, C5–6, and C6–7 where C4–5 was a congenital block vertebra. Three patients (2 with 3-level disease and 1 with 4-level disease) received contiguous Prestige ST implants as well as a Prevail ACDF as part of their constructs. The mean clinical and radiographic follow-up was 12 months. There has been no case of screw backout, implant dislodgment, progressive kyphosis, formation of heterotopic bone, evidence of pseudarthrosis at the Prevail levels, or development of symptomatic adjacent level disease. Conclusions Multilevel cervical arthroplasty with the Prestige ST is a safe and effective alternative to fusion for the management of cervical radiculopathy and myelopathy.

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

Multilevel cervical arthroplasty with artificial disc replacement

Cardoso¹,

Rosner²

2010

FOC

View full text Add to dashboard Cite

show abstract

“…Unfortunately, fusion surgery has been reported to increase the biomechanical stresses at the adjacent segments, which could lead to further degenerative symptomatic disc disease at the adjacent levels. 4,6 An alternative approach to cervical fusion surgery is to restore motion to the diseased segment with disc arthroplasty. The goal of the disc prosthesis is to replace the diseased disc while preserving and/or restoring the motion at the treated spinal level.…”

mentioning

confidence: 99%

An improved biomechanical testing protocol for evaluating spinal arthroplasty and motion preservation devices in a multilevel human cadaveric cervical model

DiAngelo¹,

Foley²

2004

FOC

View full text Add to dashboard Cite

Object An experimental study was performed to determine the biomechanical end-mounting configurations that replicate in vivo physiological motion of the cervical spine in a multiple-level human cadaveric model. The vertebral motion response for the modified testing protocol was compared to in vivo motion data and traditional pure-moment testing methods. Methods Biomechanical tests were performed on fresh human cadaveric cervical spines (C2–T1) mounted in a programmable testing apparatus. Three different end-mounting conditions were studied: pinned–pinned, pinned–fixed, and translational/pinned–fixed. The motion response of the individual segmental vertebral rotations was statistically compared using one-way analysis of variance and Student-Newman-Keuls tests (p < 0.05 unless otherwise stated) to determine differences in the motion responses for different testing methods. Conclusions A translational/pinned–fixed mounting configuration induced a bending-moment distribution across the cervical spine, resulting in a motion response that closely matched the in vivo case. In contrast, application of pure-moment loading did not reproduce the physiological response and is less suitable for studying disc arthroplasty and nonfusion devices.

show abstract

“…2). Cummins, et al, 10 reported on 20 patients who were followed for a mean of 2.4 years. Patients with radiculopathy improved, and those with myelopathy either improved or their symptoms stabilized.…”

Section: Cervical Arthroplastymentioning

confidence: 99%

“…2,4,5,13,21,26,38,41,55 The results of a cervical disc prosthesis, which was originally developed in Bristol, England, have been reported. 10 The second-generation Cummins disc is a ball-andtrough-type device constructed of stainless steel. It is secured to the vertebral bodies with solid screws.…”

Section: Cervical Arthroplastymentioning

confidence: 99%

Spinal arthroplasty

Traynelis¹

2002

FOC

View full text Add to dashboard Cite

Symptomatic degenerative spinal disease is a serious medical condition that affects many individuals. Modern neuroimaging modalities, the development of new medications, and advances in operative and nonoperative treatments have all contributed to improved outcomes. Unfortunately, there remain a significant number of patients in whom primary therapy either fails or new or recurrent symptoms develop over time. The last decade has witnessed the invention of devices designed to reconstruct the spinal motion segment. These devices can be divided into those that primarily function to replace a nucleus pulposus and those that completely replace the disc complex. In this article the author reviews the background leading to the development of the current group of disc replacements. The design and preliminary clinical results obtained using major lumbar and cervical devices are also reviewed.

show abstract

Surgical experience with an implanted artificial cervical joint

Abstract: The use of stainless steel in the cervical spine appears to be suitable for this joint replacement design.

Cited by 247 publications

References 6 publications

Multilevel cervical arthroplasty with artificial disc replacement

Multilevel cervical arthroplasty with artificial disc replacement

An improved biomechanical testing protocol for evaluating spinal arthroplasty and motion preservation devices in a multilevel human cadaveric cervical model

Spinal arthroplasty

Contact Info

Product

Resources

About