The future in the care of the cervical spine: interbody fusion and arthroplasty. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004.

In the past 50 years tremendous advances have been made in the treatment of cervical disc disease with cervical fusion. Fusion rates have surpassed 95% after application of anterior cervical implants. Adjacent-segment degeneration, however, has plagued the long-term clinical success of cervical fusion. Cervical arthroplasty has been introduced to maintain cervical motion and potentially avoid or minimize adjacent-segment degeneration. If cervical arthroplasty is successful, the long-term results of surgery for cervical disc disease may improve; however, there are associated drawbacks that must be overcome. Implant wear, fatigue, and failure have been reported in cases of large-joint arthroplasty, and research is underway to limit these problems in cervical arthroplasty. In this article the authors trace the evolution of cervical fusion and the new technique of cervical arthroplasty. The nomenclature of cervical arthroplasty will also be introduced.

[1]  B. Subach,et al.  Anterior Cervical Plating Enhances Arthrodesis after Discectomy and Fusion with Cortical Allograft , 2002, Neurosurgery.

[2]  K. Nakanishi,et al.  Strain on intervertebral discs after anterior cervical decompression and fusion. , 1999, Spine.

[3]  Jan Goffin,et al.  Intermediate Follow-up After Treatment of Degenerative Disc Disease With the Bryan Cervical Disc Prosthesis: Single-Level and Bi-Level , 2003, Spine.

[4]  R. B. Cloward.  The anterior approach for removal of ruptured cervical disks. , 1958, Journal of neurosurgery.

[5]  J. Robertson,et al.  The New Frenchay Artificial Cervical Joint: Results From a Two-Year Pilot Study , 2002, Spine.

[6]  Ilana Langdon,et al.  Influence of an artificial cervical joint compared with fusion on adjacent-level motion in the treatment of degenerative cervical disc disease. , 2002, Journal of neurosurgery.

[7]  G. F. Rowbotham,et al.  Technique and the dangers of cerebral angiography. , 1953, Journal of neurosurgery.

[8]  Jan Goffin,et al.  Preliminary clinical experience with the Bryan Cervical Disc Prosthesis , 2002 .

[9]  R. Robinson,et al.  The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion. , 1958, The Journal of bone and joint surgery. American volume.

[10]  V. Traynelis,et al.  A comparative analysis of fusion rates and donor-site morbidity for autogeneic rib and iliac crest bone grafts in posterior cervical fusions. , 1998, Journal of neurosurgery.

[11]  A. Hilibrand,et al.  The Success of Anterior Cervical Arthrodesis Adjacent to a Previous Fusion , 1997, Spine.

[12]  P. Anderson,et al.  Wear Analysis of the Bryan Cervical Disc Prosthesis , 2003, Spine.

[13]  Banwart Jc,et al.  Iliac crest bone graft harvest donor site morbidity. A statistical evaluation. , 1995 .

[14]  A. Hilibrand,et al.  Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis. , 1999, The Journal of bone and joint surgery. American volume.

[15]  L. Sekhon,et al.  Cervical Arthroplasty in the Management of Spondylotic Myelopathy , 2003, Journal of spinal disorders & techniques.

[16]  J. Robertson,et al.  Surgical experience with an implanted artificial cervical joint. , 1998, Journal of neurosurgery.

[17]  Denis J. DiAngelo,et al.  Biomechanical Testing of an Artificial Cervical Joint and an Anterior Cervical Plate , 2003, Journal of spinal disorders & techniques.

[18]  F. Calenbergh,et al.  Long-term results after anterior cervical fusion and osteosynthetic stabilization for fractures and/or dislocations of the cervical spine. , 1995, Journal of spinal disorders.