By Robert Gunzburg, H. Michael Mayer, Marek Szpalski, Max Aebi
Joint alternative is a logical step within the remedy of critical joint pathologies with irreversible lesions resisting conservative remedy. on the spinal point, arthrodesis grew to become, very early, the most fulfilling of remedy for serious intervertebral disc pathologies. the following logical step was once to examine practical alternative, and this step was once taken as early as 1956, while the 1st intervertebral implant was once defined. even if, it took many extra years and an excellent number of proposed implant designs earlier than scientific purposes can be attempted.
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Extra resources for Arthroplasty of the Spine
This will require at least 5-10 years to evaluate. References 1. Brumley J, Komistek R, Jones A, Hajner M (2000) Handout at 2000 AAOS Conference, Orlando, Florida 2. Goffin J, Geusens E, Vantomme N, Quintens E, Waerzeggers Y, Depreitere B, Van Calenbergh F, van Loon J (2000) Long-term follow-up after interbody fusion of the cervical spine. Presentation at the 28th Annual Meeting of the Cervical Spine Research Society in Charleston, South Carolina 3. Hilibrand A, Carlson G, Palumbo M, Jones P, Bohlman H (1999) Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis.
Eur Spine J 3:225-230 14. Greenough CG, Peterson MD, Hadlow S, Fraser RD (1998) Instrumented posterolaterallumbar fusion. Spine 23: 479--486 15. Griffith SL, Shelokov AP, Buttner-Janz K, Lemaire JP, Zeegers S (1994) A multicenter retrospective study of the clinical results of the LINK ™ - SB Charite Intervertebral Prothesis. Spine 19:1842-1849 16. Husson, JL, Scharer N, Le Nihouannen JC. Freudiger S, Baumgartner W, Polard JL (1997) Nucleoplasty during discectomy: concept and experimental study.
Conclusion Cervical spine arthroplasty can be expected to address the symptoms and signs of DDD within the outcome assessment period of 2 years at least as well as ACDF. The device instrumentation and technique offer the advantage of treating the disease aspects of the degenerative disc process by providing for continued motion and a more normal biomechanics. It would be desirable for cervical spine arthroplasty to favorably influence the rate of progress and age of onset of future symptoms. If this proves to be the case, it will in effect return the individual's degenerative disc disease process to that of their natural aging process.