Clinical Outcomes With Selectively Constrained SECURE-C Cervical Disc Arthroplasty

Vaccaro, Alexander R.; Beutler, William; Peppelman, Walter; Marzluff, Joseph; Highsmith, Jason; Mugglin, Andrew S.; DeMuth, George R.; Gudipally, Manasa; Baker, Kelly

doi:10.1097/brs.0000000000000031

Cited by 126 publications

(45 citation statements)

References 24 publications

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“…At short term FU, no significant differences can be found between both technologies as long as the same adequate decompression techniques are performed. Numerous studies have demonstrated, however, that both cTDR and ACDF achieved comparatively similar improvements in all clinical outcome parameters [3,4,6,8,9,13,14]. However, a number of studies demonstrated that at short-and mid-term FU, the rates of post-operative revision surgeries were significantly lower and in favour of cTDR [1,3,5,15].…”

Section: Discussionmentioning

confidence: 99%

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Clinical and radiological outcome at 10 years of follow-up after total cervical disc replacement

et al. 2017

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Section: Discussionmentioning

confidence: 99%

“…Clinical studies have demonstrated this procedure to be a viable treatment alternative to the gold standard anterior cervical discectomy and fusion (ACDF) [1][2][3][4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Clinical and radiological outcome at 10 years of follow-up after total cervical disc replacement

et al. 2017

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“…Similar results were observed when comparing patient satisfaction at 24 months. The SECURE-C group also showed non-inferiority for NDI score, VAS neck pain, VAS arm pain, and neurologic status [53].…”

Section: Secure-c Artificial Discmentioning

confidence: 99%

Cervical disc replacement surgery: indications, technique, and technical pearls

Leven

Meaike

Radcliff

et al. 2017

Curr Rev Musculoskelet Med

100

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Purpose of review Cervical disc replacement (CDR) is a surgical option for appropriately indicated patients, and high success rates have been reported in the literature. Complications and failures are often associated with patient indications or technical variables, and the goal of this review is to assist surgeons in understanding these factors. Recent findings Several investigations have been published in the last 5 years supporting the use of CDR in specific patient populations. CDR has been shown to be comparable or favorable to anterior cervical discectomy and fusion in several meta-analyses and mid-term follow-up studies. Summary CDR was developed as a technique to preserve motion following a decompression procedure while minimizing several of the complications associated with fusion and posterior cervical spine procedures. Though success with cervical fusion and posterior foraminotomy has been well documented in the literature, high rates of mid-and long-term complications have been clearly established. CDR has also been associated with several complications and challenges with regard to surgical technique, though improvements in implant design have lead to an increase in utilization. Several devices currently exist and vary in terms of material, design, and outcomes. This review paper discusses indications, surgical technique, and technical pearls and reviews the CDR devices currently available.

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“…At 2 years, both groups demonstrated improved NDI scores. Specifically, 91% of patients who underwent CDA experienced a 25% improvement in NDI scores, while 80% experienced a reduction of at least 20 mm on the VAS scale [20].…”

Section: Postoperative Activity Levelsmentioning

confidence: 99%

Cervical disc replacement surgery: biomechanical properties, postoperative motion, and postoperative activity levels

Pisano

Helgeson

2017

Curr Rev Musculoskelet Med

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Purpose of review Cervical disc arthroplasty (CDA) is an evolving technique used in the treatment of cervical disc disease. To remain up to date on studies regarding its efficacy, we sought to answer three questions: What do biomechanical studies demonstrate in regard to the kinematics of CDA? How does CDA affect cervical motion? What are the postoperative activity levels of patients after cervical disc arthroplasty? Recent findings 1) In regard to biomechanics, recent data suggests that CDA maintains motion while possibly altering facet biomechanics. 2) Radiographic data indicates a reliable maintenance of motion in the short and medium term. 3) Postoperative activity levels are assessed with clinical outcome data which demonstrate reliable improvement in pain and function.Summary The data reviewed here establishes CDA as an efficacious treatment in the relief of symptoms from CDD. It is important to note however that an evaluation of CDA would benefit from more robust data, specifically in regards to longterm clinical outcomes.

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Clinical Outcomes With Selectively Constrained SECURE-C Cervical Disc Arthroplasty

Abstract: 1.

Cited by 126 publications

References 24 publications

Clinical and radiological outcome at 10 years of follow-up after total cervical disc replacement

Clinical and radiological outcome at 10 years of follow-up after total cervical disc replacement

Cervical disc replacement surgery: indications, technique, and technical pearls

Cervical disc replacement surgery: biomechanical properties, postoperative motion, and postoperative activity levels

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