Durbhakula Mahidhar M, Ghiselli Gary
Department of Orthopaedic Surgery, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
Orthop Clin North Am. 2005 Jul;36(3):349-54. doi: 10.1016/j.ocl.2005.02.011.
Cervical total disc replacement (TDR) is an attractive alternate to arthrodesis for management of disc degeneration and herniation in the cervical spine. Theoretic advantages of TDR include preservation of normal motion and biomechanics in the cervical spine and reduction of adjacent-segment degeneration. Other potential advantages include faster return to normal activity and elimination of the need for bone graft and associated donor site morbidity. This article introduces the rationale and various implant types available for cervical TDR. Part 2 of this series reviews the results and complications of specific implant designs.
颈椎全椎间盘置换术（TDR）是治疗颈椎间盘退变和突出的一种有吸引力的替代融合术的方法。TDR的理论优势包括保留颈椎的正常活动和生物力学，以及减少相邻节段退变。其他潜在优势包括更快恢复正常活动，以及无需植骨和相关供区并发症。本文介绍了颈椎TDR的基本原理和可用的各种植入物类型。本系列的第2部分回顾了特定植入物设计的结果和并发症。
