Staudt Michael D, Das Kaushik, Duggal Neil
Department of Clinical Neurological Sciences, Division of Neurosurgery, Western University, London, Ontario, Canada.
Department of Neurosurgery, New York Medical College, Valhalla, NY, USA.
Neurosurg Rev. 2018 Apr;41(2):399-407. doi: 10.1007/s10143-016-0765-0. Epub 2016 Jul 27.
The present article reviews the design rationale of currently available cervical disc replacements. Recent prospective randomized control trials comparing cervical disc replacement and anterior fusion have demonstrated safety as well as equal or superior clinical results. Increasingly, more devices are becoming available on the market. Understanding design rationale will provide context for the surgeon to optimize decision making for the most appropriate prosthesis. Cervical arthroplasty is a technique that is undergoing rapid design refinement and development. Further improvements in device design will enable patient-specific device selection. Understanding the design rationale and complication profile of each device will improve clinical and radiographic outcomes.
本文回顾了当前可用的颈椎间盘置换术的设计原理。最近比较颈椎间盘置换术和前路融合术的前瞻性随机对照试验已证明了其安全性以及同等或更优的临床效果。市场上越来越多的设备可供使用。了解设计原理将为外科医生提供背景信息，以便为最合适的假体做出优化决策。颈椎关节置换术是一种正在经历快速设计改进和发展的技术。设备设计的进一步改进将实现针对患者的设备选择。了解每种设备的设计原理和并发症情况将改善临床和影像学结果。
