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논문 기본 정보

자료유형
학술저널
저자정보
Branko Skovrlj (Icahn School of Medicine at Mount Sinai) 이동호 (울산대학교) John Michael Caridi (Icahn School of Medicine at Mount Sinai) Samuel Kang-Wook Cho (Icahn School of Medicine at Mount Sinai)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.9 No.3
발행연도
2015.1
수록면
471 - 482 (12page)

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Cervical disc replacement (CDR) has emerged as an alternative surgical option to cervical arthrodesis. With increasing numbers of patients and longer follow-ups, complications related to the device and/or aging spine are growing, leaving us with a new challenge in the management and surgical revision of CDR. The purpose of this study is to review the current literature regarding reoperations following CDR and to discuss about the approaches and solutions for the current and future potential complications associated with CDR. The published rates of reoperation (mean, 1.0%; range, 0%–3.1%), revision (mean, 0.2%; range, 0%–0.5%), and removal (mean, 1.2%; range, 0%–1.9%) following CDR are low and comparable to the published rates of reoperation (mean, 1.7%; range; 0%–3.4%), revision (mean, 1.5%; range, 0%–4.7%), and removal (mean, 2.0%; range, 0%–3.4%) following cervical arthrodesis. The surgical interventions following CDR range from the repositioning to explantation followed by fusion or the reimplantation to posterior foraminotomy or fusion. Strict patient selection, careful preoperative radiographic review and surgical planning, as well as surgical technique may reduce adverse events and the need for future intervention. Minimal literature and no guidelines exist for the approaches and techniques in revision and for the removal of implants following CDR. Adherence to strict indications and precise surgical technique may reduce the number of reoperations, revisions, and removals following CDR. Long-term follow-up studies are needed, assessing the implant survivorship and its effect on the revision and removal rates.

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