Cervical and Lumbar Disc Arthroplasty: A Review of Current Implant Design and Outcomes
While spinal disc pathology has traditionally been treated using fusion-based procedures, recent interest in motion-preserving disc arthroplasties has grown. Traditional spinal fusion is associated with loss of motion, alteration of native spine kinematics, and increased risks of adjacent segment di...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-05-01
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| Series: | Bioengineering |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2306-5354/9/5/227 |
| _version_ | 1797501521699536896 |
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| author | Ian J. Wellington Cameron Kia Ergin Coskun Barrett B. Torre Christopher L. Antonacci Michael R. Mancini John P. Connors Sean M. Esmende Heeren S. Makanji |
| author_facet | Ian J. Wellington Cameron Kia Ergin Coskun Barrett B. Torre Christopher L. Antonacci Michael R. Mancini John P. Connors Sean M. Esmende Heeren S. Makanji |
| author_sort | Ian J. Wellington |
| collection | DOAJ |
| description | While spinal disc pathology has traditionally been treated using fusion-based procedures, recent interest in motion-preserving disc arthroplasties has grown. Traditional spinal fusion is associated with loss of motion, alteration of native spine kinematics, and increased risks of adjacent segment disease. The motion conferred by disc arthroplasty is believed to combat these complications. While the first implant designs resulted in poor patient outcomes, recent advances in implant design and technology have shown promising radiographic and clinical outcomes when compared with traditional fusion. These results have led to a rapid increase in the utilization of disc arthroplasty, with rates of cervical arthroplasty nearly tripling over the course of 7 years. The purpose of this review was to discuss the evolution of implant design, the current implant designs utilized, and their associated outcomes. Although disc arthroplasty shows significant promise in addressing some of the drawbacks associated with fusion, it is not without its own risks. Osteolysis, implant migration, and the development of heterotopic ossification have all been associated with disc arthroplasty. As interest in these procedures grows, so does the interest in developing improved implant designs aimed at decreasing these adverse outcomes. Though they are still relatively new, cervical and lumbar disc arthroplasty are likely to become foundational methodologies for the treatment of disc pathology. |
| first_indexed | 2024-03-10T03:19:37Z |
| format | Article |
| id | doaj.art-95c14a7042334142a71fe5d843e6dacb |
| institution | Directory Open Access Journal |
| issn | 2306-5354 |
| language | English |
| last_indexed | 2024-03-10T03:19:37Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Bioengineering |
| spelling | doaj.art-95c14a7042334142a71fe5d843e6dacb2023-11-23T10:06:02ZengMDPI AGBioengineering2306-53542022-05-019522710.3390/bioengineering9050227Cervical and Lumbar Disc Arthroplasty: A Review of Current Implant Design and OutcomesIan J. Wellington0Cameron Kia1Ergin Coskun2Barrett B. Torre3Christopher L. Antonacci4Michael R. Mancini5John P. Connors6Sean M. Esmende7Heeren S. Makanji8Department of Orthopaedics, University of Connecticut, Farmington, CT 06032, USADepartment of Orthopaedics, University of Connecticut, Farmington, CT 06032, USADepartment of Orthopaedics, University of Connecticut, Farmington, CT 06032, USADepartment of Orthopaedics, University of Connecticut, Farmington, CT 06032, USADepartment of Orthopaedics, University of Connecticut, Farmington, CT 06032, USADepartment of Orthopaedics, University of Connecticut, Farmington, CT 06032, USADepartment of Orthopaedics, University of Connecticut, Farmington, CT 06032, USADepartment of Orthopedics, Hartford Healthcare, Hartford, CT 06106, USADepartment of Orthopedics, Hartford Healthcare, Hartford, CT 06106, USAWhile spinal disc pathology has traditionally been treated using fusion-based procedures, recent interest in motion-preserving disc arthroplasties has grown. Traditional spinal fusion is associated with loss of motion, alteration of native spine kinematics, and increased risks of adjacent segment disease. The motion conferred by disc arthroplasty is believed to combat these complications. While the first implant designs resulted in poor patient outcomes, recent advances in implant design and technology have shown promising radiographic and clinical outcomes when compared with traditional fusion. These results have led to a rapid increase in the utilization of disc arthroplasty, with rates of cervical arthroplasty nearly tripling over the course of 7 years. The purpose of this review was to discuss the evolution of implant design, the current implant designs utilized, and their associated outcomes. Although disc arthroplasty shows significant promise in addressing some of the drawbacks associated with fusion, it is not without its own risks. Osteolysis, implant migration, and the development of heterotopic ossification have all been associated with disc arthroplasty. As interest in these procedures grows, so does the interest in developing improved implant designs aimed at decreasing these adverse outcomes. Though they are still relatively new, cervical and lumbar disc arthroplasty are likely to become foundational methodologies for the treatment of disc pathology.https://www.mdpi.com/2306-5354/9/5/227arthroplastyfusionspinediscimplantbiomechanics |
| spellingShingle | Ian J. Wellington Cameron Kia Ergin Coskun Barrett B. Torre Christopher L. Antonacci Michael R. Mancini John P. Connors Sean M. Esmende Heeren S. Makanji Cervical and Lumbar Disc Arthroplasty: A Review of Current Implant Design and Outcomes Bioengineering arthroplasty fusion spine disc implant biomechanics |
| title | Cervical and Lumbar Disc Arthroplasty: A Review of Current Implant Design and Outcomes |
| title_full | Cervical and Lumbar Disc Arthroplasty: A Review of Current Implant Design and Outcomes |
| title_fullStr | Cervical and Lumbar Disc Arthroplasty: A Review of Current Implant Design and Outcomes |
| title_full_unstemmed | Cervical and Lumbar Disc Arthroplasty: A Review of Current Implant Design and Outcomes |
| title_short | Cervical and Lumbar Disc Arthroplasty: A Review of Current Implant Design and Outcomes |
| title_sort | cervical and lumbar disc arthroplasty a review of current implant design and outcomes |
| topic | arthroplasty fusion spine disc implant biomechanics |
| url | https://www.mdpi.com/2306-5354/9/5/227 |
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