The Kinematics and Biomechanics for Non-Contiguous Anterior Cervical Discectomy and Fusion, Cervical Disc Arthroplasty, and Hybrid Cervical Surgery: A Systematic Review

Cervical disc degenerative disease (CDDD) is a common spinal pathology that is often treated with anterior cervical discectomy and fusion (ACDF), cervical disc arthroplasty (CDA), and/or hybrid cervical surgery (HCS). The purpose of this first-time systematic review is to examine the biomechanical o...

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Main Authors: Albert T. Anastasio, Anthony N. Baumann, Andrew Fiorentino, Katelyn Sidloski, Kempland C. Walley, Aditya Muralidharan, Keegan T. Conry, Jacob C. Hoffmann
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Biomechanics
Subjects:
Online Access:https://www.mdpi.com/2673-7078/3/4/36
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author Albert T. Anastasio
Anthony N. Baumann
Andrew Fiorentino
Katelyn Sidloski
Kempland C. Walley
Aditya Muralidharan
Keegan T. Conry
Jacob C. Hoffmann
author_facet Albert T. Anastasio
Anthony N. Baumann
Andrew Fiorentino
Katelyn Sidloski
Kempland C. Walley
Aditya Muralidharan
Keegan T. Conry
Jacob C. Hoffmann
author_sort Albert T. Anastasio
collection DOAJ
description Cervical disc degenerative disease (CDDD) is a common spinal pathology that is often treated with anterior cervical discectomy and fusion (ACDF), cervical disc arthroplasty (CDA), and/or hybrid cervical surgery (HCS). The purpose of this first-time systematic review is to examine the biomechanical outcomes associated with three types of non-contiguous cervical surgeries—ACDF, CDA, and HCS—to provide a greater understanding of non-contiguous cervical surgical biomechanics. A systematic review was performed using PubMed, Cumulated Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, and Web of Science from database inception until June 6th, 2023. The inclusion criteria was any article that reported biomechanical or kinematic outcomes, outcomes for any of the three non-contiguous cervical surgeries, and human-derived and/or human cadaver subjects. A total of 5 biomechanical articles were included from a total of 523 articles. Non-contiguous two-level HCS experienced less drastic range-of-motion (ROM) changes throughout the cervical spine and decreased intervertebral disc pressure (IDP) compared to non-contiguous two-level ACDF. Non-contiguous two-level CDA resulted in more cervical ROM and less non-operative segment facet contact force compared to non-contiguous two level ACDF. There was less cephalad and caudal non-operative segment ROM in non-contiguous two-level ACDF compared to contiguous three-level ACDF.
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spelling doaj.art-aa70ac1265484e4ca07aa99585edc3ee2023-12-22T13:54:36ZengMDPI AGBiomechanics2673-70782023-10-013444345610.3390/biomechanics3040036The Kinematics and Biomechanics for Non-Contiguous Anterior Cervical Discectomy and Fusion, Cervical Disc Arthroplasty, and Hybrid Cervical Surgery: A Systematic ReviewAlbert T. Anastasio0Anthony N. Baumann1Andrew Fiorentino2Katelyn Sidloski3Kempland C. Walley4Aditya Muralidharan5Keegan T. Conry6Jacob C. Hoffmann7Department of Orthopedics, Duke University, Durham, NC 27710, USACollege of Medicine, Northeast Ohio Medical University, Rootstown, OH 44272, USACollege of Medicine, Northeast Ohio Medical University, Rootstown, OH 44272, USACollege of Medicine, Northeast Ohio Medical University, Rootstown, OH 44272, USADepartment of Orthopedics, University of Michigan/Michigan Medicine, Ann Arbor, MI 48109, USADepartment of Orthopedics, University of Michigan/Michigan Medicine, Ann Arbor, MI 48109, USADepartment of Orthopedics, Cleveland Clinic Akron General, Akron, OH 44307, USADepartment of Orthopedics, Cleveland Clinic Akron General, Akron, OH 44307, USACervical disc degenerative disease (CDDD) is a common spinal pathology that is often treated with anterior cervical discectomy and fusion (ACDF), cervical disc arthroplasty (CDA), and/or hybrid cervical surgery (HCS). The purpose of this first-time systematic review is to examine the biomechanical outcomes associated with three types of non-contiguous cervical surgeries—ACDF, CDA, and HCS—to provide a greater understanding of non-contiguous cervical surgical biomechanics. A systematic review was performed using PubMed, Cumulated Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, and Web of Science from database inception until June 6th, 2023. The inclusion criteria was any article that reported biomechanical or kinematic outcomes, outcomes for any of the three non-contiguous cervical surgeries, and human-derived and/or human cadaver subjects. A total of 5 biomechanical articles were included from a total of 523 articles. Non-contiguous two-level HCS experienced less drastic range-of-motion (ROM) changes throughout the cervical spine and decreased intervertebral disc pressure (IDP) compared to non-contiguous two-level ACDF. Non-contiguous two-level CDA resulted in more cervical ROM and less non-operative segment facet contact force compared to non-contiguous two level ACDF. There was less cephalad and caudal non-operative segment ROM in non-contiguous two-level ACDF compared to contiguous three-level ACDF.https://www.mdpi.com/2673-7078/3/4/36non-contiguousanterior cervical discectomy and fusionhybrid surgerycervical disc arthroplastybiomechanicsskip-level
spellingShingle Albert T. Anastasio
Anthony N. Baumann
Andrew Fiorentino
Katelyn Sidloski
Kempland C. Walley
Aditya Muralidharan
Keegan T. Conry
Jacob C. Hoffmann
The Kinematics and Biomechanics for Non-Contiguous Anterior Cervical Discectomy and Fusion, Cervical Disc Arthroplasty, and Hybrid Cervical Surgery: A Systematic Review
Biomechanics
non-contiguous
anterior cervical discectomy and fusion
hybrid surgery
cervical disc arthroplasty
biomechanics
skip-level
title The Kinematics and Biomechanics for Non-Contiguous Anterior Cervical Discectomy and Fusion, Cervical Disc Arthroplasty, and Hybrid Cervical Surgery: A Systematic Review
title_full The Kinematics and Biomechanics for Non-Contiguous Anterior Cervical Discectomy and Fusion, Cervical Disc Arthroplasty, and Hybrid Cervical Surgery: A Systematic Review
title_fullStr The Kinematics and Biomechanics for Non-Contiguous Anterior Cervical Discectomy and Fusion, Cervical Disc Arthroplasty, and Hybrid Cervical Surgery: A Systematic Review
title_full_unstemmed The Kinematics and Biomechanics for Non-Contiguous Anterior Cervical Discectomy and Fusion, Cervical Disc Arthroplasty, and Hybrid Cervical Surgery: A Systematic Review
title_short The Kinematics and Biomechanics for Non-Contiguous Anterior Cervical Discectomy and Fusion, Cervical Disc Arthroplasty, and Hybrid Cervical Surgery: A Systematic Review
title_sort kinematics and biomechanics for non contiguous anterior cervical discectomy and fusion cervical disc arthroplasty and hybrid cervical surgery a systematic review
topic non-contiguous
anterior cervical discectomy and fusion
hybrid surgery
cervical disc arthroplasty
biomechanics
skip-level
url https://www.mdpi.com/2673-7078/3/4/36
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