Total disc arthroplasty does not affect the incidence of adjacent segment degeneration in cervical spine: results of 93 patients in three prospective randomized clinical trials

• Published in: The spine journal Vol. 10; no. 12; pp. 1043 - 1048
• Main Authors: Jawahar, Ajay, Cavanaugh, David A., Kerr, Eubulus J., Birdsong, Elisa M., Nunley, Pierce D.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2010
• Subjects: ACDF; Adjacent segment degeneration; Analysis of Variance; Arthroplasty, Replacement - methods; Cervical spine; Cervical Vertebrae - pathology; Cervical Vertebrae - surgery; DDD; Disc arthroplasty; Diskectomy - methods; Female; Follow-Up Studies; Health Surveys; Humans; Intervertebral Disc - pathology; Intervertebral Disc - surgery; Intervertebral Disc Degeneration - etiology; Intervertebral Disc Degeneration - pathology; Intervertebral Disc Degeneration - surgery; Kaplan-Meier Estimate; Male; Middle Aged; Orthopedics; Pain Measurement; Patient Satisfaction; Prospective Studies; Quality of Life; Treatment Outcome; ACDF; DDD; Disc arthroplasty; Adjacent segment degeneration; Cervical spine

Advancements in the philosophy of “motion preservation” have led to the use of total disc arthroplasty (TDA) as an alternative to fusion for degenerative disc disease (DDD) in the cervical spine. A commonly proposed theory is that TDA could reduce the incidence of adjacent segment disease. All the p...