Cervical Disc Replacement
A 42-year-old software engineer presents with C6 radiculopathy from a C5-6 disc herniation. He has failed 12 weeks of conservative treatment with persistent arm pain and weakness. MRI shows a paracentral disc herniation with no significant facet arthropathy or instability. He is concerned about long-term outcomes and adjacent segment disease. Regarding cervical disc arthroplasty:
Mark each as TRUE or FALSE
Cervical disc arthroplasty (CDA) is a motion-preserving alternative to anterior cervical discectomy ...
Contraindications include significant facet arthropathy, ossification of the posterior longitudinal ...
Cervical disc replacement eliminates adjacent segment disease; all patients benefit equally regardle...
Clinical outcomes at 7-10 years show CDA is non-inferior to ACDF for neurological outcomes; some stu...
Surgical technique requires meticulous midline placement (verified by fluoroscopy), appropriate endp...
Answer the questions to see explanations
Click T (True) or F (False) for each option