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artificial cervical disc arthroplasty.pdf
SPINE Volume 36, Number 25, pp E1623–E1633
©2011, Lippincott Williams Wilkins
CERVICAL SPINE
Artifi cial Cervical Disc Arthroplasty
A Systematic Review
Monica Cepoiu-Martin, MD, MSc,* Peter Faris, PhD,† Diane Lorenzetti, MSc,* Eliza Prefontaine, BSc,*
Tom Noseworthy, MD, MPh,* and Lloyd Sutherland, MD, MSc*
Key words: cervical spine, artifi cial disc, arthroplasty.
Study Design. Systematic Review.
Spine 2011;36:E1623–E1633
Objective. (1) To qualitatively analyze the literature on the effi cacy
and effectiveness of artifi cial cervical disc arthroplasty (ACDA).
nterior cervical discectomy and fusion (ACDF) is
(2) To highlight methodological and reporting issues of randomized
the current and considered the defi nitive surgical
controlled trials (RCT) reports on effectiveness of ACDA compared Atreatment for symptomatic, single-level, cervical de-
to cervical fusion.
generative disc disease (DDD).1,2 Symptoms of cervical DDD
Summary of Background Data. ACDA is an alternate surgical
include neck and arm pain associated with radiculopathy or
procedure that may replace cervical fusion in selec
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