Surgical experience with an implanted artificial cervical joint

View More View Less
  • 1 Department of Neurosurgery, Frenchay Hospital, Bristol, United Kingdom; and Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00
Print or Print + Online

Object. To assess the effectiveness of Cummins' artificial cervical joint, the authors reviewed the cases of 20 patients in whom the joint had been placed.

Methods. A review of patients' medical records and reexamination of 18 patients were performed. The review of the surgical experience with the implantation of movable stainless-steel joints in 20 patients treated for cervical myelopathy (16 patients), cervical radiculopathy (three patients), and severe pain (one patient) indicated that the procedure is safe and well tolerated and does preserve cervical joint motion in most patients over an extended period of observation. To date, adjacent segmental symptomatic degenerative changes leading to further surgical treatment have been avoided. The joint has been placed in patients with advanced congenital and acquired cervical fusion and has been demonstrated to be stable, mobile, and biomechanically and biochemically compatible; it has shown no subsidence into adjacent bone. Wear debris has not occurred.

Conclusions. The use of stainless steel in the cervical spine appears to be suitable for this joint replacement design.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00

Contributor Notes

Address reprint requests to: James T. Robertson, M.D., Department of Neurosurgery, University of Tennessee, 847 Monroe Avenue, Suite 427, Memphis, Tennessee 38163.
  • 1.

    Alemo-Hammad S: Use of acrylic in anterior cervical discectomy: technical note. Neurosurgery 17:9496, 1985 Alemo-Hammad S: Use of acrylic in anterior cervical discectomy: technical note. Neurosurgery 17:94–96, 1985

    • Search Google Scholar
    • Export Citation
  • 2.

    Büttner-Janz K, , Schellnack K, & Zippel H: Biomechanics of the SB Charité lumbar intervertebral disc endoprosthesis. Int Orthop 13:173176, 1989 Büttner-Janz K, Schellnack K, Zippel H: Biomechanics of the SB Charité lumbar intervertebral disc endoprosthesis. Int Orthop 13:173–176, 1989

    • Search Google Scholar
    • Export Citation
  • 3.

    Cloward RB: The anterior approach for removal of ruptured cervical disks. J Neurosurg 15:602617, 1958 Cloward RB: The anterior approach for removal of ruptured cervical disks. J Neurosurg 15:602–617, 1958

    • Search Google Scholar
    • Export Citation
  • 4.

    Edeland HG: Some additional suggestions for an intervertebral disc prosthesis. J Biomed Mat Res 23:189, 1989 Edeland HG: Some additional suggestions for an intervertebral disc prosthesis. J Biomed Mat Res 23:189, 1989

    • Search Google Scholar
    • Export Citation
  • 5.

    Edeland HG: Suggestions for a total elasto-dynamic intervertebral disc prosthesis. Biomat Med Dev Artif Org 9:6572, 1981 Edeland HG: Suggestions for a total elasto-dynamic intervertebral disc prosthesis. Biomat Med Dev Artif Org 9:65–72, 1981

    • Search Google Scholar
    • Export Citation
  • 6.

    Fernstrom U: Arthroplasty with intercorporal endoprosthesis in herniated disc and in painful disc. Acta Chir Scand Suppl 355:154159, 1966 Fernstrom U: Arthroplasty with intercorporal endoprosthesis in herniated disc and in painful disc. Acta Chir Scand Suppl 355:154–159, 1966

    • Search Google Scholar
    • Export Citation
  • 7.

    Froning EC, inventor: Intervertebral disc prosthesis and instruments for locating the same. US patent 3, 875, 695. 1975, Apr 8 Froning EC, inventor: Intervertebral disc prosthesis and instruments for locating the same. US patent 3, 875, 695. 1975, Apr 8

    • Search Google Scholar
    • Export Citation
  • 8.

    Kostuik JP, , Hedman T, & Hellier W, et al: Design of an intervertebral disc prosthesis. Spine 16 (Suppl):S256S260, 1991 Kostuik JP, Hedman T, Hellier W, et al: Design of an intervertebral disc prosthesis. Spine 16 (Suppl):S256–S260, 1991

    • Search Google Scholar
    • Export Citation
  • 9.

    Patil AA, inventor: Artificial intervertebral disc. US patent 4, 309, 777. 1982, Apr 8 Patil AA, inventor: Artificial intervertebral disc. US patent 4, 309, 777. 1982, Apr 8

    • Search Google Scholar
    • Export Citation
  • 10.

    Ray CD: The artificial disc. Introduction, history and socioeconomics, in Weinstein JN (ed): Clinical Efficacy and Outcome in the Diagnosis and Treatment of Low Back Pain. New York: Raven Press, 1992, pp 205225 Ray CD: The artificial disc. Introduction, history and socioeconomics, in Weinstein JN (ed): Clinical Efficacy and Outcome in the Diagnosis and Treatment of Low Back Pain. New York: Raven Press, 1992, pp 205–225

    • Search Google Scholar
    • Export Citation
  • 11.

    Ray CD, & Corbin T, inventors: Prosthetic disc and method of implanting. US patent 4, 772, 287. 1988, Sept 20 Ray CD, Corbin T, inventors: Prosthetic disc and method of implanting. US patent 4, 772, 287. 1988, Sept 20

    • Search Google Scholar
    • Export Citation
  • 12.

    Reitz H, & Joubert MJ: Intractable headache and cervico-brachialgia treated by complete replacement of cervical intervertebral discs with a metal prosthesis. S Afr Med J 38:881884, 1964 Reitz H, Joubert MJ: Intractable headache and cervico-brachialgia treated by complete replacement of cervical intervertebral discs with a metal prosthesis. S Afr Med J 38:881–884, 1964

    • Search Google Scholar
    • Export Citation
  • 13.

    Steffee AD: The development and use of an artificial disk: case presentation. Camp Back Issues 2:1,4, 1989 Steffee AD: The development and use of an artificial disk: case presentation. Camp Back Issues 2:1,4, 1989

    • Search Google Scholar
    • Export Citation
  • 14.

    Urbaniak JR, , Bright DB, & Hopkins JE: Replacement of intervertebral disc in chimpanzees by silicone-Dacron implants: a preliminary report. J Biomed Mat Res Sympos 4:165186, 1973 Urbaniak JR, Bright DB, Hopkins JE: Replacement of intervertebral disc in chimpanzees by silicone-Dacron implants: a preliminary report. J Biomed Mat Res Sympos 4:165–186, 1973

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 426 204 28
Full Text Views 182 24 0
PDF Downloads 84 13 0
EPUB Downloads 0 0 0