PT  - JOURNAL ARTICLE
AU  - Derman, Peter B.
AU  - Zigler, Jack E.
TI  - Cervical Disc Arthroplasty: Rationale and History
AID  - 10.14444/7086
DP  - 2020 Aug 01
TA  - International Journal of Spine Surgery
PG  - S5--S13
VI  - 14
IP  - s2
4099  - https://www.ijssurgery.com/content/14/s2/S5.short
4100  - https://www.ijssurgery.com/content/14/s2/S5.full
SO  - Int J Spine Surg2020 Aug 01; 14
AB  - Biomechanical studies have demonstrated that cervical fusion results in increased motion and intradiscal pressures at adjacent levels. Cervical disc arthroplasty (CDA) is an alternative treatment for cervical radiculopathy and myelopathy resulting from degenerative disc disease. By maintaining segmental motion, surgeons hope to avoid some of the primary drawbacks of anterior cervical discectomy and fusion (ACDF), such as pseudoarthrosis and adjacent segment disease. First introduced in the 1960s, CDA has evolved over the years with changes to implant geometry and materials. Early devices produced suboptimal outcomes, but more recent generations of implants have shown long-term outcomes rivaling or even surpassing those of ACDF. In this article, the rationale for CDA as well as the history of such devices is reviewed.