The Journal of Bone and Joint Surgery (American). 2006;88:1897-1907.
doi:10.2106/JBJS.F.00346
© 2006 The Journal of Bone and Joint Surgery, Inc.
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What's New in Spine Surgery

Keith H. Bridwell, MD1, Paul A. Anderson, MD2, Scott D. Boden, MD3, Alexander R. Vaccaro, MD4 and Jeffrey C. Wang, MD5

1 Department of Orthopaedic Surgery, Washington University School of Medicine, One Barnes-Jewish Hospital Plaza, Suite 11300 West Pavilion, Campus Box 8233, St. Louis, MO 63110. E-mail address: bridwellk@wudosis.wustl.edu
2 Department of Orthopaedics and Rehabilitation, University of Wisconsin Hospital, 600 Highland Avenue, Suite K4-738 CSC, Madison, WI 53792-0001. E-mail address: anderson@orthorehab.wisc.edu
3 The Emory Spine Center, Emory University School of Medicine, 2165 North Decatur Road, Decatur, GA 30033. E-mail address: Scott_boden@emoryhealthcare.org
4 Rothman Institute at Jefferson, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107-4216. E-mail address: alexvaccaro3@aol.com
5 University of California Los Angeles Department of Orthopaedic Surgery and Neurosurgery, University of California Los Angeles School of Medicine, 1250 16th Street, 7th Floor Tower, Room 715, Santa Monica, CA 90404. E-mail address: jwang@mednet.ucla.edu

Specialty Update has been developed in collaboration with the Council of Musculoskeletal Specialty Societies (COMSS) of the American Academy of Orthopaedic Surgeons.

The first 150 words of the full text of this article appear below.


   What's New in the Treatment of the Cervical Spine
 
As is the case with other areas of the spine, advances in the treatment of the cervical spine have been made in the development of new technology such as disc arthroplasty, in the achievement of a better understanding of surgical morbidity, and in attempts to document outcomes of neurologic recovery. These issues were the focus of annual meetings of both the Cervical Spine Research Society and its European counterpart in 2005.

Disc Arthroplasty
Additional evidence establishing the efficacy of cervical arthroplasty has been reported. The short-term results associated with three different cervical disc prostheses have demonstrated equivalency or slight improvement in comparison with the results of fusion in randomized, controlled trials. The indications for arthroplasty in the ongoing United States Food and Drug Administration Investigational Device Exemption investigations are single-level treatment for radiculopathy or myelopathy in patients with a stable spine. Motion ranging from 7° to 12° has been maintained after arthroplasty. . . . [Full Text of this Article]


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