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Cervical Disc Arthroplasty Compared with Arthrodesis for the Treatment of Myelopathy by Jacob M. Buchowski, Paul A. Anderson, Lali Sekhon, and K. Daniel Riew JBJS Essent Surg Tech Volume os-91(Supplement 2):223-232 October 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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Photograph demonstrating the proper positioning for a patient undergoing cervical disc arthroplasty. Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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A: If the neck of the patient has been placed in a hyperextended position, the posterior aspect of the disc space is narrowed in comparison with the anterior aspect. Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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If the prosthesis is in kyphosis, then it may limit how much flexion can occur across the motion segment. Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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Fig. 4 Intraoperative photograph demonstrating the use of a Leksell rongeur to resect all anterior osteophytes so that the anterior margin of the disc space is flush with the rest of the vertebral body. Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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Photograph demonstrating the lateral extent of the exposure needed to obtain a thorough decompression. Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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Intraoperative photograph demonstrating the insertion of a cervical disc arthroplasty device. Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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Postoperative anteroposterior (Fig. 9-A) and lateral (Fig. 9-B) plain radiographs of a forty-three- year-old man with C6-C7 spondylosis who underwent total disc arthroplasty. Jacob M. Buchowski et al. J Bone Joint Surg Am 2009;os- 91:223-232 ©2009 by The Journal of Bone and Joint Surgery, Inc.
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