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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.

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Presentation on theme: "Cervical Disc Arthroplasty Compared with Arthrodesis for the Treatment of Myelopathy by Jacob M. Buchowski, Paul A. Anderson, Lali Sekhon, and K. Daniel."— Presentation transcript:

1 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.

2 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.

3 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.

4 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.

5 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.

6 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.

7 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.

8 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.

9 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.

10 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.

11 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.

12 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.

13 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.

14 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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