Complications of Bryan cervical disc replacement.
The primary goals of cervical disc replacement are to avoid fusion in the affected segment, maintain the mobility and function of the involved cervical segments, allow patients to quickly return to routine activities and reduce or eliminate adjacent-segment disease. A large number of patients have already undergone, and more and more patients will in the future undergo, cervical disc replacement. The cervical device which best preserves movement, and has therefore been the device of choice, has been the Bryan cervical disc. Although a safe surgical technique has been demonstrated and favorable results of using the Bryan disc reported, some complications have also accompanied this arthroplasty. Complications of Bryan cervical disc replacement include those related to the operative approach and decompression process, loosening and failure of the device, postoperative kyphosis, heterotopic ossification, and loss of movement due to spontaneous fusion. In order to avoid these complications, strict patient selection criteria and a meticulous knowledge of anatomy are necessary.
Department of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Jun-ming
JM
Cao
Ying-ze
YZ
Zhang
Yong
Y
Shen
Wen-yuan
WY
Ding
D002574:Cervical Vertebrae / Q000601:surgery*; D019299:Decompression, Surgical / Q000009:adverse effects; D006801:Humans; D007595:Joint Prosthesis; D007738:Kyphosis / Q000209:etiology; D009999:Ossification, Heterotopic / Q000209:etiology; D011475:Prosthesis Failure; D059145:Total Disc Replacement / Q000009:adverse effects* / Q000379:methods