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60th Annual Meeting of the German Society of Neurosurgery (DGNC)
Joint Meeting with the Benelux countries and Bulgaria

German Society of Neurosurgery (DGNC)

24 - 27 May 2009, Münster

Dynamic Cervical Implant (DCI)

Meeting Abstract

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  • G. Matgé - Service de Neurochirurgie, Centre Hospitalier de Luxembourg

Deutsche Gesellschaft für Neurochirurgie. 60. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit den Benelux-Ländern und Bulgarien. Münster, 24.-27.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. DocMO.09-01

DOI: 10.3205/09dgnc053, URN: urn:nbn:de:0183-09dgnc0539

Published: May 20, 2009

© 2009 Matgé.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

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Objective: Anterior cervical disc surgery with fusion accelerates adjacent-level degeneration (AD) by segmental loss of motion and abnormal biomechanical stress. That’s why preservation of motion and prevention of adjacent degeneration is actually a major concern in spinal implant development (disc prosthesis).

Methods: DCI developed by the author is in clinical use since 2004. Indications are similar to total disc replacement, with the simplicity of a cage implantation. Statement is preservation of motion as long as possible and avoidance of AD.

Results: In this preliminary study with DCI, segmental motion is mostly preserved. A slow fusion at 18 months is observed in the first treated patient, without AD at 5 years follow-up. Implant migration is avoided by a strict operative technique in the evolution of this study

Conclusions: Cervical spine arthrodesis is involved in AD. Delaying fusion as long as possible with arthroplasty seems wise. Slow fusion may also reduce AD. DCI is an interesting alternative.