In which cases do surgeons specializing in total disc replacement perform fusion in patients with cervical spine symptoms?

ConclusionThe most common reason for ACDF versus TDR was anatomy that may compromise segmental stability and/or TDR functionality. Older age and greater number of operated levels may be related to anatomical factors, primarily significant osteophytes and severely degenerated facets. These factors, as well as deformity/kyphosis, are more common in older patients and require multi-level treatment. This study found that many patients are good cervical TDR candidates; however, even among TDR specialists, ACDF may be preferred where it is prudent to not take undue risks.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material
Source: European Spine Journal - Category: Orthopaedics Source Type: research