2018 AANS Annual Scientific Meeting-Outpatient Unilateral Cervical Radiculopathy: Cervical Artificial Disc is the Procedure of Choice

Outpatient Unilateral Cervical Radiculopathy: Cervical Artificial Disc is the Procedure of Choice

Video Transcription

Video Summary

In this video, the presenter discusses the use of outpatient surgery for cervical disc arthroplasty. They evaluate four areas: indications, safety, outcomes, and economics. The presenter explains that there are limited indications for cervical disc arthroplasty, and patients with central and bilateral pathology may not be suitable candidates. They compare it to posterior cervical foraminotomy, noting its effectiveness for unilateral cervical radiculopathy and far lateral spondylotic disease. Safety-wise, a study on outpatient ACDF surgeries showed excellent results with low readmission rates. Evidence from class 1B studies supports the efficacy of cervical disc arthroplasty, while the outcomes of foraminotomy remain unclear. In terms of economics, posterior cervical foraminotomy is more cost-effective. Overall, the presenter concludes that cervical disc arthroplasty is the preferred option based on indications, safety, efficacy, and cost-effectiveness.

Asset Caption

Mark Edwin Shaffrey, MD, FAANS

Keywords

outpatient surgery

cervical disc arthroplasty

indications

safety

economics