Motion preservation surgery in the spine

Neuroimaging Clin N Am. 2014 May;24(2):287-94. doi: 10.1016/j.nic.2014.01.008.

Abstract

The primary goal of motion preservation surgery in the spine is to maintain normal or near normal motion in an attempt to prevent adverse outcomes commonly seen with conventional spinal fusion, most notably the development of adjacent-level degenerative disc disease. Several different surgical approaches have been developed to preserve motion in the lumbar spine, including total disc replacement, partial disc (nucleus) replacement, interspinous spacers, dynamic stabilization devices, and total facet replacement devices. The design of devices varies greatly. The devices are created using a similar rationale but are unique in design relative to their lumbar counterparts.

Keywords: Motion preservation; Spine; Total disc replacement.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Cervical Vertebrae / physiopathology
  • Cervical Vertebrae / surgery
  • Female
  • Humans
  • Intervertebral Disc / diagnostic imaging
  • Intervertebral Disc / physiopathology
  • Intervertebral Disc / surgery*
  • Intervertebral Disc Degeneration / diagnostic imaging
  • Intervertebral Disc Degeneration / physiopathology
  • Intervertebral Disc Degeneration / prevention & control*
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / physiopathology
  • Lumbar Vertebrae / surgery*
  • Male
  • Movement / physiology*
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / prevention & control*
  • Prosthesis Design
  • Radiography
  • Range of Motion, Articular / physiology*
  • Spinal Fusion / methods*
  • Total Disc Replacement / adverse effects
  • Total Disc Replacement / methods*