European Spine Journal

, Volume 18, Issue 10, pp 1520–1527 | Cite as

Local and global subaxial cervical spine biomechanics after single-level fusion or cervical arthroplasty

  • Michael A. Finn
  • Darrel S. Brodke
  • Michael Daubs
  • Alpesh Patel
  • Kent N. Bachus
Original Article

Abstract

An experimental in vitro biomechanical study was conducted on human cadaveric spines to evaluate the motion segment (C4–C5) and global subaxial cervical spine motion after placement of a cervical arthroplasty device (Altia TDI™,Amedica, Salt Lake City, UT) as compared to both the intact spine and a single-level fusion. Six specimens (C2–C7) were tested in flexion/extension, lateral bending, and axial rotation under a ± 1.5 Nm moment with a 100 N axial follower load. Following the intact spine was tested; the cervical arthroplasty device was implanted at C4–C5 and tested. Then, a fusion using lateral mass fixation and an anterior plate was simulated and tested. Stiffness and range of motion (ROM) data were calculated. The ROM of the C4–C5 motion segment with the arthroplasty device was similar to that of the intact spine in flexion/extension and slightly less in lateral bending and rotation, while the fusion construct allowed significantly less motion in all directions. The fusion construct caused broader effects of increasing motion in the remaining segments of the subaxial cervical spine, whereas the TDI did not alter the adjacent and remote motion segments. The fusion construct was also far stiffer in all motion planes than the intact motion segment and the TDI, while the artificial disc treated level was slightly stiffer than the intact segment. The Altia TDI allows for a magnitude of motion similar to that of the intact spine at the treated and adjacent levels in the in vitro setting.

Keywords

Cervical arthroplasty Biomechanics Subaxial spine Fusion 

Notes

Acknowledgments

We thank Kristin Kraus, M.Sc., for her editorial assistance in preparing this paper. The experiments described in this paper comply with the current laws of the United States.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Michael A. Finn
    • 1
  • Darrel S. Brodke
    • 2
  • Michael Daubs
    • 2
  • Alpesh Patel
    • 2
  • Kent N. Bachus
    • 3
  1. 1.Department of NeurosurgeryUniversity of Utah School of MedicineSalt Lake CityUSA
  2. 2.Department of Orthopedic SurgeryUniversity Orthopaedic Center, University of UtahSalt Lake CityUSA
  3. 3.Orthopaedic Bioengineering LaboratoryUniversity of Utah School of MedicineSalt Lake CityUSA

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