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J Craniovertebr Junction Spine. 2018 Oct-Dec;9(4):223-226. doi: 10.4103/jcvjs.JCVJS_95_18.

Preliminary results of anterior cervical arthroplasty by porous alumina ceramic cage for cervical disc herniation surgery.

Author information

Department of Neurosurgery, Center Clinical, Chirurgie de Rachis, Soyaux, France.
Department of Neursurgery, Neurosurgical Clinic of Dr. Gharaei, Tehran, Iran.
Department of Neurosurgery, Werner Forssmann Hospital, Academic Hospital of Charité-Universitätsmedizin Berlin, Rudolf-Breitscheid, Eberswalde, Germany.
Department of Orthopedics, Rottal-Inn-Kliniken GmbH, Eggenfelden, Bayern, Germany.



Anterior cervical arthroplasty (ACA) is the gold standard surgery in severe or unresponsive cases of cervical disc herniation, uncarthrosis, and foraminal stenosis. The aim of this study is to establish the impact and outcome evaluations of managing the patients operated for cervical arthroplasty by the intersomatic porous alumina ceramic cervical cages (PACC). The authors describe their experience in the area to allow the comparison of effectiveness of ceramic cages versus other interbody fusion cages.

Materials and Methods:

Between April 2015 and September 2018, we operated 118 for ACA by using PACC. Among them, 52 were female and 66 were male, with an average age of 46.78 years.


The mean symptoms duration was 14.1 months. The most frequent level of the disorder was C5-C6 followed by C6-C7 level. Mean follow-up was 3.3 years. The Neck Disability Index (NDI) and the visual analog scale (VAS) were used to evaluate the patients status. No significant differences were observed between our results and literature data regarding operative time, duration of hospitalization, and NDI; however, we observed a shorter period and higher rate of bony fusion.


The results from the present study corroborate that implementing of PACC is a good alternative treatment for the patient operated by ACA for cervical disc herniation or foraminal cervical stenosis.


Cervical arthroplasty; cervical spinal cord; cervical spondylosis; cervical vertebrae; degenerative spine disease; herniated cervical disc; uncarthrosis

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