{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T11:13:48Z","timestamp":1773054828061,"version":"3.50.1"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T00:00:00Z","timestamp":1658361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Cervical disc replacement (CDR) surgery is well established for the treatment of disc degeneration from C3-C7, but there is little data regarding the safety and efficacy of CDR at the cervicothoracic junction, C7-T1. CDR is an appealing option, in terms of range of motion preservation, symptom relief, and absence of risk for nonunion. Currently, C7-T1 CDR is not approved by the Food and Drug Administration, and the existing literature is limited to two case reports that describe the results of a combined two patients. This series explores whether C7-T1 CDR is a reasonable treatment and alternative to fusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We present a case series of seven consecutive patients who underwent CDR at C7-T1 by a single surgeon from January to December of 2019. There were five females and two males with an average age of 61.3 \u00b1 6.4 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Average follow up was 18.9 \u00b1 2.5 months. The average postoperative NDI score was 22.6 % \u00b1 14.0. We also recorded qualitative data regarding patient satisfaction and revision surgery status. There was one complication of disc subsidence following three months of complete pain resolution. The six other patients reported being very satisfied with their surgical outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These seven cases dramatically increase the volume of data in the literature on clinical outcomes and patient satisfaction following CDR at the cervicothoracic junction. Additionally, the heterogeneity of cases shows the effectiveness of this treatment in many real-world cases. A greater volume of cases with longer follow up will be necessary to better establish long-term clinical success.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107454","type":"journal-article","created":{"date-parts":[[2022,7,25]],"date-time":"2022-07-25T01:38:26Z","timestamp":1658713106000},"page":"107454","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Is C7-T1 cervical disc replacement a viable technique"],"prefix":"10.1097","volume":"98","author":[{"given":"Sarah E.","family":"Leonard","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles C.","family":"Edwards","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-1-20260309","doi-asserted-by":"crossref","first-page":"22","DOI":"10.4103\/jcvjs.JCVJS_102_19","article-title":"Cervicothoracic junction disc herniation: our experience, technical remarks, and outcome","volume":"11","author":"Mostofi","year":"2020","journal-title":"J. Craniovertebral Junct. Spine"},{"key":"R2-1-20260309","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1227\/01.NEU.0000197118.86658.A6","article-title":"Unique features of herniated discs at the cervicothoracic junction: clinical presentation, imaging, operative management, and outcome after anterior decompressive operation in 10 patients","volume":"58","author":"Post","year":"2006","journal-title":"Neurosurgery"},{"key":"R3-1-20260309","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1007\/s12178-017-9398-3","article-title":"Cervical disc replacement surgery: indications, technique, and technical pearls","volume":"10","author":"Leven","year":"2017","journal-title":"Curr. Rev. Musculoskelet. Med"},{"key":"R4-1-20260309","doi-asserted-by":"crossref","first-page":"426","DOI":"10.21037\/jss.2017.06.23","article-title":"The manubriotomy is a safe option for the anterior approach to the cervico-thoracic junction","volume":"3","author":"Donnarumma","year":"2017","journal-title":"J. Spine Surg"},{"key":"R5-1-20260309","doi-asserted-by":"crossref","first-page":"53","DOI":"10.14245\/kjs.2016.13.2.53","article-title":"Clinical features of herniated disc at cervicothoracic junction level treated by anterior approach","volume":"13","author":"Lee","year":"2016","journal-title":"Kor. J. Spine"},{"key":"R6-1-20260309","doi-asserted-by":"crossref","first-page":"E219","DOI":"10.1097\/BRS.0000000000000109","article-title":"Surgical planning and neurological outcome after anterior approach to remove a disc herniation at the C7-T1 level in 19 patients","volume":"39","author":"Falavigna","year":"2014","journal-title":"Spine"},{"key":"R7-1-20260309","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1016\/j.spinee.2017.10.072","article-title":"Trends in resource utilization and rate of cervical disc arthroplasty and anterior cervical discectomy and fusion throughout the United States from 2006 to 2013","volume":"18","author":"Safili","year":"2018","journal-title":"Spine J"},{"key":"R8-1-20260309","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1177\/2192568217701095","article-title":"Cervical disc arthroplasty: a comprehensive review of single-level, multilevel, and hybrid procedures","volume":"8","author":"Laratta","year":"2018","journal-title":"Glob. Spine J"},{"key":"R9-1-20260309","doi-asserted-by":"crossref","first-page":"217","DOI":"10.21037\/jss.2019.12.09","article-title":"Cervical disc arthroplasty versus anterior cervical discectomy and fusion: a meta-analysis of rates of adjacent-level surgery to 7-year follow-up","volume":"6","author":"Badhiwala","year":"2020","journal-title":"J. Spine Surg"},{"key":"R10-1-20260309","doi-asserted-by":"crossref","first-page":"315S","DOI":"10.1016\/j.spinee.2004.07.024","article-title":"Clinical experience with the new artificial cervical PCM (Cervitech) disc","volume":"4","author":"Pimenta","year":"2004","journal-title":"Spine J"},{"key":"R12-1-20260309","first-page":"4748","article-title":"Two-year follow-up results of artificial disc replacement C7-T1","volume":"9","author":"Yang","year":"2016","journal-title":"Int. J. Clin. Exp. Med"},{"key":"R13-1-20260309","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.ijsu.2020.11.005","article-title":"The PROCESS 2020 guideline: updating consensus Preferred Reporting Of Case Series in Surgery (PROCESS) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R14-1-20260309","doi-asserted-by":"crossref","first-page":"607","DOI":"10.2106\/00004623-195840030-00009","article-title":"The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion","volume":"40-A","author":"Smith","year":"1958","journal-title":"J. Bone Joint Surg. Am"},{"key":"R15-1-20260309","doi-asserted-by":"crossref","first-page":"S50","DOI":"10.14444\/7091","article-title":"Complications and complication avoidance with cervical total disc replacement","volume":"14","author":"Parish","year":"2020","journal-title":"Int. J. Spine Surg"},{"key":"R16-1-20260309","doi-asserted-by":"crossref","first-page":"508","DOI":"10.3171\/2019.4.SPINE19157","article-title":"Two-level cervical disc arthroplasty versus anterior cervical discectomy and fusion: 10-year outcomes of a prospective, randomized investigational device exemption clinical trial","volume":"31","author":"Gornet","year":"2019","journal-title":"J. Neurosurg. Spine"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222007003?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222007003?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107454","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:10:07Z","timestamp":1773047407000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107454"}},"subtitle":["A case series"],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":15,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107454","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}