{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T22:24:20Z","timestamp":1750544660483},"reference-count":7,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Although there has been increased interest in utilizing artificial disc replacement (ADR) techniques to treat cervical degenerative disease, few reports have focused on their postoperative complication and reoperation rates.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 52-year-old male underwent the uneventful placement of a C5-C6 cervical ADR for disc disease and foraminal stenosis. One year later, he experienced the onset of severe neck pain attributed to instability of the ADR construct. This required removal of the C5-6 ADR and subsequent fusion.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Strict adherence to appropriate criteria is critical for choosing when to place a cervical ADR. This requires documenting; adequate surgical indications, careful selection of the appropriate ADR device, meticulous surgical technique, proper preservation of the supporting structures, and sufficient neural decompression.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_431_2019","type":"journal-article","created":{"date-parts":[[2019,9,21]],"date-time":"2019-09-21T03:59:16Z","timestamp":1569038356000},"page":"183","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cervical instability following artificial disc replacement"],"prefix":"10.25259","volume":"10","author":[{"given":"Ki Joon","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Nanoori Hospital Suwon, Suwon-si, Gyeonggi-do,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mun Soo","family":"Gang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nanoori Hospital Gangseo,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung-Sik","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nanoori Hospital Gangseo,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jee Soo","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nanoori Hospital Suwon, Suwon-si, Gyeonggi-do,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Il-Tae","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nanoori Hospital Gangnam, Seoul, South Korea."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,20]]},"reference":[{"key":"10.25259\/SNI_431_2019\/ref-1","doi-asserted-by":"crossref","first-page":"308","DOI":"10.3171\/2010.3.SPINE09513","article-title":"Long-term clinical and radiographic outcomes of cervical disc replacement with the prestige disc: Results from a prospective randomized controlled clinical trial","volume":"13","author":"Burkus","year":"2010","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_431_2019\/ref-2","doi-asserted-by":"crossref","first-page":"693","DOI":"10.21037\/jss.2017.08.19","article-title":"Focal hypermobility observed in cervical arthroplasty with mobi-C","volume":"3","author":"Kerferd","year":"2017","journal-title":"J Spine Surg"},{"key":"10.25259\/SNI_431_2019\/ref-3","doi-asserted-by":"crossref","first-page":"630","DOI":"10.3171\/2011.8.SPINE11273","article-title":"Analysis of in vivo kinematics of 3 different cervical devices: Bryan disc, proDisc-C, and prestige LP disc","volume":"15","author":"Kowalczyk","year":"2011","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_431_2019\/ref-4","doi-asserted-by":"crossref","first-page":"E291","DOI":"10.1097\/BSD.0b013e318288a923","article-title":"X-ray-based kinematic analysis of cervical spine according to prosthesis designs: Analysis of the mobi C, bryan, PCM, and prestige LP","volume":"28","author":"Park","year":"2015","journal-title":"J Spinal Disord Tech"},{"key":"10.25259\/SNI_431_2019\/ref-5","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.ocl.2011.08.006","article-title":"Cervical total disk replacement: Complications and avoidance","volume":"43","author":"Salari","year":"2012","journal-title":"Orthop Clin North Am"},{"key":"10.25259\/SNI_431_2019\/ref-6","doi-asserted-by":"crossref","first-page":"445","DOI":"10.4103\/0028-3886.22611","article-title":"Artificial cervical disc replacement: Principles, types and techniques","volume":"53","author":"Sekhon","year":"2005","journal-title":"Neurol India"},{"key":"10.25259\/SNI_431_2019\/ref-7","doi-asserted-by":"crossref","first-page":"1843","DOI":"10.12659\/MSM.899138","article-title":"The role of posterior longitudinal ligament in cervical disc replacement: An ovine cadaveric biomechanical analysis","volume":"22","author":"Yu","year":"2016","journal-title":"Med Sci Monit"}],"container-title":["Surgical Neurology 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