{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T09:00:51Z","timestamp":1780736451389,"version":"3.54.1"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2010,5]]},"abstract":"<jats:sec>\n                    <jats:title>Object<\/jats:title>\n                    <jats:p>In this study, the authors review the technique for inserting the Prestige ST in a contiguous multilevel cervical disc arthroplasty in patients with radiculopathy and myelopathy. They describe the preoperative planning, surgical technique, and their experience with 10 patients receiving a contiguous Prestige ST implant. They present contiguous multilevel cervical arthroplasty as an alternative to multilevel arthrodesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>After institutional board review approval was obtained, the authors performed a retrospective review of all contiguous multilevel cervical disc arthroplasties with the Prestige ST artificial disc between August 2007 and November 2009 at a single institution by a single surgeon. Clinical criteria included patients who had undergone a multilevel cervical disc arthroplasty performed for radiculopathy and myelopathy without the presence of a previous cervical fusion. Between August 2007 and November 2009, 119 patients underwent cervical arthroplasty. Of the 119 patients, 31 received a Hybrid construct (total disc resection [TDR]\u2013anterior cervical decompression and fusion [ACDF] or TDR-ACDF-TDR) and 24 received a multilevel cervical arthroplasty. The multilevel cervical arthroplasty group consisted of 14 noncontiguous and 10 contiguous implants. This paper examines patients who received contiguous Prestige ST implants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten men with an average age of 45 years (range 25\u201361 years) were treated. Five patients presented with myelopathy, 3 presented with radiculopathy, and 2 presented with myeloradiculopathy. Twenty-two 6 \u00d7 16\u2013mm Prestige ST TDRs were implanted. Six patients received 2-level Prestige ST implants. Five patients received TDRs at C5\u20136 and C6\u20137, and 1 patient received TDRs at C3\u20134 and C4\u20135. One patient received a TDR at C3\u20134, C5\u20136, and C6\u20137 where C4\u20135 was a congenital block vertebra. Three patients (2 with 3-level disease and 1 with 4-level disease) received contiguous Prestige ST implants as well as a Prevail ACDF as part of their constructs. The mean clinical and radiographic follow-up was 12 months. There has been no case of screw backout, implant dislodgment, progressive kyphosis, formation of heterotopic bone, evidence of pseudarthrosis at the Prevail levels, or development of symptomatic adjacent level disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Multilevel cervical arthroplasty with the Prestige ST is a safe and effective alternative to fusion for the management of cervical radiculopathy and myelopathy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2010.1.focus1031","type":"journal-article","created":{"date-parts":[[2011,2,23]],"date-time":"2011-02-23T11:40:52Z","timestamp":1298461252000},"page":"E19","source":"Crossref","is-referenced-by-count":46,"title":["Multilevel cervical arthroplasty with artificial disc replacement"],"prefix":"10.3171","volume":"28","author":[{"given":"Mario J.","family":"Cardoso","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael K.","family":"Rosner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0280019","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2906","DOI":"10.1097\/00007632-200011150-00012","article-title":"On the incidence, cause, and prevention of recurrent laryngeal nerve palsies during anterior cervical spine surgery","volume":"25","author":"Apfelbaum","year":"2000"},{"key":"b2-0280019","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2453","DOI":"10.1097\/00007632-200211150-00007","article-title":"Incidence of dysphagia after anterior cervical spine surgery: a prospective study","volume":"27","author":"Bazaz","year":"2002"},{"key":"b3-0280019","series-title":"Ital J Orthop Traumatol","first-page":"533","article-title":"Degenerative arthritis of the adjacent spinal joints following anterior cervical spinal fusion: clinicoradiologic and statistical correlations","volume":"16","author":"Cherubino","year":"1990"},{"key":"b4-0280019","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"602","DOI":"10.3171\/jns.1958.15.6.0602","article-title":"The anterior approach for removal of ruptured cervical disks","volume":"15","author":"Cloward","year":"1958"},{"key":"b5-0280019","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"943","DOI":"10.3171\/jns.1998.88.6.0943","article-title":"Surgical experience with an implanted artificial cervical joint","volume":"88","author":"Cummins","year":"1998"},{"key":"b6-0280019","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1097\/00024720-200308000-00002","article-title":"Biomechanical testing of an artificial cervical joint and an anterior cervical 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Is fusion necessary after anterior cervical discectomy?","volume":"21","author":"Sonntag","year":"1996"},{"key":"b20-0280019","series-title":"Spine","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1097\/00007632-200103150-00015","article-title":"Increased fusion rates with cervical plating for three-level anterior cervical discectomy and fusion","volume":"26","author":"Wang","year":"2001"}],"container-title":["Neurosurgical Focus"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/28\/5\/2010.1.focus1031.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/28\/5\/2010.1.focus1031.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/28\/5\/2010.1.focus1031.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:17:32Z","timestamp":1780733852000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/28\/5\/2010.1.focus1031.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,5]]},"references-count":40,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2010.1.focus1031","relation":{},"ISSN":["1092-0684"],"issn-type":[{"value":"1092-0684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,5]]}}}