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Research ArticleCervical arthroplasty
Open Access

Three-dimensional assessment of the intervertebral kinematics after Mobi-C total disc replacement at the cervical spine in vivo using the EOS stereoradiography system

Marc-Antoine Rousseau, Sébastien Laporte, Thierry Dufour, Jean-Paul Steib, Jean-Yves Lazennec and Wafa Skalli
International Journal of Spine Surgery January 2011, 5 (3) 63-68; DOI: https://doi.org/10.1016/j.esas.2011.03.003
Marc-Antoine Rousseau
aBiomechanics Lab, Arts et Métiers ParisTech, Centre national de la recherche scientifique (CNRS), unités mixtes de recherche (UMR) 8005, Paris, France
bDepartment of Orthopaedic Surgery, Hôpital Pitié Salpétrière Assistance Publique - Hôpitaux de Paris (AP-HP), Paris, France
MD, PhD
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  • For correspondence: marc-antoine.rousseau@psl.aphp.fr
Sébastien Laporte
aBiomechanics Lab, Arts et Métiers ParisTech, Centre national de la recherche scientifique (CNRS), unités mixtes de recherche (UMR) 8005, Paris, France
PhD
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Thierry Dufour
cDepartment of Neurosurgery, Hôpital La Source, Orléans, France
MD
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Jean-Paul Steib
dDepartment of Orthopaedic Surgery, Hopitaux Universitaires de Strasbourg, Strasbourg, France
MD, PhD
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Jean-Yves Lazennec
bDepartment of Orthopaedic Surgery, Hôpital Pitié Salpétrière Assistance Publique - Hôpitaux de Paris (AP-HP), Paris, France
MD, PhD
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Wafa Skalli
aBiomechanics Lab, Arts et Métiers ParisTech, Centre national de la recherche scientifique (CNRS), unités mixtes de recherche (UMR) 8005, Paris, France
PhD
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Article Figures & Data

Figures

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  • Fig. 1
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    Fig. 1

    Mobi-C prosthesis. This implant has 5 degrees of freedom.

  • Fig. 2
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    Fig. 2

    Example of cervical spine stereoradiography using the EOS system in flexion-extension in vivo.

  • Fig. 3
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    Fig. 3

    Example of reconstructed vertebra (C5) showing the local screw frame based on the 4 barycenters of the 4 anatomic regions (anterior, posterior, left, and right).

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    Fig. 4

    Example of biplanar radiographs of isolated, dry vertebrae bounded to the reference markers in various positions.

Tables

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    Table 1

    Standard deviation of reproducibility in measurement of intervertebral displacement with use of EOS system in X-Y′-Z″ mobile sequence of axes for control group (kinematics based on 3D reconstructions of vertebrae)

    XY′Z″
    Extension2.0°1.2°* 1.7°
    Flexion1.6°1.5°* 1.6°
    Right lateral bending2.6°* 2.6°3.1°
    Left lateral bending2.3°* 3.0°4.2°
    Right axial torsion2.2°2.5°3.0°*
    Left axial torsion2.7°2.2°3.1°*
    • ↵* Main motion.

    • View popup
    Table 2

    Standard deviation of reproducibility in measurement of intervertebral displacement with use of EOS system in X-Y′-Z″ mobile sequence of axes for prosthesis group (kinematics based on 3D files of prosthetic endplates)

    XY′Z″
    Extension1.7°0.8°* 2.2°
    Flexion2.5°0.7°* 2.2°
    Right lateral bending2.0°* 1.9°1.8°
    Left lateral bending1.5°* 2.2°2.0°
    Right axial torsion1.9°0.5°1.7°*
    Left axial torsion1.5°0.7°1.7°*
    • ↵* Main motion.

    • View popup
    Table 3

    Mean and standard deviation of range of motion in flexion, extension, right and left lateral bending, and right and left axial torsion

    ControlProsthesisP value
    Extension
     MP−10.3° (3.4°)−3.1° (4.7°).001
     CP——
     CR——
    Flexion
     MP7.9° (4.6°)3.1° (7.2°).023
     CP——
     CR——
    Right lateral bending
     MP4.0° (3.8°)3.2° (4.1°).477
     CP−3.4° (3.6°)−1.0° (2.7°).008
     CR−0.8 (3.1)0.2 (1.5).120
    Left lateral bending
     MP−4.3° (3.0°)−2.2° (3.7°).059
     CP4.2° (3.8°)1.1° (2.2°).001
     CR−1.3 (3.9)0.6 (2.0).013
    Right axial torsion
     MP−4.2° (3.1°)−1.5° (3.2°).006
     CP3.4° (2.7°)1.4° (4.7°).127
     CR−5.5 (20.5)−1.9 (4.7).262
    Left axial torsion
     MP4.9° (4.4°)1.6° (2.7°).001
     CP−3.2° (2.5°)−2.2° (3.4°).299
     CR−0.7 (4.5)−0.2 (2.1).551
    • Abbreviations: MP, main plane of motion; CP, coupled plane of motion (ie, Y′ for Z″ and Z″ for Y′); CR, coupling ratio.

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1 Jan 2011
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Three-dimensional assessment of the intervertebral kinematics after Mobi-C total disc replacement at the cervical spine in vivo using the EOS stereoradiography system
Marc-Antoine Rousseau, Sébastien Laporte, Thierry Dufour, Jean-Paul Steib, Jean-Yves Lazennec, Wafa Skalli
International Journal of Spine Surgery Jan 2011, 5 (3) 63-68; DOI: 10.1016/j.esas.2011.03.003

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Three-dimensional assessment of the intervertebral kinematics after Mobi-C total disc replacement at the cervical spine in vivo using the EOS stereoradiography system
Marc-Antoine Rousseau, Sébastien Laporte, Thierry Dufour, Jean-Paul Steib, Jean-Yves Lazennec, Wafa Skalli
International Journal of Spine Surgery Jan 2011, 5 (3) 63-68; DOI: 10.1016/j.esas.2011.03.003
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Keywords

  • cervical spine
  • Disc prosthesis
  • EOS system
  • kinematics
  • In vivo
  • Stereoradiography

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