Abstract
For younger patients with soft-disc herniation, only slight osteochondrosis, and good range of motion in the affected level the indication for total disc replacement with a cervical prosthesis is given. In elderly patients with hard-disc herniation, significant osteochondrosis, and reduced or absent range of motion in the affected level there is an indication for intervertebral cage fusion. For cervical vertebral body replacement, the use of autologous iliac crest bone graft is still the gold standard. Systems for anterior plating nowadays offer self-drilling screws and guiding instruments for correct screw angulation. Posterior fusion systems have become more user-friendly; thus, polyaxial screw heads make the insertion of connecting rods much easier. For open-door laminoplasty, it is possible to use microfixation systems from cranial surgery.
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König, A., Spetzger, U. (2017). Choice of Implant. In: Degenerative Diseases of the Cervical Spine. Springer, Cham. https://doi.org/10.1007/978-3-319-47298-0_7
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