Evidence map›Paper›PMID 31606816›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2020

Unique biomechanical signatures of Bryan, Prodisc C, and Prestige LP cervical disc replacements: a finite element modelling study.

Hoon Choi, Yuvaraj Purushothaman, Jamie Baisden, Narayan Yoganandan

Abstract read
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In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 46 citations in OpenAlex.

  1. Comparison of 10-year follow-up result of hybrid surgery and anterior cervical discectomy and fusion for the treatment of contiguous three-level cervical degenerative disc diseases: risk factors for heterotopic ossification.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  2. Review
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  5. Cervical Column and Cord and Column Responses in Whiplash With Stenosis: A Finite Element Modeling Study.Journal of engineering and science in medical diagnostics and therapy · 2024
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  10. Gender Differences in Cervical Spine Motions and Loads With Head Supported Mass Using Finite Element Models.Journal of engineering and science in medical diagnostics and therapy · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

Hoon ChoiDepartment of Neurosurgery, Medical College of Wisconsin, HUB, 8701, Watertown Plank Road, Milwaukee, WI, USA. hchoi@mcw.edu.ORCID 0000-0003-3552-1079
Yuvaraj PurushothamanDepartment of Neurosurgery, Medical College of Wisconsin, HUB, 8701, Watertown Plank Road, Milwaukee, WI, USA.
Jamie BaisdenDepartment of Neurosurgery, Medical College of Wisconsin, HUB, 8701, Watertown Plank Road, Milwaukee, WI, USA.
Narayan YoganandanDepartment of Neurosurgery, Medical College of Wisconsin, HUB, 8701, Watertown Plank Road, Milwaukee, WI, USA.
Medical College of Wisconsin · US

Funding

US Department of Defense, Medical Research and Materiel Command W81XWH-16-1-0010
6 · The paper itself

Abstract

purposeThe purpose of the study is to examine the biomechanical alterations in the index and adjacent levels of the human cervical spine after cervical arthroplasty with Bryan, Prodisc C, or Prestige LP.

methodsA previously validated C2-T1 osteoligamentous finite element model was used to perform virtual C5-6 arthroplasty using three different FDA-approved artificial cervical discs. Motion-controlled moment loading protocol was used. Moment was varied until Bryan, Prodisc C, and Prestige LP models displayed the same total range of motion across C3-C7 as the intact spine model at 2 Nm of pure moment loading. Range of motion (ROM) and facet force (FF) were recorded at the index level. ROM, FF, and intradiscal pressure (IDP) were recorded at the adjacent levels.

resultsProdisc C and Prestige LP led to supraphysiologic ROM and FF at the index level while decreasing ROM and FF at the adjacent levels. In contrast, Bryan reduced ROM and FF at the index level. Bryan increased ROM and FF at the adjacent levels in flexion, but decreased ROM and FF in the adjacent levels in extension. Prodisc C decreased IDP at the adjacent levels. Bryan reduced IDP in extension only. Prestige LP increased adjacent-level IDP.

conclusionsThe distinct designs and material compositions of the three artificial discs result in varying biomechanical alterations at the index and adjacent levels in the cervical spine after implantation. The findings confirm the design and material influence on the spine biomechanics, as well as the advantages and contraindications of cervical arthroplasty in general. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Cervical VertebraeIntervertebral DiscArthroplastyBiomechanical PhenomenaFinite Element AnalysisHumansRange of Motion, ArticularBiomedical engineeringCervical arthroplastyCervical artificial discCervical total disc replacementFinite element modelling

Identifiers

PMID31606816
OpenAlexW2979424814

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.