ArticleAsian spine journal2021
A Comparison Study of Four Cervical Disk Arthroplasty Devices Using Finite Element Models.
Article in Asian spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 22 citations in OpenAlex.
- Clinical outcome 24 months after cervical disc arthroplasty with a new articulating and viscoelastic disc prosthesis.Journal of spine surgery (Hong Kong) · 2026Article
- Impact of different paraspinal muscle mass on the prognosis of ACDF-a finite element analysis.Frontiers in bioengineering and biotechnology · 2026Article
- Intramedullary Stress and Strain Correlate with Neurological Dysfunction in Degenerative Cervical Myelopathy.Applied sciences (Basel, Switzerland) · 2025Article
- Biomechanical effects of altered multifidus muscle morphology on cervical spine tissues.Frontiers in bioengineering and biotechnology · 2025Article
- Comparing adjacent segment biomechanics between anterior and posterior cervical fusion using patient-specific finite element modeling.Asian spine journal · 2024Article
- A comparative study of the effect of facet tropism on the index-level kinematics and biomechanics after artificial cervical disc replacement (ACDR) with Prestige LP, Prodisc-C vivo, and Mobi-C: a finite element study.Journal of orthopaedic surgery and research · 2024Article
- Combined effect of artificial cervical disc replacement and facet tropism on the index-level facet joints: a finite element study.BMC musculoskeletal disorders · 2024Article
- Comparison of Load-Sharing Responses Between Graded Posterior Cervical Foraminotomy and Conventional Fusion Using Finite Element Modeling.Journal of engineering and science in medical diagnostics and therapy · 2024Article
- Biomechanical effects of endplate sagittal coverage change on cervical disc replacement: a finite element analysis.Frontiers in bioengineering and biotechnology · 2024Article
- Safety and Validity of Anterior Cervical Disc Replacement for Single-level Cervical Disc Disease: Initial Two-year Follow-up of the Prospective Observational Post-marketing Surveillance Study for Japanese Patients.Neurologia medico-chirurgica · 2022Observational
- Total disc replacement alters the biomechanics of cervical spine based on sagittal cervical alignment: A finite element study.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
STUDY
designThe study examined and compared four artificial cervical disks using validated finite element models. PURPOSE: To compare and contrast the biomechanical behavior of four artificial cervical disks by determining the external (range of motion) and internal (facet force and intradiscal pressure) responses following cervical disc arthroplasty (CDA) and to elucidate any device design effects on cervical biomechanics. OVERVIEW OF LITERATURE: Despite CDA's increasing popularity most studies compare the CDA procedure with anterior cervical discectomy and fusion. There is little comparative evaluation of different artificial disks and, therefore, little understanding of how varying disk designs may influence spinal biomechanics.
methodsA validated C2-T1 finite element model was subjected to flexion-extension. CDAs were simulated at the C5-C6 level with the Secure-C, Mobi-C, Prestige LP, and Prodisc C prosthetic disks. We used a hybrid loading protocol to apply sagittal moments. Normalized motions at the index and adjacent levels, and intradiscal pressures and facet column loads were also obtained.
resultsThe ranges of motion at the index level increased after CDA. The Mobi-C prosthesis demonstrated the highest amount of flexion, followed by the Secure-C, Prestige LP, and Prodisc C. The Secure-C demonstrated the highest amount of extension, followed by the Mobi-C, Prodisc C, and Prestige LP. The motion decreased at the rostral and caudal adjacent levels. Facet forces increased at the index level and decreased at the rostral and caudal adjacent levels following CDA. Intradiscal pressures decreased at the adjacent levels for the Mobi-C, Secure-C, and Prodisc C. Conversely, the use of the Prestige LP increased intradiscal pressure at both adjacent levels.
conclusionsWhile all artificial disks were useful in restoring the index level motion, the Secure-C and Mobi-C translating abilities allowed for lower intradiscal pressures at the adjacent segments and may be the driving mechanism for minimizing adjacent segment degenerative arthritic changes. The facet joint integrity should also be considered in the clinical decision-making process for CDA selection.
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