Single-level cervical arthroplasty with ProDisc-C artificial disc: 10-year follow-up results in one centre

  • Yanbin Zhao
  • Feifei Zhou
  • Yu SunEmail author
  • Shengfa Pan
Supplement article



The aim of this study was to evaluate the long-term clinical and radiographic outcomes of cervical arthroplasty using the ProDisc-C prosthesis.


Clinical and radiographic evaluations, including dynamic flexion–extension lateral images, were performed at baseline and at 10-year follow-up.


Twenty-seven patients who had single-level ProDisc-C arthroplasty were followed up for a mean period of 123 months. The range of motion at the operated level was 8.9° ± 3.9° at baseline and 6.6° ± 3.5° at final follow-up. Twenty of 27 levels (74%) developed heterotopic ossification. According to McAfee’s classification, one level was classified as grade I, four levels were classified as grade II, 12 levels were classified as grade III and three levels were classified as grade IV. Three patients developed recurrent cervical radiculopathy or myelopathy due to adjacent segment disease and received the reoperations. The reoperations included two cases of cervical arthroplasty at adjacent segments and one case of cervical laminoplasty.


ProDisc-C arthroplasty had acceptable clinical and radiographic results at 10-year follow-up. Heterotopic ossification was common after ProDisc-C arthroplasty, which decreased the range of motion.

Graphic abstract

These slides can be retrieved under Electronic Supplementary Material.


Cervical disc arthroplasty Heterotopic ossification Adjacent segment disease 



No fund received.

Compliance with ethical standards

Conflict of interest


Supplementary material

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Supplementary file1 (PPTX 1031 kb)
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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryPeking University Third HospitalBeijingChina

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