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https://www.readbyqxmd.com/read/27930523/anterior-cervical-discectomy-and-fusion-versus-anterior-cervical-corpectomy-and-fusion-in-multilevel-cervical-spondylotic-myelopathy-a-meta-analysis
#1
Tao Wang, Hui Wang, Sen Liu, Huang-Da An, Huan Liu, Wen-Yuan Ding
BACKGROUND: Both anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy and fusion (ACCF) are used to treat multilevel cervical spondylotic myelopathy (mCSM); however, which one is better treatment for mCSM remains considerable controversy. A meta-analysis was performed to compare clinical outcomes, radiographic outcomes, and surgical outcomes between ACDF and ACCF in treatment for mCSM. METHODS: An extensive search of literature was performed in Pubmed/MEDLINE, Embase, the Cochrane library, CNKI, and WANFANG databases on ACDF versus ACCF treatment for mCSM from January 2011 to August 2016...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27930391/the-role-of-c2-c7-angle-in-the-development-of-dysphagia-after-anterior-and-posterior-cervical-spine-surgery
#2
Wei Tian, Jie Yu
STUDY DESIGN: This is a retrospective clinical study. OBJECTIVE: To analyze the relationship between cervical alignment and the development of dysphagia after anterior and posterior cervical (PC) spine surgery [anterior cervical discectomy and fusion (ACDF), cervical disk replacement (CDR), and PC]. SUMMARY OF BACKGROUND DATA: Dysphagia is a known complication of cervical surgery and may be prolonged or occasionally serious. A previous study showed dysphagia after occipitocervical fusion was caused by oropharyneal stenosis resulting from O-C2 (upper cervical lordosis) fixation in a flexed position...
December 7, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27917700/posterior-reversible-encephalopathy-syndrome-following-elevated-mean-arterial-pressures-for-cervical-spinal-cord-injury
#3
Jeffrey H Zimering, Addisu Mesfin
BACKGROUND: Increasing the mean arterial pressure (MAP) is an accepted treatment modality to minimize the risk for irreversible neurologic damage secondary to spinal cord ischemia. Posterior reversible encephalopathy syndrome (PRES) is a rare complication occurring after transplantation surgery, in persons having an autoimmune disorder or after abrupt increases in blood pressure of various etiologies. STUDY DESIGN: Case report. METHODS: Retrospective evaluation of medical records...
December 5, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27916038/-mid-to-long-term-outcomes-of-cervical-disc-arthroplasty-for-symptomatic-cervical-disc-disease-a-meta-analysis
#4
S L Kan, B Yang, G Z Ning, S J Gao, J C Sun, S Q Feng
Objective: To compare the benefits and harms of cervical disc arthroplasty (CDA) with anterior cervical discectomy and fusion(ACDF) for symptomatic cervical disc disease at mid- to long-term follow-up. Methods: Electronic searches were made in PubMed, EMBASE, and the Cochrane Library for randomized controlled trials with at least 48 moths follow-up.Outcomes were reported as relative risk or standardized mean difference.Meta-analysis was carried out using Revman version 5.3 and Stata version 12.0. Results: Seven trials were included, involving 2 302 participants...
December 1, 2016: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/27898451/the-effect-of-dynamic-versus-static-plating-systems-on-fusion-rates-and-complications-in-1-level-and-or-2-level-anterior-cervical-discectomy-and-fusion-a-systematic-review
#5
Gregory D Schroeder, Christopher K Kepler, Douglas A Hollern, Ricardo Rodrigues-Pinto, Mark F Kurd, Jefferson R Wilson, Mitchell G Maltenfort, Jonathan T Paul, Andrew N Fleischman, Kathryn Dwight, Paul W Millhouse, Alexander R Vaccaro
STUDY DESIGN: A systematic review. OBJECTIVE: To determine the effect of plate design on fusion rates in patients undergoing a 1- and 2-level anterior cervical discectomy and fusion (ACDF). METHODS: Articles published between January 1, 2002 and January 1, 2015 were systematically reviewed to determine the fusion rate of 1- and 2-level ACDFs using either a fully constrained or semiconstrained locking plate. Additional variables that were collected included the number of levels, the type of graft/cage used, the study design, the method for determining fusion, and complications...
November 28, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27890691/minimum-four-year-subsequent-surgery-rates-of-cervical-disc-replacement-versus-fusion-a-meta-analysis-of-prospective-randomized-clinical-trials
#6
Tingkui Wu, Hao Liu, Beiyu Wang, Yang Meng
: InstructionAnterior cervical discectomy and fusion (ACDF) is a well-accepted surgical management strategy for radiculopathy and/or myelopathy.However, complications sometimes required subsequent surgery at the operated and adjacent levels. Artificial cervical disc replacement (ACDR) has been accepted as the most extensive non-fusion procedure and is designed to preserve motion. However, some specific complications can resultinsubsequent surgery, thus attracting the attention of investigators...
November 24, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27888676/revision-surgery-for-cervical-artificial-disc-surgical-technique-and-clinical-results
#7
J Onken, A Reinke, J Radke, T Finger, S Bayerl, P Vajkoczy, B Meyer
OBJECTIVE: Cervical artificial disc replacement (C-ADR) was developed with the goal of preserving mobility of the cervical segment in patients with degenerative disc disease. So far, little is known about experiences with revision surgery and explantation of C-ADRs. Here, we report our experience with revision the third generation, Galileo-type disc prosthesis from a retrospective study of two institutions. PATIENTS AND METHODS: Between November 2008 and July 2016, 16 patients with prior implantation of C-ADR underwent removal of the Galileo-type disc prosthesis (Signus, Medizintechnik, Germany) due to a call back by industry...
October 31, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27885477/impact-of-old-age-on-patient-report-outcomes-and-cost-utility-for-anterior-cervical-discectomy-and-fusion-surgery-for-degenerative-spine-disease
#8
Silky Chotai, Scott L Parker, J Alex Sielatycki, Ahilan Sivaganesan, Harrison L Kay, Joseph B Wick, Matthew J McGirt, Clinton J Devin
PURPOSE: With growing older population and increasing rates of cervical spinal surgery, it is vital to understand the value of cervical surgery in this population. We set forth to determine the cost utility following anterior cervical decompression and fusion (ACDF) for degenerative disease in older patients. METHODS: Patients undergoing ACDF for degenerative diseases were enrolled into prospective longitudinal registry. Patient-reported outcomes (PROs) were recorded at baseline, 1-year, and 2-year postoperatively...
November 24, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27885472/a-prospective-randomized-trial-comparing-anterior-cervical-discectomy-and-fusion-versus-plate-only-open-door-laminoplasty-for-the-treatment-of-spinal-stenosis-in-degenerative-diseases
#9
Yun-Qi Jiang, Xi-Lei Li, Xiao-Gang Zhou, Chong Bian, Han-Ming Wang, Jian-Ming Huang, Jian Dong
OBJECTIVE: For three or more involved cervical levels, there is a debate over which approach yields the best outcomes for the treatment of multilevel cervical degenerative disease. Our objective is to compare the radiological and clinical outcomes of two treatments for multilevel cervical degenerative disease: anterior cervical discectomy and fusion (ACDF) versus plate-only open-door laminoplasty (laminoplasty). METHODS: Patients were randomized on a 1:1 randomization schedule with 17 patients in the ACDF group and 17 patients in the laminoplasty group...
November 24, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27879511/c2-c3-anterior-cervical-fusion-technical-report
#10
Michael A Finn, Joel D MacDonald
STUDY DESIGN: Retrospective review of patients at a university hospital. OBJECTIVE: To describe the anterior approach for cervical discectomy and fusion (ACDF) at C2-C3 level and evaluate its suitability for treatment of instability and degenerative disease in this region. SUMMARY OF BACKGROUND DATA: The anterior approach is commonly used for ACDF in the lower cervical spine but is used less often in the high cervical spine. METHODS: We retrospectively reviewed a database of consecutive cervical spine surgeries performed at our institution to identify patients who underwent ACDF at the C2-C3 level during a 10-year period...
December 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27870806/outpatientanterior-cervical-discectomy-and-fusion-is-associated-with-fewer-short-term-complications-inone-and-two-level-cases-a-propensity-adjusted-analysis
#11
Michael C Fu, Jordan A Gruskay, Andre M Samuel, Evan D Sheha, Peter B Derman, Sravisht Iyer, Jonathan N Grauer, Todd J Albert
STUDY DESIGN: Retrospective cohort study of prospectively-collected data from the National Surgical Quality Improvement Program (NSQIP) database. OBJECTIVE: To determine the postoperative morbidity of one-level and two-level outpatient anterior cervical discectomy and fusion (ACDF) relative to inpatient cases, and risk factors for post-discharge complications. SUMMARY OF BACKGROUND DATA: ACDF is increasingly performed as an outpatient procedure, with evidence demonstrating outpatient one-level ACDF to be associated with fewer postoperative complications than inpatients...
November 18, 2016: Spine
https://www.readbyqxmd.com/read/27865820/adjacent-segment-disease-requiring-reoperation-in-cervical-total-disc-arthroplasty-a-literature-review-and-update
#12
REVIEW
Ki-Eun Chang, Martin H Pham, Patrick C Hsieh
OBJECTIVE: To evaluate the difference in rate of reoperation for adjacent segment disease (ASD) between anterior cervical decompression and fusion (ACDF) and total disc replacement (TDR). METHOD: A systematic review of literature was performed using PubMed, clinicaltrials.gov, and various other search engines. Nine studies met the inclusion criteria and were used to report an estimated overall rate of reoperation secondary to ASD for both ACDF and TDR. RESULTS: Forty-six clinical trials were identified after the initial search, and 9 studies met our inclusion criteria...
November 16, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27851659/improvements-in-neck-and-arm-pain-following-an-anterior-cervical-discectomy-and-fusion
#13
Dustin H Massel, Benjamin C Mayo, Daniel D Bohl, Ankur S Narain, Fady Y Hijji, Steven J Fineberg, Philip K Louie, Bryce A Basques, William W Long, Krishna D Modi, Kern Singh
STUDY DESIGN: Retrospective Analysis OBJECTIVE.: To quantify improvements in Visual Analogue Scale (VAS) neck and arm pain, Neck Disability Index (NDI), and Short Form-12 (SF-12) Mental (MCS) and Physical (PCS) Composite scores following an ACDF. SUMMARY OF BACKGROUND DATA: Anterior Cervical Discectomy and Fusion (ACDF) is evaluated with patient-reported outcomes. However, the extent to which these outcomes improve following ACDF remains poorly defined. METHODS: A surgical registry of patients who underwent primary, 1- or 2-level ACDF during 2013-2015 was reviewed...
November 15, 2016: Spine
https://www.readbyqxmd.com/read/27836772/return-to-play-in-athletes-with-spinal-cord-concussion-a-systematic-literature-review
#14
REVIEW
Narihito Nagoshi, Lindsay Tetreault, Hiroaki Nakashima, Aria Nouri, Michael G Fehlings
STUDY DESIGN: Systematic review OBJECTIVE: To evaluate whether spinal cord concussion (SCC) patients can safely return to play sports and if there are factors that can predict SCC recurrence or development of a spinal cord injury (SCI). SUMMARY OF BACKGROUND DATA: Although SCC is a reversible neurologic disturbance of spinal cord function, its management and the implications for return to play controversial. METHODS: We conducted a systematic search of the literature using keywords Cervical Spine AND Sports AND Injuries in six databases...
November 8, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27832365/demineralized-bone-matrix-in-anterior-cervical-discectomy-and-fusion-a-systematic-review
#15
REVIEW
Shayan Abdollah Zadegan, Aidin Abedi, Seyed Behnam Jazayeri, Alexander R Vaccaro, Vafa Rahimi-Movaghar
PURPOSE: Anterior cervical discectomy and fusion (ACDF) is one of the most widely used procedures in cervical spine. Demineralized bone matrix (DBM) is one of the fusion options that has been used in treatment of the bone defects for years. The purpose of this review is to provide an evidence-based analysis on the current evidence for effectiveness of DBM in ACDF. METHODS: A systematic search of the literature was conducted using MEDLINE, Scopus, and CENTRAL. The risk of bias was evaluated with the criteria recommended by the Cochrane Back and Neck group and the Methodological Index for Non-Randomized Studies (MINORS)...
November 10, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27822944/swallowing-function-defined-by-videofluoroscopic-swallowing-studies-after-anterior-cervical-discectomy-and-fusion-a-prospective-study
#16
Si Hyun Kang, Don Kyu Kim, Kyung Mook Seo, Sang Yoon Lee, Seung Won Park, Yong Baeg Kim
This study evaluated factors related to swallowing dysfunction after anterior cervical discectomy and fusion (ACDF) using videofluoroscopic swallowing studies (VFSS). Preoperative and postoperative VFSSs were done with 5 mL diluted barium. Oral transit time, pharyngeal delay time, pharyngeal response time (PRT), and pharyngeal transit time were measured. Hyoid bone movement and upper esophageal sphincter (UES) diameter were measured serially. Thickness of prevertebral soft tissue was measured from digitized VFSS images...
December 2016: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/27814270/clinical-outcomes-of-additional-surgery-for-adjacent-segment-disease-after-single-level-anterior-cervical-decompression-and-fusion
#17
Jia Li, Tao Lei, Yaming Liu, Jingchao Wei, Yong Shen
BACKGROUND: Adjacent segment disease (ASD) is one of the problematic complications following anterior cervical decompression and fusion (ACDF). The impact of additional surgery with instruments is still unknown. OBJECTIVE: The objective of this study was to investigate the surgical outcomes of additional ACDF with instruments for symptomatic ASD after an initial ACDF using autogenous iliac grafts without instruments. METHODS: A total of 56 patients who underwent an additional ACDF with instruments for symptomatic new radicular or myelopathic symptoms from ASD between 2006 and 2012...
October 28, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27809858/enlarged-anterior-cervical-diskectomy-and-fusion-in-the-treatment-of-severe-localised-ossification-of-the-posterior-longitudinal-ligament
#18
Tao Lei, Hui Wang, Tong Tong, Qinghua Ma, Linfeng Wang, Yong Shen
BACKGROUND: Severe localised ossification of the posterior longitudinal ligament (OPLL) should be directly removed by anterior approach, but the exposure during anterior cervical diskectomy and fusion (ACDF) is restricted and may increase the risk of a cerebrospinal fluid (CSF) leak. Corpectomy is facilitated to extirpate the ossification, but it is relatively more invasive. The purpose of this study was to investigate the feasibility and clinical outcome of enlarged ACDF in treating severe localised OPLL...
October 24, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27799989/surgical-outcomes-of-anterior-cervical-fusion-using-deminaralized-bone-matrix-as-stand-alone-graft-material-single-arm-pilot-study
#19
Ho-Jung Chung, Jung-Woo Hur, Kyeong-Sik Ryu, Jin-Sung Kim, Ji-Hoon Seong
OBJECTIVE: To investigate the safety and efficacy of demineralized bone matrix (DBM) as a bone graft substitute for anterior cervical discectomy and fusion (ACDF) surgery. METHODS: Twenty consecutive patients treated with ACDF using stand-alone polyestheretherketone (PEEK) cages (Zero-P) with DBM(CGDBM100) were prospectively evaluated with a minimum of 6 months of follow-up. Radiologic efficacy was evaluated with a 6-point scoring method for osseous fusion using plain radiograph and computed tomogrpahy scans...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27799985/comparison-of-radiologic-outcomes-of-different-methods-in-single-level-anterior-cervical-discectomy-and-fusion
#20
O Ik Kwon, Dong Wuk Son, Sang Weon Lee, Geun Sung Song
OBJECTIVE: Anterior cervical discectomy and fusion (ACDF) is a choice of surgical procedure for cervical degenerative diseases associated with radiculopathy or myelopathy. However, the patients undergoing ACDF still have problems. The purpose of the present study is to evaluate the radiologic results of 3 different methods in single-level ACDF. METHODS: We conducted a retrospective collection of radiological data from January 2011 to December 2014. A total of 67 patients were included in this study...
September 2016: Korean Journal of Spine
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