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Anterior cervical discectomy fusion

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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
#1
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/27896677/results-of-database-studies-in-spine-surgery-can-be-influenced-by-missing-data
#2
Bryce A Basques, Ryan P McLynn, Michael P Fice, Andre M Samuel, Adam M Lukasiewicz, Daniel D Bohl, Junyoung Ahn, Kern Singh, Jonathan N Grauer
BACKGROUND: National databases are increasingly being used for research in spine surgery; however, one limitation of such databases that has received sparse mention is the frequency of missing data. Studies using these databases often do not emphasize the percentage of missing data for each variable used and do not specify how patients with missing data are incorporated into analyses. This study uses the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database to examine whether different treatments of missing data can influence the results of spine studies...
November 28, 2016: Clinical Orthopaedics and related Research
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
#3
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/27885473/the-application-of-a-new-type-of-titanium-mesh-cage-in-hybrid-anterior-decompression-and-fusion-technique-for-the-treatment-of-continuously-three-level-cervical-spondylotic-myelopathy
#4
Xiaowei Liu, Yu Chen, Haisong Yang, Tiefeng Li, Haidong Xu, Bin Xu, Deyu Chen
PURPOSE: To evaluate the efficacy and safety of a new type of titanium mesh cage (NTMC) in hybrid anterior decompression and fusion method (HDF) in treating continuously three-level cervical spondylotic myelopathy (TCSM). METHODS: Ninety-four cases who had TCSM and accepted the HDF from Jan 2007 to Jan 2010 were included. Clinical and radiological outcomes were compared between cases who had the NTMC (Group A, n = 45) and traditional titanium mesh cage (TTMC, Group B, n = 49) after corpectomies...
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
#5
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
#6
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
#7
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/27857863/key-perspectives-on-woven-endobridge-device-for-wide-necked-bifurcation-aneurysms-endoscopic-endonasal-clipping-of-intracranial-aneurysms-retrosigmoid-versus-translabyrinthine-approaches-for-acoustic-neuromas-and-impact-of-local-intraoperative-steroid-administration
#8
https://www.readbyqxmd.com/read/27851659/improvements-in-neck-and-arm-pain-following-an-anterior-cervical-discectomy-and-fusion
#9
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/27832365/demineralized-bone-matrix-in-anterior-cervical-discectomy-and-fusion-a-systematic-review
#10
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/27831993/postoperative-symptomatic-anterior-spinal-epidural-hematoma-complete-drainage-using-corpectomy-and-a-bladder-catheter
#11
Rafael González-Diaz, Ismael Auñon-Martin, Francisco Javier Ortega-Garcia, Rui Miguel Reis da Rocha
STUDY DESIGN: A case report. OBJECTIVE: We describe a technique to drain a thoracic and cervical postoperative epidural hematoma causing paraplegia after anterior cervical discectomy and fusion. SUMMARY OF BACKGROUND DATA: Postoperative compressive spinal epidural hematoma (SEH) is a devastating complication and early diagnosis and treatment is essential. The most commonly accepted treatment is decompression and drainage of hematoma. METHODS: A 65-year-old male with a degenerative disc disease located at C4-C5, C5-C6, and C6-C7 levels with disc herniation underwent a standard anterior cervical decompression and fusion at C4-C5-C6-C7...
November 15, 2016: Spine
https://www.readbyqxmd.com/read/27822944/swallowing-function-defined-by-videofluoroscopic-swallowing-studies-after-anterior-cervical-discectomy-and-fusion-a-prospective-study
#12
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/27799989/surgical-outcomes-of-anterior-cervical-fusion-using-deminaralized-bone-matrix-as-stand-alone-graft-material-single-arm-pilot-study
#13
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
#14
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
https://www.readbyqxmd.com/read/27791829/a-novel-technique-to-correct-kyphosis-in-cervical-myelopathy-due-to-continuous-type-ossification-of-the-posterior-longitudinal-ligament
#15
Dong-Ho Lee, Youn-Suk Joo, Chang Ju Hwang, Choon Sung Lee, Jae Hwan Cho
OBJECTIVE Although posterior decompressive surgery is widely used to treat patients with cervical myelopathy and multilevel ossification of the posterior longitudinal ligament (OPLL), a poor outcome is anticipated if the sagittal alignment is kyphotic (or K-line negative). Accordingly, it is mandatory to perform anterior decompression and fusion in patients with cervical kyphosis. However, it can be difficult to perform anterior surgery because of the high risk of complications. This present report proposes a novel "greenstick fracture technique" to change the K-line from negative to positive in patients with cervical myelopathy, OPLL, and kyphotic deformity...
October 28, 2016: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/27779602/spinal-surgeon-variation-in-single-level-cervical-fusion-procedures-a-cost-and-hospital-resource-utilization-analysis
#16
Fady Y Hijji, Dustin H Massel, Benjamin C Mayo, Ankur S Narain, William W Long, Krishna D Modi, Rory M Burke, Jeff Canar, Kern Singh
STUDY DESIGN: Retrospective analysis. OBJECTIVE: To compare perioperative costs and outcomes of patients undergoing single-level anterior cervical discectomy and fusions (ACDF) at both a service (orthopedic versus neurosurgical) and individual surgeon level. SUMMARY OF BACKGROUND DATA: Hospital systems are experiencing significant pressure to increase value of care by reducing costs while maintaining or improving patient-centered outcomes...
October 24, 2016: Spine
https://www.readbyqxmd.com/read/27771787/anterior-cervical-discectomy-and-fusion-versus-cervical-arthroplasty-for-the-management-of-cervical-spondylosis-a-meta-analysis
#17
Zhuo Ma, Xun Ma, Huilin Yang, Xiaoming Guan, Xiang Li
PURPOSE: The aim of this study was to compare the efficacy and safety of anterior cervical discectomy and fusion (ACDF) and cervical arthroplasty for patients with cervical spondylosis. METHODS: PubMed, Embase, and Cochrane Library were used to search for relevant articles published prior to April 2016 to identify studies comparing ACDF and cervical arthroplasty involving patients with cervical spondylosis. Relative risks (RR) and mean differences (MD) were used to measure the efficacy and safety of ACDF and cervical arthroplasty using the random effects model...
October 22, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27764057/can-an-anchored-cage-be-substituted-for-an-anterior-cervical-plate-and-screw-for-single-level-anterior-cervical-fusion-surgery-prediction-of-poor-candidates-through-a-review-of-early-clinical-and-radiologic-outcomes
#18
Dong Kwang Seo, Moon Kyu Kim, Soo Jung Choi, Jun Young Sohn, Young Ki Kim, Eui Kyun Jeong, Jung-Ki Ha, Chung Hwan Kim, Jin Hoon Park
STUDY DESIGN: This is a case series of device failure patients. OBJECTIVE: To identify poor candidates for anterior cervical discectomy and fusion (ACDF) using an anchored cage. SUMMARY OF BACKGROUND DATA: An anchored cage has been used as an alternative implant for ACDF surgery because of ease of use, relatively acceptable fusion rate, and lower risk of plate-related complications, including dysphagia. MATERIALS AND METHODS: We retrospectively reviewed the outcomes of 36 patients who underwent ACDF using an anchored cage between January 2012 and December 2013...
October 19, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27757439/local-steroids-and-dysphagia-in-anterior-cervical-discectomy-and-fusion-does-the-employment-of-rhbmp-2-make-their-use-a-necessity
#19
COMMENT
Ioannis D Siasios, Vassilios G Dimopoulos, Kostas N Fountas
No abstract text is available yet for this article.
September 2016: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27755491/clinical-outcomes-of-outpatient-cervical-total-disc-replacement-compared-to-outpatient-anterior-cervical-discectomy-and-fusion
#20
Kingsley R Chin, Fabio J R Pencle, Jason A Seale, Franz K Pencle
STUDY DESIGN: A single-center, retrospective study. OBJECTIVE: To determine the safety and outcomes of total disc replacement (TDR) as an outpatient procedure in the ambulatory surgery center (ASC). SUMMARY OF BACKGROUND DATA: Anterior cervical discectomy and fusion (ACDF) has been demonstrated to be safe in the outpatient setting. As the awareness of same day surgery procedures is on the rise due to better outcome and shorter recovery time...
October 17, 2016: Spine
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