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Anterior cervical discectomy fusion

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https://www.readbyqxmd.com/read/29771743/is-anterior-cervical-discectomy-and-fusion-for-%C3%A2-4-levels-safe-and-effective-for-the-treatment-of-degenerative-cervical-disease
#1
Michael J Elsenbeck, Alfred J Pisano, Donald J Fredericks, Scott C Wagner
No abstract text is available yet for this article.
May 16, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29768345/atypical-symptoms-in-patients-with-cervical-spondylosis-comparison-of-the-treatment-effect-of-different-surgical-approaches
#2
Yuqing Sun, Aikeremujiang Muheremu, Wei Tian
To compare the effectiveness of total disk replacement (TDR), anterior cervical discectomy and fusion (ACDF), and laminoplasty on atypical symptoms of cervical spondylosis.Patients with confirmed diagnosis of cervical spondylosis and reported atypical symptoms such as blurred vision, headache, nausea, palpitation, tinnitus, vertigo, hypomnesia, and abdominal discomfort were retrospectively included in the present study. They were treated with TDR, ACDF, or laminoplasty depending on the etiology and patient preference...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29755238/cervical-sagittal-balance-parameters-after-single-level-anterior-cervical-discectomy-and-fusion-correlations-with-clinical-and-functional-outcomes
#3
Ioannis Siasios, Evan Winograd, Asham Khan, Kunal Vakharia, Vassilios G Dimopoulos, John Pollina
Background: Normal sagittal cervical alignment has been associated with improved outcome after anterior cervical discectomy and fusion (ACDF). Objective: The aim of this study is to identify alterations of cervical sagittal balance parameters after single-level ACDF and assess correlations with postoperative functionality. Methods: A retrospective chart review was performed between January 2010 and January 2014 to identify adult patients with no previous cervical spine surgery who underwent ACDF at any one level between C2 and C7 for the single-level degenerative disease...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29753897/comparison-of-multilevel-cervical-disc-replacement-and-multilevel-anterior-discectomy-and-fusion-a-systematic-review-of-biomechanical-and-clinical-evidence
#4
REVIEW
Yang Li, Hangkai Shen, Kamran Z Khan, Shushu Fang, Zhenhua Liao, Weiqiang Liu
The present study aimed to comprehensively compare the clinical and biomechanical efficiency of combined anterior cervical discectomy and fusion (ACDF) with the anterior cervical disc replacement (ACDR) for treatment of multilevel cervical disc diease (CDD) using a meta-analysis and systematical review. A literature search was performed using Pubmed, MEDLINE, EMBASE and the Cochrane Library for papers published between January 1960 and December 2017. Both clinical and biomechanical parameters were analyzed...
May 10, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29753081/postoperative-changes-in-moderate-to-severe-nonspecific-low-back-pain-after-cervical-myelopathy-surgery
#5
Chi Heon Kim, Chun Kee Chung, Urim Lee, Yunhee Choi, Sung Bae Park, Jong-Myung Jung, Sung Hwan Hwang, Seung Heon Yang
OBJECTIVE: Cervical myelopathy patients sometimes experience concurrent nonspecific moderate to severe low back pain (msLBP). However, postoperative changes in msLBP after cervical myelopathy surgery have rarely been reported. Awareness of postoperative changes in msLBP may be helpful in consultation. Therefore, the objective of this study was to examine postoperative changes in msLBP. METHODS: Patients with cervical myelopathy and msLBP (a visual analog pain score ≥ 5/10) were prospectively reviewed, and 53 patients (M:F, 28:25; mean age, 63...
May 9, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29751126/radiological-follow-up-after-implanting-cervical-disc-prosthesis-in-anterior-discectomy-a-systematic-review
#6
REVIEW
Xiaoyu Yang, Tessa Janssen, Mark P Arts, Wilco C Peul, Carmen L A Vleggeert-Lankamp
Objective The objective of this study was to review current literature on comparison of radiological outcome of cervical arthroplasty with fusion after anterior discectomy for radiculopathy. Methods A literature search was performed in PubMed, Embase, Web of Science, COCHRANE, CENTRAL and CINAHL using a sensitive search string combination. Studies were selected by predefined selection criteria (a.o. patients exclusively suffering from cervical radiculopathy) and risk of bias was assessed using a validated Cochrane Checklist adjusted for this purpose...
May 8, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29741718/comparison-of-outcomes-following-anterior-vs-posterior-fusion-surgery-for-patients-with-degenerative-cervical-myelopathy-an-analysis-from-quality-outcomes-database
#7
Anthony L Asher, Clinton J Devin, Panagiotis Kerezoudis, Silky Chotai, Hui Nian, Frank E Harrell, Ahilan Sivaganesan, Matthew J McGirt, Kristin R Archer, Kevin T Foley, Praveen V Mummaneni, Erica F Bisson, John J Knightly, Christopher I Shaffrey, Mohamad Bydon
BACKGROUND: The choice of anterior vs posterior approach for degenerative cervical myelopathy that spans multiple segments remains controversial. OBJECTIVE: To compare the outcomes following the 2 approaches using multicenter prospectively collected data. METHODS: Quality Outcomes Database (QOD) for patients undergoing surgery for 3 to 5 level degenerative cervical myelopathy was analyzed. The anterior group (anterior cervical discectomy [ACDF] or corpectomy [ACCF] with fusion) was compared with posterior cervical fusion...
May 8, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29736229/vertebral-artery-occlusion-after-anterior-cervical-discectomy-with-fusion
#8
Masatoshi Yunoki, Takahiro Kanda, Kenta Suzuki, Atsuhito Uneda, Koji Hirashita, Kimihiro Yoshino
No abstract text is available yet for this article.
October 7, 2017: Iranian Journal of Neurology
https://www.readbyqxmd.com/read/29734112/a-comparison-of-a-self-locking-stand-alone-cage-and-anterior-cervical-plate-for-acdf-minimum-3-year-assessment-of-radiographic-and-clinical-outcomes
#9
Jian Zhou, Juan Li, Hong Lin, Xilei Li, Xiaogang Zhou, Jian Dong
OBJECTIVES: The self-locking stand-alone cage has been clinically applied in treating cervical degenerative disc disease (CDDD). However, no long-term clinical and radiographic studies have been performed so far. This retrospective study was designed to analyze and compare the efficacy and outcomes of anterior cervical discectomy and fusion (ACDF) using self-locking stand-alone cages and cages with the anterior cervical plating system. PATIENTS AND METHODS: A total of 98 consecutive patients were recruited in this study...
April 30, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29732425/a-canadian-perspective-on-anterior-cervical-discectomies-practice-patterns-and-preferences
#10
Reena K Baweja, Michael Bennardo, Forough Farrokhyar, Amanda Martyniuk, Kesava Reddy
Background: The purpose of this study is to elucidate the current practice patterns of Canadian neurosurgeons with regards to anterior cervical discectomy (ACD). Methods: A one-page questionnaire was sent out using SurveyMonkey to all neurosurgeon members of the Canadian Neurological Sciences Federation (CNSF). End points were surgeon preference for ACD surgical method, graft source, the length of collar usage and the recommended time before returning to work. Results: Response rate was 74...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29718416/drivers-of-variability-in-90-day-cost-for-elective-anterior-cervical-discectomy-and-fusion-for-cervical-degenerative-disease
#11
Silky Chotai, Ahilan Sivaganesan, Scott L Parker, John A Sielatycki, Matthew J McGirt, Clinton J Devin
BACKGROUND: Value-based episode of care reimbursement models is being investigated to curb unsustainable health care costs. Any variation in the cost of index spine surgery can affect the payment bundling during the 90-d global period. OBJECTIVE: To determine the drivers of variability in cost for patients undergoing elective anterior cervical discectomy and fusion (ACDF) for degenerative cervical spine disease. METHODS: Four hundred forty-five patients undergoing elective ACDF for cervical spine degenerative diagnoses were included in the study...
May 1, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29712520/outpatient-spine-surgery-defining-the-outcomes-value-and-barriers-to-implementation
#12
Arjun Vivek Pendharkar, Maryam Nour Shahin, Allen Lin Ho, Eric Scott Sussman, David Arnold Purger, Anand Veeravagu, John Kevin Ratliff, Atman Mukesh Desai
Spine surgery is a key target for cost reduction within the United States health care system. One possible strategy involves the transition of inpatient surgeries to the ambulatory setting. Lumbar laminectomy with or without discectomy, lumbar fusion, anterior cervical discectomy and fusion, and cervical disc arthroplasty all represent promising candidates for outpatient surgeries in select populations. In this focused review, the authors clarify the different definitions used in studies describing outpatient spine surgery...
May 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/29709550/is-the-behavior-of-disc-replacement-adjacent-to-fusion-affected-by-the-location-of-the-fused-level-in-hybrid-surgery
#13
Ting-Kui Wu, Yang Meng, Bei-Yu Wang, Ying Hong, Xin Rong, Chen Ding, Hua Chen, Hao Liu
BACKGROUND: Context: Hybrid surgery (HS), consisting of cervical disc arthroplasty (CDA) at the mobile level, along with anterior cervical discectomy and fusion (ACDF) at the spondylotic level, could be a promising treatment for patients with multilevel cervical degenerative disc disease (DDD). An advantage of this technique is that it utilizes an optimal procedure according to the status of each level. However, information is lacking regarding the influence of the relative location of the replacement and the fusion segment in vivo...
April 27, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29708891/frequency-and-acceptability-of-adverse-events-after-anterior-cervical-discectomy-and-fusion-a-survey-study-from-the-cervical-spine-research-society
#14
Jefferson R Wilson, Kris Radcliff, Gregory Schroeder, Madison Booth, Christopher Lucasti, Michael Fehlings, Nassr Ahmad, Alexander Vaccaro, Paul Arnold, Daniel Sciubba, Alex Ching, Justin Smith, Christopher Shaffrey, Kern Singh, Bruce Darden, Scott Daffner, Ivan Cheng, Zoher Ghogawala, Steven Ludwig, Jacob Buchowski, Darrel Brodke, Jeffrey Wang, Ronald A Lehman, Alan Hilibrand, Tim Yoon, Jonathan Grauer, Andrew Dailey, Michael Steinmetz, James S Harrop
PURPOSE: Anterior cervical discectomy and fusion has a low but well-established profile of adverse events. The goal of this study was to gauge surgeon opinion regarding the frequency and acceptability of these events. METHODS: A 2-page survey was distributed to attendees at the 2015 Cervical Spine Research Society (CSRS) meeting. Respondents were asked to categorize 18 anterior cervical discectomy and fusion-related adverse events as either: "common and acceptable," "uncommon and acceptable," "uncommon and sometimes acceptable," or "uncommon and unacceptable...
April 27, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29707549/percutaneous-endoscopic-cervical-discectomy-a-technical-review
#15
REVIEW
Javier Quillo-Olvera, Guang-Xun Lin, Jin-Sung Kim
The treatment of cervical disc herniations has evolved in the last 2 decades. While the anterior cervical discectomy and fusion continues being the gold standard for the treatment of radicular pain triggered by cervical disc herniation, other surgical approaches have been developed. Percutaneous endoscopic cervical discectomy has demonstrated the ability to decompress the exiting nerve root and dural sac correctly and encouraging clinical outcomes has been reported in the literature. One of the most important advantages offered by the endoscopic technique is the capability to resolve the patient's symptoms without the need for interbody fusion...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29689404/extended-length-of-stay-in-elderly-patients-after-anterior-cervical-discectomy-and-fusion-is-not-attributable-to-baseline-illness-severity-or-post-operative-complications
#16
Owoicho Adogwa, Daniel T Lilly, Victoria D Vuong, Shyam A Desai, Bichun Ouyang, Syed Khalid, Ryan Khanna, Carlos A Bagley, Joseph Cheng
BACKGROUND: Healthcare systems are increasing efforts to minimize postoperative hospital stays to improve resource use. Common explanations for extended postoperative stay are baseline patient sickness, postoperative complications, or physician practice differences. However, the degree extended length of stay (LOS) represents patient illness or postoperative complications remains unknown. The aim is to investigate the influence of postoperative complications and elderly patient comorbidities on extended LOS after anterior cervical discectomy and fusion (ACDF)...
April 21, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29689395/the-recovery-of-motor-strength-after-posterior-percutaneous-endoscopic-cervical-foraminotomy-and-discectomy
#17
Urim Lee, Chi Heon Kim, Chun Kee Chung, Yunhee Choi, Seung Heon Yang, Sung Bae Park, Sung Hwan Hwang, Jong-Myung Jung, Kyoung-Tae Kim
OBJECTIVE: Cervical radiculopathy infrequently presents with motor weakness. Motor weakness was improved in >90% of patients after anterior cervical discectomy and fusion or posterior cervical foraminotomy. Posterior percutaneous endoscopic cervical foraminotomy and discectomy (PECF) is an alternative surgical technique, but the outcome of motor weakness has not been reported. The objective was to demonstrate the longitudinal outcomes of motor weakness following PECF. METHODS: A retrospective review of 106 consecutive patients was performed...
April 21, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29668575/comparison-of-the-adverse-events-of-anterior-cervical-disc-replacement-versus-anterior-cervical-discectomy-and-fusion-a-protocol-for-a-systematic-review-and-meta-analysis-of-prospective-randomized-controlled-trials
#18
He Zhao, Li-Jun Duan, Yu-Shan Gao, Yong-Dong Yang, Xiang-Sheng Tang, Ding-Yan Zhao, Yang Xiong, Zhen-Guo Hu, Chuan-Hong Li, Si-Xue Chen, Tao Liu, Xing Yu
BACKGROUND: In the current surgical therapeutic regimen for symptomatic cervical degenerative disc disease, both anterior cervical discectomy and fusion (ACDF) and anterior cervical disc replacement (ACDR) are still widely accepted. However, many complications exist in both surgeries. Therefore, this study aims to compare the adverse events between ACDR and ACDF, and provide vital evidence-based guidance for spine surgeons and designers to evaluation of prognosis and improvement of dynamic devices...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29665815/a-comparison-of-zero-profile-anchored-spacer-roi-c-and-plate-fixation-in-2-level-noncontiguous-anterior-cervical-discectomy-and-fusion-a-retrospective-study
#19
Zongyu Zhang, Yawei Li, Weimin Jiang
BACKGROUND: Anterior cervical discectomy and fusion (ACDF) is the classic surgical treatment for symptomatic cervical degenerative disc disease (CDDD). However, there is controversy over the best surgical management in patients with two noncontiguous symptomatic levels of CDDD. METHODS: From April 2011 to May 2014, 44 patients with two noncontiguous symptomatic levels of CDDD underwent skip-level ACDFs. In Group NoPlate, 23 cases underwent 2 noncontiguous levels of ACDF using zero-profile anchored spacer; and in Group Plate, 21 cases underwent 2 noncontiguous levels of ACDF using cages and plates...
April 17, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29660020/analysis-of-anterior-cervical-discectomy-and-fusion-healthcare-costs-via-the-value-driven-outcomes-tool
#20
Jared C Reese, Michael Karsy, Spencer Twitchell, Erica F Bisson
BACKGROUND: Examining the costs of single- and multilevel anterior cervical discectomy and fusion (ACDF) is important for the identification of cost drivers and potentially reducing patient costs. A novel tool at our institution provides direct costs for the identification of potential drivers. OBJECTIVE: To assess perioperative healthcare costs for patients undergoing an ACDF. METHODS: Patients who underwent an elective ACDF between July 2011 and January 2017 were identified retrospectively...
April 11, 2018: Neurosurgery
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