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Anterior cervical discectomy fusion

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https://www.readbyqxmd.com/read/28938108/cervical-arthroplasty-versus-anterior-cervical-fusion-for-symptomatic-adjacent-segment-disease-after-anterior-cervical-fusion-surgery-review-of-treatment-in-41-patients
#1
Sang-Bok Lee, Kyoung-Suok Cho
OBJECTIVE: The purpose of this study is to compare the efficacy and safety of anterior cervical discectomy and fusion (ACDF) and cervical total disc replacement (CTDR) as revision surgeries for symptomatic adjacent segment degeneration (ASD) in cases with previous ACDF. PATIENTS AND METHODS: Between 2010 and 2014, 41 patients with previous cervical fusion surgery underwent ACDF or CTDR for symptomatic ASD. Twenty-two patients in the ACDF group underwent 26 ACDFs, and 19 patients in the CTDR group underwent 25 arthroplasties for symptomatic ASD...
August 4, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28937465/treatment-of-cervicogenic-headache-concurrent-with-cervical-stenosis-by-anterior-cervical-decompression-and-fusion
#2
Hong Liu, Avraam Ploumis, Shijun Wang, Chunde Li, Hong Li
STUDY DESIGN: Retrospective study. OBJECTIVE: To report the efficacy of anterior cervical decompression and fusion surgery as treatment method for cervicogenic headache (CeH). SUMMARY OF BACKGROUND DATA: The exact diagnostic criteria and optimal treatment of CeH is still under investigation. METHODS: A total of 34 consecutive patients (mean age 55.8 y) with CeH (in addition to cervical stenosis symptomatology) resistant to nonoperative treatment were treated by anterior cervical decompression and fusion from 1 up to 3 levels and were followed for at least 1 year...
October 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28937464/comparison-of-clinical-outcomes-after-anterior-cervical-discectomy-and-fusion-versus-cervical-total-disk-replacement-in-patients-with-modic-2-changes-on-mri
#3
Jia Li, Di Zhang, Wenyuan Ding, Yingze Zhang, Yong Shen
STUDY DESIGN: A retrospective investigation. OBJECTIVE: The aim of this research is to compare the clinical and radiologic outcomes of patients with Modic-2 changes who underwent anterior cervical discectomy and fusion (ACDF) or cervical total disk replacement (TDR) in single level. SUMMARY OF BACKGROUND DATA: There were few studies focused on the clinical and radiologic outcomes of patients with Modic-2 changes who underwent ACDF or cervical TDR in single level...
October 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28926393/trends-in-the-treatment-of-single-and-multilevel-cervical-stenosis-a-review-of-the-american-board-of-orthopaedic-surgery-database
#4
Alfredo Arrojas, J Benjamin Jackson, Gregory Grabowski
BACKGROUND: In order to identify any changes in the utilization of new and old techniques, we investigated trends in the operative management of cervical stenosis by orthopaedic surgeons applying for board certification. METHODS: We queried the American Board of Orthopaedic Surgery database from 1998 to 2013 to identify all of the cervical spine procedures for stenosis that had been performed by candidates taking Part II of the licensing examination. Longitudinal trends were determined for the utilized approach, the individual procedures that had been performed, and whether a motion-preserving technique had been employed...
September 20, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28922278/defining-the-critical-elements-for-the-most-common-procedures-in-spine-surgery-a-consensus-of-orthopaedic-and-neurosurgical-surgeons
#5
Joseph L Laratta, Samuel Cohen-Tanugi, Jamal N Shillingford, Joseph M Lombardi, Lawrence G Lenke, K Daniel Riew, Ronald A Lehman, Steven C Ludwig
STUDY DESIGN: Survey. OBJECTIVE: To define the critical elements of common spine surgeries. SUMMARY OF BACKGROUND DATA: Despite significant relevance to the field of spine surgery, the term "critical element" of surgery has not been clearly defined. Every surgical procedure involves numerous steps, each with its own potential for complications and harm to the patient. Despite its crucial role in surgical training, billing, and the ethicality of concurrent surgery, the term "critical element" of surgery has not been defined...
September 15, 2017: Spine
https://www.readbyqxmd.com/read/28914655/percutaneous-nucleoplasty-for-the-treatment-of-a-contained-cervical-disk-herniation
#6
Judith D de Rooij, Pravesh S Gadjradj, John S Soria van Hoeve, Frank J Huygen, Hans A Aukes, Biswadjiet S Harhangi
Cervical radiculopathy is characterized by compression of the roots of the nerve. When conservative treatment fails and symptoms persist or increase in severity, surgical treatment is considered. Anterior cervical discectomy with or without fusion is regarded as the standard treatment for cervical disk herniation. Recently, there is an evolving trend in spinal surgery towards less invasive techniques. Nucleoplasty is a minimally invasive technique in which radiofrequency technology is used for percutaneous decompression...
September 13, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28894685/return-to-play-in-elite-contact-athletes-after-anterior-cervical-discectomy-and-fusion-a-meta-analysis
#7
Steven J McAnany, Samuel Overley, Steven Andelman, Diana C Patterson, Samuel K Cho, Sheeraz Qureshi, Wellington K Hsu, Andrew C Hecht
STUDY DESIGN: Systematic literature review and meta-analysis of studies published in English language. OBJECTIVE: Return to play after anterior cervical discectomy and fusion (ACDF) in contact athletes remains a controversial topic with no consensus opinion in the literature. Additional information is needed to properly advise and treat this population of patients. This study is a meta-analysis assessing return to competitive contact sports after undergoing an ACDF...
September 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28887690/cervical-sagittal-alignment-after-different-anterior-discectomy-procedures-for-single-level-cervical-degenerative-disc-disease-randomized-controlled-trial
#8
Roland D Donk, Hisse Arnts, Wim I M Verhagen, Hans Groenewoud, Andre Verbeek, Ronald H M A Bartels
BACKGROUND: The effect of anterior cervical discectomy without fusion (ACD), ACD with fusion by stand-alone cage (ACDF) or with arthroplasty (ACDA) on cervical sagittal alignment is not known and is the subject of this study. METHODS: A total of 142 adult patients with single-level cervical disease were at random allocated to different procedures: ACD (45), ACDF (47) and ACDA (50). Upright cervical spine radiographs were obtained. Angles of the involved angle and the angle between C2 and C7 were determined...
September 8, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28882520/dynamic-foraminal-dimensions-during-neck-extension-and-rotation-in-fusion-and-artificial-disc-replacement-an-observational-study
#9
Yener N Yeni, Timothy Baumer, Daniel Oravec, Azam Basheer, Colin P McDonald, Michael J Bey, Stephen W Bartol, Victor Chang
BACKGROUND: Changes in the dimensions of the cervical neural foramina (CNF) are considered to be a key factor in nerve root compression and development of cervical radiculopathy. However, to what extent foraminal geometry differs between patients who underwent anterior cervical discectomy and fusion (ACDF) and those who underwent total disc arthroplasty with an artificial disc (AD) during physiological motion is largely unknown. PURPOSE: The objective of this study is to compare compare CNF dimensions during physiological neck motion between ACDF and AD...
September 4, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28881120/a-lower-t1-slope-as-a-predictor-of-subsidence-in-anterior-cervical-discectomy-and-fusion-with-stand-alone-cages
#10
Su Hun Lee, Jun Seok Lee, Soon Ki Sung, Dong Wuk Son, Sang Weon Lee, Geun Sung Song
OBJECTIVE: Preoperative parameters including the T1 slope (T1S) and C2-C7 sagittal vertical axis (SVA) have been recognized as predictors of kyphosis after laminoplasty, which is accompanied by posterior neck muscle damage. The importance of preoperative parameters has been under-estimated in anterior cervical discectomy and fusion (ACDF) because there is no posterior neck muscle damage. We aimed to determine whether postoperative subsidence and pseudarthrosis could be predicted according to specific parameters on preoperative plain radiographs...
September 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28881118/the-effect-of-uncinate-process-resection-on-subsidence-following-anterior-cervical-discectomy-and-fusion
#11
Su Hun Lee, Jun Seok Lee, Soon Ki Sung, Dong Wuk Son, Sang Weon Lee, Geun Sung Song
OBJECTIVE: Subsidence is a frequent complication of anterior cervical discectomy and fusion. Postoperative segmental micro-motion, thought to be a causative factor of subsidence, has been speculated to increase with uncinate process resection area (UPR). To evaluate the effect of UPR on micro-motion, we designed a method to measure UPR area based on pre- and postoperative computed tomography images and analyzed the relationship between UPR and subsidence as a proxy of micro-motion. METHODS: We retrospectively collected clinical and radiological data from January 2011 to June 2016...
September 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28879373/single-level-anterior-cervical-discectomy-and-interbody-fusion
#12
Cesare Faldini, Mohammadreza Chehrassan, Fabrizio Perna, Raffaele Borghi, Antonio Mazzotti, Francesco Traina
No abstract text is available yet for this article.
September 6, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28867313/residual-deformity-after-anterior-cervical-discectomy-and-fusion-for-unstable-hangman-s-fractures
#13
Guangzhou Li, Yi Yang, Hao Liu, Ying Hong, Xin Rong
No abstract text is available yet for this article.
August 31, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28858183/poorer-fusion-outcomes-in-diabetic-cervical-spondylotic-myelopathy-patients-undergoing-single-level-anterior-cervical-discectomy-and-fusion-does-not-compromise-functional-outcomes-and-quality-of-life
#14
Ming Han Lincoln Liow, Merrill Lee, Graham Seow-Hng Goh, Li Tat John Chen, Wai-Mun Yue, Chang Ming Guo, Seang Beng Tan
STUDY DESIGN: Retrospective matched pair cohort study using prospectively collected registry data. OBJECTIVES: To determine if patients with DM have (1):poorer patient-reported outcomes and;(2):poorer fusion rates after undergoing a single-level ACDF for cervical myelopathy. SUMMARY OF BACKGROUND DATA: Anterior Cervical Discectomy and fusion (ACDF) remains the most common procedure in the treatment of cervical spondylotic myelopathy (CSM);however, there is a paucity of literature with regards to patient-reported outcome measures (PROMs), health-related quality-of-life (HRQOL) scores and fusion rates post-ACDF in diabetic patients with CSM...
August 29, 2017: Spine
https://www.readbyqxmd.com/read/28858129/microscope-assisted-anterior-cervical-discectomy-and-fusion-combined-with-posterior-minimally-invasive-surgery-through-tubular-retractors-for-multisegmental-cervical-spondylotic-myelopathy-a-retrospective-study
#15
Ran-Ze Cai, Yin-Qing Wang, Rui Wang, Chun-Hua Wang, Chun-Mei Chen
This study aimed to investigate the clinical efficacy and outcome of combined microscope-assisted anterior cervical discectomy and fusion (ACDF) with posterior minimally invasive surgery through tubular retractors for patients with multisegmental cervical spondylotic myelopathy (MCSM).This retrospective study included 28 patients (19 males and 9 females) with multisegmental cervical spondylotic myelopathy, who underwent combined microscope-assisted ACDF with posterior minimally invasive surgery through tubular retractors in our single center between January 2012 and December 2016...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28857969/assessing-online-patient-education-readability-for-spine-surgery-procedures
#16
William W Long, Krishna D Modi, Brittany E Haws, Benjamin Khechen, Dustin H Massel, Benjamin C Mayo, Kern Singh
BACKGROUND CONTEXT: Increased patient reliance on Internet-based health information has amplified the need for comprehensible online patient education articles. As suggested by the American Medical Association and National Institute of Health, spine fusion articles should be written for a 4th-6th-grade reading level to increase patient comprehension, which may improve postoperative outcomes. PURPOSE: The purpose of this study is to determine the readability of online health care education information relating to anterior cervical discectomy and fusion (ACDF) and lumbar fusion procedures...
August 28, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28855766/effect-of-mental-health-on-post-operative-infection-rates-following-cervical-spine-fusion-procedures
#17
Emin Dedeogullari, Permsak Paholpak, Kaku Barkoh, Joshua Lucas, Larry Lee, Christopher Wang, Patrick C Hsieh, Jeffrey C Wang, Zorica Buser
PURPOSE: The aim of this study was to determine whether having an existing psychiatric disorder is a risk factor for developing post-operative infection following anterior cervical discectomy with fusion (ACDF) and posterior cervical fusion (PCF). RESULTS: A total of 34,007 patients within Humana database was included in this study. Patients with mental disorders had post-operative infection rates of 3.2% and 4.4% within 1 and 3months, compared to 2.5% and 3.5% in patients without a psychiatric disorder (p < 0...
December 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/28835868/anterior-cervical-discectomy-with-fusion-using-a-local-source-for-cancellous-autograft-a-biomechanical-analysis-of-vertebral-body-stability-in-an-osteopenic-bone-model
#18
Zakk Walterscheid, Conor O'Neill, Alex Ochs, Adrian D'Averso, Christopher Dew, Alyssa Huntington, Grace Ma, Caleb Behrend, Rafaella De Vita, Jonathan Carmouche
BACKGROUND: Anterior cervical discectomy with fusion is an effective treatment for patients having cervical radiculopathy and myelopathy. To reduce morbidity associated with autograft taken from the iliac crest without sacrificing high fusion rates, a novel technique that harvests bone from the vertebral body adjacent to the operative disc space has been proposed. The effects of square and round bone graft harvest techniques on the mechanical stability of the osteopenic donor vertebrae are unknown...
September 2017: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/28828180/multi-level-spine-endoscopy-a-review-of-available-evidence-and-case-report
#19
Scott D Middleton, Ralf Wagner, J N Alastair Gibson
In the last ten years, there has been an exponential increase in endoscopic spinal surgery practice.With improvements in equipment quality and the availability of high definition camera systems, cervical endoscopic disc resection is now a viable alternative to anterior cervical decompression and fusion (ACDF) or disc arthroplasty for the treatment of disc prolapse and low grade stenosis.Based on the current literature, there is now strong evidence to support the use of transforaminal endoscopic approaches for the treatment of thoracic disc prolapse...
July 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28816974/efficacy-of-cortico-cancellous-composite-allograft-in-treatment-of-cervical-spondylosis
#20
COMPARATIVE STUDY
Jung-Ho Park, Yoon-Kwang Bae, Seung-Woo Suh, Jae-Hyuk Yang, Jae-Young Hong
This was a prospective comparative study.The aim of this study was to compare the clinical and radiologic outcomes of patients treated with cortico/cancellous composite allograft or autoiliac bone graft in anterior cervical discectomy and fusion.Several methods have been developed to fuse the cervical spine for treatment of cervical spondylosis. Cortico/cancellous composite allograft might be another alternative.A total of 46 patients who underwent surgery for treatment of cervical spondylosis were evaluated between September 2010 and January 2015...
August 2017: Medicine (Baltimore)
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