Anterior Cervical Discectomy and Fusion Versus Cervical Disc Arthroplasty

Nesterenko, Sergiy; Riley, Lee H.; Skolasky, Richard L.

doi:10.1097/brs.0b013e31824ee623

Cited by 38 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Further emphasizing the importance of this evidence gap is the overall increasing annual volume of ACDF procedures 1 and the increasingly comorbid population undergoing these surgeries. 11 Moreover, with emerging reports encouraging outpatient ACDF, 12 it is important to identify subgroups at risk for perioperative emergent reintubation to mitigate catastrophic complications after discharge.…”

Section: Résumémentioning

confidence: 99%

Risk factors for reintubation after anterior cervical discectomy and fusion surgery: evaluation of three observational data sets

Wilson

Zubizarreta

Bekeris

et al. 2019

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Purpose Postoperative loss of airway requiring reintubation is a rare but potentially catastrophic complication following anterior cervical discectomy and fusion (ACDF). We sought to identify risk factors asscociated with reintubation within one day following ACDF. Attention was focused on patient demographics, comorbidities, and factors potentially linked to soft tissue swelling and hematoma formation that could compromise the upper airway. Methods We performed a retrospective cohort study of patients who underwent ACDF procedures at a highvolume institution from 2005 to 2014 (n = 3,041), participating hospitals in the National Surgical Quality Improvement Program (NSQIP) (n = 47,425), and Premier Healthcare (n = 233,633) databases from 2006 to 2016. Separate multivariable logistic regression models using the NSQIP and Premier samples were used to identify risk factors for reintubation within one day of ACDF. Odds ratios (OR) and 95% confidence intervals (CI) are reported.

show abstract

Section: Résumémentioning

confidence: 99%

Risk factors for reintubation after anterior cervical discectomy and fusion surgery: evaluation of three observational data sets

Wilson

Zubizarreta

Bekeris

et al. 2019

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

show abstract

“…[68][69][70] Nevertheless, recent studies have demonstrated an increased rate of CDA use for similar pathologies. [71][72][73][74][75][76] In a retrospective review of a nationwide inpatient sample, Nesterenko et al observed an estimated 700% increase in CDA cases performed from 2005 to 2008 (344 to 2434). 76 increase was after 2013, likely secondary to more devices being approved after this date.…”

Section: Overall Trends and Costs Of Acdf And Cdamentioning

confidence: 99%

“…[71][72][73][74][75][76] In a retrospective review of a nationwide inpatient sample, Nesterenko et al observed an estimated 700% increase in CDA cases performed from 2005 to 2008 (344 to 2434). 76 increase was after 2013, likely secondary to more devices being approved after this date. 75 Cost comparisons between these two interventions has also changed over time.…”

Section: Overall Trends and Costs Of Acdf And Cdamentioning

confidence: 99%

Financial Aspects of Cervical Disc Arthroplasty: A Narrative Review of Recent Literature

et al. 2020

View full text Add to dashboard Cite

This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

show abstract

“… 4 , 5 Consequently, the artificial disc has been developed as an alternative to provide the mobility of the instrumented segments and decrease the compensated mobility to the adjacent segments. 6 , 7 The hybrid use of ACDF and cervical artificial disc replacement (C-ADR) has also been adopted to treat the multilevel instability and degeneration of the cervico-thoracic column. 8 – 11 Theoretically, there are 4 strategies of two-level instrumentation to place the peek cage (P) and artificial disc (A): PP, AA, PA, and AP.…”

Section: Introductionmentioning

confidence: 99%

Hybrid Strategy of Two-Level Cervical Artificial Disc and Intervertebral Cage

2015

View full text Add to dashboard Cite

This numerical study aimed to evaluate tissue and implant responses to the hybrid surgery (HS) of cervical artificial disc replacement (C-ADR) and anterior cervical discectomy and fusion (ACDF).Four hybrid strategies of two-level C-ADR and ACDF were compared in terms of adjacent segment degeneration (ASD) and implant failure.The rotary C-ADR and semirigid ACDF have been extensively used in the multilevel treatment of cervical instability and degeneration, but the constrained mobility at the ACDF segments can induce postoperative ASD problems. Hybrid surgery of C-ADR and ACDF has been an alternative to provide the optimal tradeoff between surgical cost and ASD problems. The biomechanical effects of hybrid strategies warrant thorough investigation for the two-level instrumentation.Based on computed tomography imaging, a nonlinear C2–C7 model was developed and validated by cadaveric and numerical data. Four strategies of inserting the C-ADR and ACDF into the C4–C6 segments were systematically arranged as PP (2 peek cages), AA (2 artificial discs), PA, and AP. The biomechanical behavior of these 4 strategies was evaluated in terms of motion and stresses of discs, facet forces, stresses of C-ADR and ACDF, and C-ADR motion.The constrained mobility of the ACDF segment worsened the kinematic and mechanical demands of the adjacent segments and artificial discs. The C-ADR articulation provided higher mobility than the replaced disc of the intact construct, making it an effective buffer to accommodate the compensated mobility and load from the ACDF segment. Consequently, the ASD progression of the AA construct was most restricted, followed by the PA, AP, and PP construct.The PA strategy is a tradeoff to preserve mobility and reduce cost. The C-ADR of the PA construct preserves the mobility of the C5/C6 segment and shares the transferred motion and loads of the fused C4/C5 segment. The PA construct shows optimal biomechanical results for minimizing ASD and implant failure, whereas the AP strategy is only recommended when cranial degeneration is the major concern.

show abstract

Anterior Cervical Discectomy and Fusion Versus Cervical Disc Arthroplasty

Abstract: Patients undergoing CDA tended to be younger and to have less comorbidity, shorter hospital stays, and lower costs. The number of CDAs increased over time, although the percentage remained relatively small in comparison with that for ACDF.

Cited by 38 publications

References 12 publications

Risk factors for reintubation after anterior cervical discectomy and fusion surgery: evaluation of three observational data sets

Risk factors for reintubation after anterior cervical discectomy and fusion surgery: evaluation of three observational data sets

Financial Aspects of Cervical Disc Arthroplasty: A Narrative Review of Recent Literature

Hybrid Strategy of Two-Level Cervical Artificial Disc and Intervertebral Cage

Contact Info

Product

Resources

About