Early and late re-operations after anterior cervical decompression and fusion during an 11-year follow-up

Saarinen, Tuure; Niemelä, Mika; Kivisaari, Riku; Pitkäniemi, Janne; Pohjola, Juha; Hernesniemi, Juha

doi:10.1007/s00701-012-1563-2

Cited by 14 publications

(11 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interbody fusion incorporating an intervertebral spacer is considered the standard of care in human cervical vertebral column stabilization . Common biological materials include auto‐ and allografts of tricortical iliac crest or cortical ring grafts .…”

Section: Discussionmentioning

confidence: 99%

Effect of an Intervertebral Disk Spacer on Stiffness After Monocortical Screw/Polymethylmethacrylate Fixation in Simulated and Cadaveric Canine Cervical Vertebral Columns

et al. 2014

View full text Add to dashboard Cite

Objective: To determine the biomechanical effect of an intervertebral spacer on construct stiffness in a PVC model and cadaveric canine cervical vertebral columns stabilized with monocortical screws/polymethylmethacrylate (PMMA).Study Design: Biomechanical study.Sample population: PVC pipe; cadaveric canine vertebral columns Methods: PVC model -PVC pipe was used to create a gap model mimicking vertebral endplate orientation and disk space width of large-breed canine cervical vertebrae; 6 models had a 4-mm gap with no spacer (PVC group 1); 6 had a PVC pipe ring spacer filling the gap (PCV group 2). Animals -large breed cadaveric canine cervical vertebral columns (C2-C7) from skeletally mature dogs without (cadaveric group 1, n=6, historical data) and with an intervertebral disk spacer (cadaveric group 2, n=6) were used. All PVC models and cadaver specimens were instrumented with monocortical titanium screws/PMMA. Stiffness of the 2 PVC groups was compared in extension, flexion, and lateral bending using non-destructive 4-point bend testing. Stiffness testing in all 3 directions was performed of the unaltered C4-C5 vertebral motion unit in cadaveric spines and repeated after placement of an intervertebral cortical allograft ring and instrumentation. Data were compared using a linear mixed model approach that also incorporated data from previously tested spines with the same screw/PMMA construct but without disk spacer (cadaveric group 1).Results: Addition of a spacer increased construct stiffness in both the PVC model (P< .001) and cadaveric vertebral columns (P<.001) compared to fixation without a spacer. Conclusions:Addition of an intervertebral spacer significantly increased construct stiffness of monocortical screw/PMMA fixation.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of an Intervertebral Disk Spacer on Stiffness After Monocortical Screw/Polymethylmethacrylate Fixation in Simulated and Cadaveric Canine Cervical Vertebral Columns

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Sugawara et al reported that there were 80 % of cases who demonstrated excellent results, so did the study of Faldini et al (78 %) [ 27 , 28 ]. To our knowledge, the outcomes of patients who received revision surgery were also reported excellently by Saarinen et al (72 %) [ 29 ]. In their report, 72 % of patients were satisfied with the result, which was better compared with our finding of 68.6 % of satisfied patients after the reoperation.…”

Section: Discussionmentioning

confidence: 57%

A study on the clinical outcomes of patients with revision surgery for adjacent segment disease after 10-year’s anterior cervical spine surgery

Tong

Niu

et al. 2016

J Orthop Surg Res

View full text Add to dashboard Cite

BackgroundThe purpose of this study was to investigate the clinical outcomes of anterior cervical discectomy and fusion (ACDF) or anterior cervical corpectomy and fusion (ACCF) as a revision surgery for adjacent segment disease (ASD) after primary surgery.MethodsThere were 35 patients who underwent anterior cervical spine surgery for symptomatic recurrent radicular or myelopathic symptoms from ASD. According to the ASD involved levels superior or inferior to the previous operated level, patients were divided into two groups: superior and inferior groups. The patients were also grouped into ACDF and ACCF groups by who received ACDF or ACCF as revision surgery for ASD. Clinical evaluations were performed preoperatively and repeated at 2 years after operation.ResultsIn this study, a total of 35 patients with a minimum of 2 years of follow-up data were available for analysis. There were 20 patients in the superior group and 15 patients in the inferior group according to the ASD developed at levels. Of these 35 patients, according to the treatment method, 12 patients were in the ACCF group and 23 patients were in the ACDF group. The Japanese Orthopaedic Association (JOA), Neck Disability Index (NDI), and visual analogue scale (VAS) on arm pain and neck pain scores demonstrated significant improvement compared to the preoperative scores in both groups (superior and inferior groups or ACDF and ACCF groups) (P < 0.05). However, there was no difference between the two groups (superior and inferior groups or ACDF and ACCF groups) (P > 0.05).ConclusionsAccording to our study, both superior and inferior adjacent-level groups together with ACDF and ACCF groups maintained favorable clinical results on patients who underwent one-level ACDF for symptomatic new radicular or myelopathic symptoms.

show abstract

“…The 10-year cervical reoperation rate was 12.8% excluding early reoperations. In a previous study conducted by our department, Saarinen et al reported the overall reoperation rate to be 15% in 10-12 years in a population of all ages, and 11% if the early reoperations (<1 month) were excluded [7].…”

Section: Discussionmentioning

confidence: 94%

“…The total annual incidence of ASD has been reported in previous studies to be 2.9%, and there is up to a 25.5% lifetime risk of developing postoperative ASD [4]. The need for reoperation due to ASD across unrestricted age groups has been evaluated in several studies [5] [6] [7] [8] [9] [10] [11] [12]. The estimates for the annual incidence rate of ASD requiring surgery vary from 0.8% to 2.4% [5] [6], with 7.2% of cases needing surgery in 25 years [8], and 22.2% in 10 years [6].…”

Section: Introductionmentioning

confidence: 99%

Anterior cervical discectomy and fusion in young adults leads to favorable outcome in long-term follow-up

et al. 2020

Self Cite

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

Early and late re-operations after anterior cervical decompression and fusion during an 11-year follow-up

Abstract: Fifteen percent of patients underwent a re-operation during the follow-up. The outcome for re-operated patients is similar to patients without a re-operation. A multilevel fusion does not predispose to adjacent level degeneration. A solid fusion can be achieved without plating.

Cited by 14 publications

References 25 publications

Effect of an Intervertebral Disk Spacer on Stiffness After Monocortical Screw/Polymethylmethacrylate Fixation in Simulated and Cadaveric Canine Cervical Vertebral Columns

Effect of an Intervertebral Disk Spacer on Stiffness After Monocortical Screw/Polymethylmethacrylate Fixation in Simulated and Cadaveric Canine Cervical Vertebral Columns

A study on the clinical outcomes of patients with revision surgery for adjacent segment disease after 10-year’s anterior cervical spine surgery

Anterior cervical discectomy and fusion in young adults leads to favorable outcome in long-term follow-up

Contact Info

Product

Resources

About