Late Results of Cervical Discectomy and Interbody Fusion

Williams, John L.; Allen, Marshall B.; Harkess, James W.

doi:10.2106/00004623-196850020-00006

Cited by 134 publications

(44 citation statements)

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“…Although cervical spondylosis affects the entire cervical spine, the greatest arthritic changes develop between the fifth and sixth and between the sixth and seventh cervical vertebrae [2][3][4]12,14,21,25 . Symptomatic adjacentsegment disease also was most common at these levels.…”

Section: Discussionmentioning

confidence: 99%

Radiculopathy and Myelopathy at Segments Adjacent to the Site of a Previous Anterior Cervical Arthrodesis*

Hilibrand

Carlson

Palumbo

et al. 1999

The Journal of Bone & Joint Surgery

1,541

981

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Section: Discussionmentioning

confidence: 99%

Radiculopathy and Myelopathy at Segments Adjacent to the Site of a Previous Anterior Cervical Arthrodesis*

Hilibrand

Carlson

Palumbo

et al. 1999

The Journal of Bone & Joint Surgery

1,541

981

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“…In cervical reconstruction, after extensive decompression through an anterior approach, the use of an iliac crest graft associated with screw-plate fixation gives satisfactory results, both clinically and in terms of the quality of bony fusion achieved [2,7,13,27,28]. However, the morbidity of the iliac bone harvest can often tarnish these results.…”

Section: Discussionmentioning

confidence: 99%

“…Arthrodesis with autologous iliac crest graft is considered as the biologic and biomechanical standard in anterior cervical reconstruction [2,7,13,27,28]. However, morbidity involving the site of graft harvest remains high and can compromise the often satisfactory clinical result of cervical nerve root and spinal cord decompression [3,22].…”

Section: Introductionmentioning

confidence: 99%

Radiolucent cage for cervical vertebral reconstruction: A prospective study of 17 cases with 2-year minimum follow-up

et al. 2004

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“…The reported incidence of postoperative wound hematoma among the previously published series is 0.2-2.4% (20,21,(81)(82)(83)(84)(85)(86)(87)(88)(89). A postoperative hematoma although occurs rarely, it may potentially be a lifethreatening complication.…”

Section: Dysphagiamentioning

confidence: 99%

Anterior cervical spine surgery-associated complications in a retrospective case-control study

Τάσιου¹,

Giannis²,

Brotis³

et al. 2017

J. Spine Surg.

114

113

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Anterior cervical spine procedures have been associated with satisfactory outcomes. However, the occurrence of troublesome complications, although uncommon, needs to be taken into consideration.The purpose of our study was to assess the actual incidence of anterior cervical spine procedure-associated complications and identify any predisposing factors. A total of 114 patients undergoing anterior cervical procedures over a 6-year period were included in our retrospective, case-control study. The diagnosis was cervical radiculopathy, and/or myelopathy due to degenerative disc disease, cervical spondylosis, or traumatic cervical spine injury. All our participants underwent surgical treatment, and complications were recorded.The most commonly performed procedure (79%) was anterior cervical discectomy and fusion (ACDF).Fourteen patients (12.3%) underwent anterior cervical corpectomy and interbody fusion, seven (6.1%) ACDF with plating, two (1.7%) odontoid screw fixation, and one anterior removal of osteophytes for severe Forestier's disease. Mean follow-up time was 42.5 months (range, 6-78 months). The overall complication rate was 13.2%. Specifically, we encountered adjacent intervertebral disc degeneration in 2.7% of our cases, dysphagia in 1.7%, postoperative soft tissue swelling and hematoma in 1.7%, and dural penetration in 1.7%. Additionally, esophageal perforation was observed in 0.9%, aggravation of preexisting myelopathy in 0.9%, symptomatic recurrent laryngeal nerve palsy in 0.9%, mechanical failure in 0.9%, and superficial wound infection in 0.9%. In the vast majority anterior cervical spine surgery-associated complications are minor, requiring no further intervention. Awareness, early recognition, and appropriate management, are of paramount importance for improving the patients' overall functional outcome.

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Late Results of Cervical Discectomy and Interbody Fusion

Cited by 134 publications

References 0 publications

Radiculopathy and Myelopathy at Segments Adjacent to the Site of a Previous Anterior Cervical Arthrodesis*

Radiculopathy and Myelopathy at Segments Adjacent to the Site of a Previous Anterior Cervical Arthrodesis*

Radiolucent cage for cervical vertebral reconstruction: A prospective study of 17 cases with 2-year minimum follow-up

Anterior cervical spine surgery-associated complications in a retrospective case-control study

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