Performance of Cervical Arthroplasty at a Pseudarthrosed Level of a MultiLevel Anterior Cervical Discectomy and Fusion: Case Report

Spinelli, Joseph; Neal, Christopher J.; Rosner, Michael

doi:10.7205/milmed-d-15-00322

Cited by 8 publications

(7 citation statements)

References 10 publications

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“…He was approved for a waiver for a nonejection fixed wing aircraft. 11 Six pilots (27.3%) retired within a year of surgery, two of whom became commercial pilots. Five pilots who were ineligible for retirement never returned to active flying duty.…”

Section: Resultsmentioning

confidence: 99%

Return-to-active-duty rates after anterior cervical spine surgery in military pilots

Miller

Boulter

Coughlin

et al. 2018

Neurosurgical Focus

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OBJECTIVESymptomatic cervical spondylosis with or without radiculopathy can ground an active-duty military pilot if left untreated. Surgically treated cervical spondylosis may be a waiverable condition and allow return to flying status, but a waiver is based on expert opinion and not on recent published data. Previous studies on rates of return to active duty status following anterior cervical spine surgery have not differentiated these rates among military specialty occupations. No studies to date have documented the successful return of US military active-duty pilots who have undergone anterior cervical spine surgery with cervical fusion, disc replacement, or a combination of the two. The aim of this study was to identify the rate of return to an active duty flight status among US military pilots who had undergone anterior cervical discectomy and fusion (ACDF) or total disc replacement (TDR) for symptomatic cervical spondylosis.METHODSThe authors performed a single-center retrospective review of all active duty pilots who had undergone either ACDF or TDR at a military hospital between January 2010 and June 2017. Descriptive statistics were calculated for both groups to evaluate demographics with specific attention to preoperative flight stats, days to recommended clearance by neurosurgery, and days to return to active duty flight status.RESULTSAuthors identified a total of 812 cases of anterior cervical surgery performed between January 1, 2010, and June 1, 2017, among active duty, reserves, dependents, and Department of Defense/Veterans Affairs patients. There were 581 ACDFs and 231 TDRs. After screening for military occupation and active duty status, there were a total of 22 active duty pilots, among whom were 4 ACDFs, 17 TDRs, and 2 hybrid constructs. One patient required a second surgery. Six (27.3%) of the 22 pilots were nearing the end of their career and electively retired within a year of surgery. Of the remaining 16 pilots, 11 (68.8%) returned to active duty flying status. The average time to be released by the neurosurgeon was 128 days, and the time to return to flying was 287 days. The average follow-up period was 12.3 months.CONCLUSIONSAdhering to military service-specific waiver guidelines, military pilots may return to active duty flight status after undergoing ACDF or TDR for symptomatic cervical spondylosis.

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Section: Resultsmentioning

confidence: 99%

Return-to-active-duty rates after anterior cervical spine surgery in military pilots

Miller

Boulter

Coughlin

et al. 2018

Neurosurgical Focus

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Section: Discussionmentioning

confidence: 99%

“…Four reports exist in the literature documenting the reversal of fusions with CDRs [9] , [10] , [11] , [12] . Revision surgeries to reverse the fusions were due to inadequate decompression, recurrence of osteophytes, and/or a suspected pseudarthrosis [9] , [10] , [11] , [12] . Of these case studies, one case series documents the outcomes of CDR in the treatment of pseudarthrosis in five patients with a previous ACDF [9] .…”

Section: Discussionmentioning

confidence: 99%

Treatment of cervical non-union with cervical disc replacement: A case series

Kujala

Song

Curto

et al. 2022

International Journal of Surgery Case Reports

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“…He had subjective improvement in his symptoms and ultimately was granted a waiver to return to active flight status. 67 Lastly, Sekhon 68 described a case of C5-C6 ACDF complicated by graft subsidence and adjacent segment foraminal stenosis causing bilateral C7 radiculopathies. Ultimately, the C5-C6 ACDF construct was taken down and a 2-level CDA at C5-C6 and C6-C7 was performed, and the patient had significant improvement in his neurologic symptoms and radiographic ROM.…”

Section: Conversion Of Prior Fusion To Cdamentioning

confidence: 99%

Current and Expanded Indications for Cervical Disc Arthroplasty

Divi,

Plantz,

Tegethoff

et al. 2023

Clinical Spine Surgery: A Spine Publication

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The widespread success of cervical disc arthroplasty (CDA) has led to an interest in expanding indications beyond those outlined in the initial Food and Drug Administration investigational device exemption studies. Some of these off-label indications currently include 3-level and 4-level CDA, hybrid constructs with adjacent segment anterior cervical discectomy and fusion or corpectomy constructs, pre-existing kyphosis, revision of a failed anterior cervical discectomy and fusion to a CDA, CDA in the setting of significant degenerative disc disease and/or facet joint arthropathy, CDA for congenital cervical stenosis, and CDA in the presence of ossification of the posterior longitudinal ligament. This review article will summarize the current literature pertaining to the aforementioned indications.

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Performance of Cervical Arthroplasty at a Pseudarthrosed Level of a MultiLevel Anterior Cervical Discectomy and Fusion: Case Report

Cited by 8 publications

References 10 publications

Return-to-active-duty rates after anterior cervical spine surgery in military pilots

Return-to-active-duty rates after anterior cervical spine surgery in military pilots

Treatment of cervical non-union with cervical disc replacement: A case series

Current and Expanded Indications for Cervical Disc Arthroplasty

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