Stabilization of the Cervical Spine by Anterior Fusion

Bailey, Robert W.; Badgley, Carl E.

doi:10.2106/00004623-196042040-00001

Cited by 463 publications

(119 citation statements)

References 0 publications

Supporting

Mentioning

102

Contrasting

Unclassified

Order By: Relevance

“…Anterior cervical discectomy and fusion (ACDF) has first been introduced by Bailey and Badgley [1], Smith and Robinson [20], and Cloward [8] in the 1950s and the early 1960s. Despite minor technical differences, major problems of these surgical techniques have been graft complications (i. e., graft settling, graft compression fractures, graft dislocations, pseudarthrotic segmental healings, and kyphotic segmental deformations) [4-6, 10, 19, 22, 23].…”

Section: Introductionmentioning

confidence: 99%

Fusion and failure following anterior cervical plating with dynamic or rigid plates: 6-months results of a multi-centric, prospective, randomized, controlled study

et al. 2007

View full text Add to dashboard Cite

Anterior cervical plate fixation is an approved surgical technique for cervical spine stabilization in the presence of anterior cervical instability. Rigid plate design with screws rigidly locked to the plate is widely used and is thought to provide a better fixation for the treated spinal segment than a dynamic design in which the screws may slide when the graft is settling. Recent biomechanical studies showed that dynamic anterior plates provide a better graft loading possibly leading to accelerated spinal fusion with a lower incidence of implant complications. This, however, was investigated in vitro and does not necessarily mean to be the case in vivo, as well. Thus, the two major aspects of this study were to compare the speed of bone fusion and the rate of implant complications using either rigid-or dynamic plates. The study design is prospective, randomized, controlled, and multi-centric, having been approved by respective ethic committees of all participating sites. One hundred and thirty-two patients were included in this study and randomly assigned to one of the two groups, both undergoing routine level-1-or level-2 anterior cervical discectomy with autograft fusion receiving either a dynamic plate with screws being locked in ap -position (ABC, Aesculap, Germany), or a rigid plate (CSLP, Synthes, Switzerland). Segmental mobility and implant complications were compared after 3-and 6 months, respectively. All measurements were performed by an independent radiologist. Mobility results after 6 months were available for 77 patients (43 ABC/34 CSLP). Mean segmental mobility for the ABC group was 1.7 mm at the time of discharge, 1.4 mm after 3 months, and 0.8 mm after 6 months. For the CSLPgroup the measurements were 1.0, 1.8, and 1.7 mm, respectively. The differences of mean segmental mobility were statistically significant between both groups after 6 months (P = 0.02). Four patients of the CSLP-group demonstrated surgical hardware complications, whereas no implant complications were observed within the ABC-group (P = 0.0375). Dynamic plate designs provided a faster fusion of the cervical spine compared with rigid plate designs after prior spinal surgery. Moreover, the rate of implant complications was lower within the group of patients receiving a dynamic plate. These interim results refer to a follow-up period of 6 months after prior spinal surgery. Further investigations will be performed 2 years postoperatively.

show abstract

Section: Introductionmentioning

confidence: 99%

Fusion and failure following anterior cervical plating with dynamic or rigid plates: 6-months results of a multi-centric, prospective, randomized, controlled study

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Since the initial description by Robinson and Smith in 1955 [20], the technique of anterior cervical arthrodesis has progressed. Isolated use of bone grafts, proposed by Bailey and Bagdley [4], Cloward [9], Verbiest [26], and Simmons and Bhalla [23] has often been criticized, notably in traumatic instability, because of the risk of secondary displacement. In the degenerative spine, this type of complication is more rare, and the technique of bone grafts without osteosynthesis can be used after decompression of one level.…”

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

View full text Add to dashboard Cite

show abstract

“…A incidência anual de trauma medular, excluindo as mortes na cena do acidente, é de aproximadamente 40 casos por milhão na população norte americana, ou seja, 10.000 novos casos a cada ano 11,12 . Adultos jovens são os mais acometidos, sendo a idade mais comum do trauma medular entre 16 e 30 anos (61%).…”

Section: Discussionunclassified

Alterações vesicais na lesão medular experimental em ratos

Meyer¹,

Vialle

et al. 2003

Acta Cir. Bras.

View full text Add to dashboard Cite

O trauma raquemedular é uma das lesões traumáticas com maior impacto sobre a sociedade, o que faz com que enormes investimentos sejam feitos em estudos visando sua cura. Para a realização de pesquisas sobre lesão medular, é necessário que se utilize um modelo reprodutível desta lesão. A padronização de um sistema de lesão medular experimental provoca alterações não só no sistema nervoso mas também sistêmicas. OBJETIVO: O presente estudo visa avaliar as alterações vesicais na fase aguda da lesão medular experimental. MÉTODOS Foram utilizados 34 ratos Wistar machos divididos em grupo controle (A) e grupo experimento (B). Enquanto os animais do grupo B foram submetidos à laminectomia no nível T9-T10 seguida de lesão medular, os do grupo A (n=4) foram submetidos somente à laminectomia. Os animais do grupo B foram dividos em 6 grupos distintos (n=5) e foram submetidos à eutanásia após 2, 4, 8, 24, 48 horas e 4 dias. RESULTADOS: Verificou-se redução da camada urotelial em todos animais do grupo B, presença de células inflamatórias e congestão vascular principalmente após 8 horas, entre outros achados. CONCLUSÃO: As alterações histológicas na fase aguda da lesão medular evidenciaram importante comprometimento vesical, sendo essa uma alteração sistêmica de relevância em lesados medulares.

show abstract

Stabilization of the Cervical Spine by Anterior Fusion

Cited by 463 publications

References 0 publications

Fusion and failure following anterior cervical plating with dynamic or rigid plates: 6-months results of a multi-centric, prospective, randomized, controlled study

Fusion and failure following anterior cervical plating with dynamic or rigid plates: 6-months results of a multi-centric, prospective, randomized, controlled study

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

Alterações vesicais na lesão medular experimental em ratos

Contact Info

Product

Resources

About