Anterior Discectomy without Fusion for Treatment of Cervical Lateral Soft Disc Extrusion: A Follow-up of 120 Cases

Grisoli, F; Graziani, N; Fabrizi, Adele; Peragut, J. C.; Vincentelli, F; Diaz-Vasquez, P.

doi:10.1227/00006123-198906000-00010

Cited by 44 publications

(11 citation statements)

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“…Despite the publication of studies showing that cervical discectomy without fusion has had good short-term results [35][36][37][38][39][40] and the continued recommendation of experts for prospective trials of discectomy versus discectomy and fusion, 41-43 the number of patients undergoing cervical discectomy alone is shrinking significantly.…”

Section: Discussionmentioning

confidence: 99%

National and Regional Rates and Variation of Cervical Discectomy With and Without Anterior Fusion, 1990–1999

Angevine¹,

Arons²,

McCormick³

2003

Spine

115

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Section: Discussionmentioning

confidence: 99%

National and Regional Rates and Variation of Cervical Discectomy With and Without Anterior Fusion, 1990–1999

Angevine¹,

Arons²,

McCormick³

2003

Spine

115

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“…[1][2][3][4][5][6][7][16][17][18][19]21,23,26,28,30,33,38,41,44,45 Fusion has also been advocated by numerous authors in cases of soft-disc herniation, even if its efficacy in this matter is still a source of debate. 15,22,25,27,29,32,[34][35][36] Whatever the indication, the ideal graft should not only induce a rapid and complete interbody fusion but also restore the physiological lordosis and maintain the intervertebral and foraminal height. 2,31,42 The chemicophysical characteristics of the HA graft allow it to satisfy these goals.…”

Section: Discussionmentioning

confidence: 99%

Anterior cervical interbody fusion with hydroxyapatite graft and plate system

Bruneau¹,

Nisolle²,

Gilliard³

et al. 2001

FOC

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Object In cases of spondylosis or spine trauma, cervical interbody grafts are sometimes required after anterior discectomy. To avoid morbidity related to the harvesting of iliac crest bone, numerous materials have been developed such as allografts, methylmethacrylate, biocompatible osteoconductive polymer, and coralline grafts or cages. Some of these materials, however, are inefficient for fusion or are associated with specific complications. Conversely, hydroxyapatite (HA) grafts have numerous advantages. For example, their mechanical properties provide adequate load resistance and their porosity allows infiltration by newly formed bone, leading to complete fusion. The authors studied the results of using HA grafts combined with plating in patients who underwent anterior cervical discectomy. Methods Fifty-four patients underwent 68 cervical interbody fusion procedures in which an HA graft and plating were used. Indications for surgery were radiculopathy (caused by soft-disc herniation or spondylosis) in 46 cases, spondylotic myelopathy in two cases, and spinal trauma in six cases. Postoperatively the patients were followed for a mean of 24.6 months. Patients underwent radiography to evaluate fusion, intervertebral disc height, and the degree of lordosis. Clinically, excellent or good results (based on the Odon classification) were demonstrated in 91% of patients who presented with radiculopathy. Complete interbody fusion was achieved in 99% of all cases. Preoperative kyphotic deformities were corrected in all cases after surgery. Intervertebral disc height was maintained throughout follow up. Surgery-related morbidity was low; only one patient suffered from a permanent dysphagia. Graft deterioration was observed in 13 cases and two graft fractures occurred but without adversely affecting fusion. There were no cases of graft extrusion. Conclusions Hydroxyapatite grafts are very efficient in achieving cervical fusion, maintaining intervertebral disc height, and restoring lordosis. When combined with the placement of a cervical plate, immediate stability is achieved and graft displacement is prevented.

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“…Instability after anterior cervical discectomy without fusion has unfavourable clinical and radiographic effects. [20][21][22][23][24][25] Therefore, discectomised spinal segments should be stabilised.…”

Section: Discussionmentioning

confidence: 99%

Comparative Biomechanical Study of Cervical Spine Stabilisation by Cage Alone, Cage with Plate, or Plate-Cage: A Porcine Model

Hakało¹,

Pezowicz

Wroński

et al. 2008

J Orthop Surg (Hong Kong)

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Purpose. To compare stability and subsidence associated with 3 types of cervical spine stabilisation. Methods. The C3 to C4 vertebrae of 28 Polish pigs were used. Pigs with intact vertebrae (group 1) underwent standard anterior cervical discectomy (group 2), followed by stabilisation using a cage alone (group 3), a cage with plate (group 4), or a plate-cage (group 5). Cervical spine stability and subsidence were compared in all 5 groups. Results. Stability was significantly increased after stabilisation by a cage with plate or a plate-cage, but not by a cage alone. The difference between stabilisation by a cage with plate and a plate-cage was not significant. Subsidence was maximal after the Comparative biomechanical study of cervical spine stabilisation by cage alone, cage with plate, or plate-cage: a porcine model

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Anterior Discectomy without Fusion for Treatment of Cervical Lateral Soft Disc Extrusion: A Follow-up of 120 Cases

Cited by 44 publications

References 0 publications

National and Regional Rates and Variation of Cervical Discectomy With and Without Anterior Fusion, 1990–1999

National and Regional Rates and Variation of Cervical Discectomy With and Without Anterior Fusion, 1990–1999

Anterior cervical interbody fusion with hydroxyapatite graft and plate system

Comparative Biomechanical Study of Cervical Spine Stabilisation by Cage Alone, Cage with Plate, or Plate-Cage: A Porcine Model

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