Comparison of allograft to autograft in multilevelanterior cervical discectomy and fusion with rigid plate fixation

Samartzis, Dino; Shen, Francis H.; Matthews, Don K; Yoon, S. Tim; Goldberg, Edward J.; An, Howard S.

doi:10.1016/s1529-9430(03)00173-6

Cited by 191 publications

(131 citation statements)

References 43 publications

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“…When compared to the literature, our study met the goals for increased intervertebral space, cervical lordosis, and 100% arthrodesis. 18,27 The most affected level was C5-C6, a result similar to that reported in the literature, although in our study involvement of C3-C4 occurred with the same frequency. The surgical time was less than 2 hours, similar to that found in the articles reviewed.…”

Section: Discussionsupporting

confidence: 91%

“…For this reason, the relatively anterior placement of the cages can be seen in post-operative imaging studies. [22][23][24][25][26][27] PEEK (Polyether ether ketone) is a non-absorbable, semi-crystalline, polyaromatic linear polymer with qualities of strength, rigidity, durability, and resistance to the environment and with elasticity similar to bone. It is radiolucent and facilitates the observation of consolidation in simple radiographs, 28,29 it is compatible with magnetic resonance, its inflammatory response is minimal, and its resistance to corrosion is excellent.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Cage Placement Without Plate in Patients With Cervical Myelopathy With Single-Level Affection

2017

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Objective: To determine the efficacy of PEEK (Poly-ether-ether-ketone) cage without plate for the treatment of single-level cervical spondylosis. Methods: Ten patients with cervical myelopathy data, with a single-level root condition, seen at the outpatient clinic of the Neurosurgery Service, operated in 2016, mean age 53 years, 6 (60%) female, 4 (40%) obese, 3 (30%) smokers. The Cloward technique was used by anterior approach, discectomy, and PEEK cage placement. Results: At six months of surgery, 100% of the patients had increased intervertebral space, with a 100% reduction in osteophytes; only one patient had dysphagia, no patient had lesion of the adjacent segment and 10% had persistent root pathology. Cervical lordosis was observed in 90% of the patients and arthrodesis in 100% of the cases. Conclusions: Anterior approach arthrodesis using PEEK cage without cervical plate is effective as a treatment of cervical myelopathy in a single level.Keywords: Cervical vertebrae; Arthrodesis; Cervical; Cervical spondylosis. RESUMO Objetivo: Determinar a eficácia da do uso de cage em PEEK (poli-éter-éter-cetona), sem placa para o tratamento de espondilose cervical em um único nível. Métodos: Dez pacientes com dados de mielopatia cervical com afecção radicular em um só nível, atendidos no ambulatório do Serviço de

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Efficacy of Cage Placement Without Plate in Patients With Cervical Myelopathy With Single-Level Affection

2017

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“…Anterior cervical spine surgery-associated complications in a retrospective case-control study an overstatement that anterior cervical approach constitutes one of the most rewarding spinal procedures (4)(5)(6)(7)(8)(9)(10)(11)(12).…”

Section: Review Articlementioning

confidence: 99%

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

Τάσιου¹,

Giannis²,

Brotis³

et al. 2017

J. Spine Surg.

120

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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“…O uso da placa ganhou espaço devido à estabilidade precoce, à prevenção da migração de enxerto e à reabilitação precoce [1][2][3] . A fusão intervertebral permite uma estabilidade sem dependência de instrumental [1][2][3] . A realização da fusão intervertebral, mantendo o alinhamento e a altura do espaço discal, requer uso de enxerto, geralmente autólogo, retirado da crista ilíaca.…”

Section: Objetivos: Los Autores Realizaram Un Estudio Y Compararon Elunclassified

Avaliação retrospectiva de artrodese cervical com enxerto autólogo versus hidroxiapatita

Nagasse¹,

Yamazato²,

Oliveira³

et al. 2010

Coluna/Columna

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OBJETIVO: os autores realizaram um estudo e compararam o resultado radiográfico no uso de hidroxiapatita e enxerto de crista ilíaca (autólogo) no tratamento cirúrgico de hérnia discal cervical em um nível, sendo realizada artrodese cervical anterior com placa. MÉTODOS: foi realizado estudo retrospectivo com pacientes submetidos à artrodese cervical comparando-se dois grupos de dez pacientes: um em que foi utilizado enxerto de hidroxiapatita e outro em que foi utilizado enxerto de crista ilíaca (autólogo). Radiografias pós-operatórias foram mensuradas e comparadas, à busca de perdas de alinhamento angular. RESULTADOS: os dois tipos de enxerto demonstraram manter alinhamento em taxas similares, sendo observada consolidação óssea em todos os pacientes. O estudo não mostrou fragmentação do enxerto de hidroxiapatita ou soltura do material de síntese. CONCLUSÃO: nesta pequena série de casos não foi observada diferença significativa entre os resultados da artrodese cervical anterior com enxerto de hidroxiapatita em relação ao enxerto autólogo de ilíaco.

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Comparison of allograft to autograft in multilevelanterior cervical discectomy and fusion with rigid plate fixation

Cited by 191 publications

References 43 publications

Efficacy of Cage Placement Without Plate in Patients With Cervical Myelopathy With Single-Level Affection

Efficacy of Cage Placement Without Plate in Patients With Cervical Myelopathy With Single-Level Affection

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

Avaliação retrospectiva de artrodese cervical com enxerto autólogo versus hidroxiapatita

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