Preliminary Analysis of Adjacent Segment Degeneration in Patients Treated with Posterior Cervical Cages: 2-Year Follow-Up

Siemionow, Kris; Monsef, Jad Bou; Janusz, Piotr

doi:10.1016/j.wneu.2016.01.053

Cited by 17 publications

(26 citation statements)

References 31 publications

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“…Patient outcome was assessed with NDI in all studies, except for 3-which used NDI in addition to SF-12. 8,14,16 At 12-month follow-up, the earliest published series in the literature reported significant improvements in the NDI (64.9 to 16.3). Additionally, the SF-12 physical component score (PCS), and SF-12 mental component score (MCS) improved from 34.6 to 45.4 and from 40.7 to 51.4, respectively.…”

Section: Patient-reported Outcome Measuresmentioning

confidence: 98%

“…Four of the included studies included patient reported outcomes (71.4%). 8,14,16,17 One study was a purely radiographic study 12 (14.3%) and another study was an analysis of a medical device registry (14.3%). 13 All studies, except 2, were limited to single-level interventions.…”

Section: Included Studies and Quality Of Evidencementioning

confidence: 99%

“…The authors also showed a significant improvement in the SF-12 PCS and MCS from 34.3 + 6.0 to 43.7 + 8.4 and 40.3 + 7.6 to 51.4 + 8.8, respectively (P < .0001). 16 In a follow-up study by the same group, the authors reported significant improvements at 24 months in NDI, SF-12 PCS, and SF-12 MCS of 32.2 + 6.2 to 9.1 + 7.7, 34.2 + 6.0 to 43.7 + 8.4, and 40.3 + 7.6 to 51.4 + 8.8, respectively (P < .0001). 14 Smith et al 17 reported on patients treated with percutaneous posterior cervical cage placement for pseudarthrosis after anterior cervical discectomy and fusion (ACDF).…”

Section: Patient-reported Outcome Measuresmentioning

confidence: 99%

“…Unfortunately, because of the small sample size, the authors did not perform a correlation between change in foraminal area and clinical outcome. 12 A follow-up study by Siemionow et al 16 evaluated the effect of single-level percutaneous interfacet cages on radiographic adjacent segment degeneration. The authors defined adjacent segment degeneration as a purely radiographic finding and reserved adjacent segment disease for cases where symptoms became clinically apparent.…”

Section: Radiographic Outcomesmentioning

confidence: 99%

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Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature

Laratta

Gupta²,

Smith³

2019

Global Spine Journal

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Study Design: Literature review. Objectives: Posterior cervical interfacet cages are an alternative to lateral mass fixation in patients undergoing cervical spine surgery. Recently, a percutaneous, tissue-sparing system for interfacet cage placement has been developed, however, there is limited clinical evidence supporting its widespread use. The aim was to review studies published on this system for patient reported outcomes, radiographic outcomes, intraoperative outcomes, and complications. Methods: Four electronic databases (PubMed, EMBASE, Scopus, and MEDLINE) were queried for original published studies that evaluated the percutaneous, tissue-sparing technique for posterior cervical fusion with interfacet cage placement. All studies reporting on open techniques and purely biomechanical studies were excluded. Results: The extensive literature search returned 7852 studies. After systematic review, a total of 7 studies met inclusion criteria. Studies were independently classified as retrospective or prospective cohort studies and each assessed by the GRADE criteria. Patient reported outcomes, radiographic outcomes, intraoperative outcomes, and complications were extracted from each study and presented. Conclusions: Tissue-sparing, posterior cervical fusion with interfacet cages may be considered a safe and effective surgical intervention in patients failing conservative management for cervical spondylotic disease. However, the quality of evidence in the literature is lacking, and controlled, comparative studies are needed for definitive assessment.

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Section: Patient-reported Outcome Measuresmentioning

confidence: 98%

Section: Included Studies and Quality Of Evidencementioning

confidence: 99%

Section: Patient-reported Outcome Measuresmentioning

confidence: 99%

Section: Radiographic Outcomesmentioning

confidence: 99%

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Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature

Laratta

Gupta²,

Smith³

2019

Global Spine Journal

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“…An alternative surgical technique has been reported that involves placement of posterior cervical cages (PCC) between bilateral facet joints. This minimally disruptive technique has been shown to provide indirect decompression, is associated with a low complication profile [22], and high fusion rates [23] [24].…”

Section: Introductionmentioning

confidence: 99%

Fusion with posterior cervical cages for single level radiculopathy, a review of the literature

Adamski¹

2018

Chir. Narzadow Ruchu Ortop. Pol.

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Most patients with cervical radiculopathy improve with non-operative treatment modalities. Surgical treatment is recommended when conservative methods fail. The most common technique is anterior cervical discectomy with fusion (ACDF). Many complications including pseudoarthrosis, recurrent laryngeal nerve injury, dysphagia and adjacent segment degeneration were described as being associated with ACDF. Posterior laminoforaminotomy is another method where neck pain is a frequent complication and has the high rate of revision. Placement of posterior cervical cages (PCC) into facet joints is a recently described technique which provides fusion and indirect decompression of nerves with increased foraminal volume with minimal tissue damage using a small incision and sparing muscle dissection. Several authors reported low complication and high fusion rates with favorable clinical results.

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Cervical Herniated Nucleus Pulposus and Stenosis

Pazmiño¹,

Lauryssen²

2019

Minimally Invasive Spine Surgery

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Preliminary Analysis of Adjacent Segment Degeneration in Patients Treated with Posterior Cervical Cages: 2-Year Follow-Up

Cited by 17 publications

References 31 publications

Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature

Tissue-Sparing Posterior Cervical Fusion With Interfacet Cages: A Systematic Review of the Literature

Fusion with posterior cervical cages for single level radiculopathy, a review of the literature

Cervical Herniated Nucleus Pulposus and Stenosis

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