Preliminary experience with anterior cervical microdiscectomy and interbody titanium cage fusion (Novus CT-Ti) in patients with cervical disc disease

Profeta, G.; Falco, Raffaele de; G, Ianniciello; Profeta, L; Cigliano, A; Raja, A.

doi:10.1016/s0090-3019(00)00207-x

Cited by 95 publications

(71 citation statements)

References 11 publications

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“…Table 3 summarizes previous reports on titanium cage implantation to treat patients with cervical disk disease. 1,6,10,12,13, 15,16,[26][27][28]31,34,39,40,43,44) Most of these patients were followed for periods not exceeding 24 months. The fusion ratio was between 74% and 100%, but greater than 95% in most cases.…”

Section: Discussionmentioning

confidence: 99%

“…However, the anterior approach using autologous iliac crest bone has numerous problems such as persistent donorsite pain, graft bone collapse, pseudoarthrosis, and kyphotic deformity. 2,5,9,11,14,36,41) To overcome these problems, various implants using ceramic, 23,24,29,35) titanium, 1,6,10,[12][13][14][15][16][26][27][28]31,34,39,40,43,44,46) and carbon cages 7) have been developed. 45) Titanium cages are widely used because of the immediate good stabilization without donor site-related complications.…”

Section: Introductionmentioning

confidence: 99%

“…45) Titanium cages are widely used because of the immediate good stabilization without donor site-related complications. 1,6,10,12,13,15,16,26,28,31,34,39,40,43,44,46) However, most evaluations involved short or intermediate follow-up periods, none exceeding 5 years.…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Follow-Up Results in Patients With Cervical Disk Disease Treated by Cervical Anterior Fusion Using Titanium Cage Implants

Hida¹,

Iwasaki²,

Yano³

et al. 2008

Neurol. Med. Chir.(Tokyo)

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This study is a retrospective analysis of 146 patients, 85 males and 61 females aged 21-80 years (mean 52 years), with cervical disk disease who underwent anterior fusion and titanium cage implantation with follow-up periods of no less than 72 months after surgery. All patients underwent the conventional anterior cervical approach. After removing the protruded disk and osteophyte, cylindrical titanium cages were placed. Single, two, and three level fusion was performed in 76 (52%), 64 (44%), and 6 (4%) patients, respectively. Functional assessment used the Neurosurgical Cervical Spine Scale (NCSS). The curvature index and range of motion were evaluated pre-and postoperatively. The clinical outcomes were satisfactory and there were no significant complications. The mean NCSS was 9.7 before and 12.7 at 1 year after the operation, and 12.1 at final examination. No postoperative cage extrusion or pseudoarthrosis occurred, but the cages descended in 10 patients (7%) although alignment was satisfactory. At 5 years after the operation, 140 of the 146 patients (96%) had solid fusion. The long-term results of anterior fusion with titanium cage implantation in patients with cervical disk disease were satisfactory. Titanium cage placement is a highly useful alternative to the conventional treatment method in these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long-Term Follow-Up Results in Patients With Cervical Disk Disease Treated by Cervical Anterior Fusion Using Titanium Cage Implants

Hida¹,

Iwasaki²,

Yano³

et al. 2008

Neurol. Med. Chir.(Tokyo)

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“…The fusion ratio is between 74% and 100%, and exceeds 95% in most series. 3,6,10,13,19,20,[26][27][28] Surgical decompression for cervical spondylosis is beneficial even in elderly patients. Single-level anterior fusion to treat the lesion most responsible for the symptoms is the least invasive choice in the oldest patients.…”

Section: Discussionmentioning

confidence: 99%

“…A part of this study was presented at the 75th Annual Meeting of the American Association of Neurological Surgeons, April [14][15][16][17][18][19] 2007, Washington, D.C., U.S.A.…”

Section: Acknowledgmentsmentioning

confidence: 99%

Surgical Treatment of Cervical Spondylosis in the Elderly: Surgical Outcomes, Risk Factors, and Complications

Hida

Yano²,

Koyanagi

et al. 2008

Neurol. Med. Chir.(Tokyo)

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The incidence of cervical spondylosis in the elderly is increasing with the higher proportion of elderly individuals among the Japanese population. The present study retrospectively analyzed the clinical and radiological features of this clinical entity in 107 patients with cervical spondylosis aged 70 years or older surgically treated between 1995 and 2005. The patients were divided into Group 1 (n ＝ 60) aged between 70 and 74 years, and Group 2 (n ＝ 47) 75 years or older. Patients with localized compression within 2 levels responsible for the neurological symptoms underwent anterior fusion, and patients with a narrow spinal canal were treated by laminoplasty. The pre-and postoperative neurological status (Neurosurgical Cervical Spine Scale) and postoperative complications were compared. More patients in Group 2 required laminoplasty but most patients underwent single-level anterior fusion. There was no statistically significant difference in the surgical results. Group 2 had a much higher ratio of anterior fusion at the C3-4 level. Many of the aged patients had multiple risk factors. Surgical decompression for cervical spondylosis is beneficial even in elderly patients. Single-level anterior fusion to treat the lesion most responsible for the symptoms is the least invasive choice. Elderly patients tend to present with multiple risk factors so require careful perioperative management.

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Role of Materials in Cervical Spine Fusion

Doria

Gallo

2016

Cervical Spine

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Preliminary experience with anterior cervical microdiscectomy and interbody titanium cage fusion (Novus CT-Ti) in patients with cervical disc disease

Cited by 95 publications

References 11 publications

Long-Term Follow-Up Results in Patients With Cervical Disk Disease Treated by Cervical Anterior Fusion Using Titanium Cage Implants

Long-Term Follow-Up Results in Patients With Cervical Disk Disease Treated by Cervical Anterior Fusion Using Titanium Cage Implants

Surgical Treatment of Cervical Spondylosis in the Elderly: Surgical Outcomes, Risk Factors, and Complications

Role of Materials in Cervical Spine Fusion

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