Careful patient selection, aggressive preoperative medical optimization, and appropriate postoperative management for patients undergoing elective anterior cervical discectomy and fusion required
A study published in the Dec. 1 issue of the journal Spine argues for the importance of careful patient selection, aggressive preoperative medical optimization, and appropriate postoperative management for patients undergoing elective anterior cervical discectomy and fusion (ACDF).
Study Design. A retrospective study. Objective. To assess the long-term results of zero-profile spacer for 3-level anterior cervical discectomy and fusion (ACDF). Summary of Background Data. Although widely used, there are still controversies about the long-term results of zero-profile spacer, especially in multilevel cases. Methods. Cases received 3-level ACDF for cervical spondylotic myelopathy (CSM) using either zero-profile spacer (n = 27) (ZP Group), or plate and cages (n = 34) (PC Group), and with 5-year follow-up were reviewed. Neurological function and life quality were assessed by modified Japan...
We describe the case of a 39-year-old male, who presented to our emergency department after a one-day history of headache and vomiting, with associated sudden onset posterior neck pain and cerebellar signs following a massage. Computed tomography angiogram and brain demonstrated bilateral vertebral artery dissection and cerebellar stroke. He was admitted to hospital for monitoring and conservative management with antiplatelet therapy, resulting in a good outcome. This is the first reported case of bilateral vertebral artery dissection and stroke to be associated with massage. This case also suggests, unlike many reports in...
Publication date: Available online 2 April 2020Source: Journal of Orthopaedic TranslationAuthor(s): Chao Chen, Chen-Xi Yuchi, Ziwei Gao, Xinlong Ma, Dong Zhao, Jun-Wei Li, Baoshan Xu, Chun-Qiu Zhang, Zheng Wang, Cheng-Fei Du, Qiang Yang
Publication date: Available online 1 April 2020Source: Journal of Clinical NeuroscienceAuthor(s): Pengfei Li, Dean Chou, Yuqiang Wang, Limin Wang, Ganggang Zhang, Shuhao Zhang, Yao Zhao, Tianchen Ruan, Yingjie Xiong, Landa Shi, Yilin Liu
Conclusion: Although synchronous lesions are rarely encountered, this eventuality should not be omitted. In such cases, surgery should be taken in consideration and the intent of radicality should regard both lesions. PMID: 32235322 [PubMed - in process]
Conclusions: ACDF utilization increased most rapidly in the outpatient setting, and CON status did not appear to hinder growth. Reimbursement decreased across all settings, with the outpatient setting in non-CON states most affected. Surgeons should be aware of these trends in the changing health care environment.
Conclusions: Through this systemic review and meta-analysis, no significant difference was found with regards to fusion rate, postoperative NDI, and VAS between tantalum fusion and iliac crest bone graft in ACDF. More longer-term and randomized studies with large samples are warranted to validate any association found in this study. Level of Evidence: Level II.
AbstractWe suggested operative techniques and indications of robotic neck surgery. To determine operative techniques and the indications for robotic neck surgery, we analyzed treatment outcomes of patients who received robotic neck surgery. Between May 2010 and July 2018, a total of 945 patients with various neck diseases visited Severance Hospital and underwent robotic neck surgery. A variety of approaches, including the retroauricular approach (RA), modified facelift approach (MFLA), transaxillary approach (TA), and transaxillary retroauricular approach (TARA), was used to remove various tumors in the neck. A total of 23...
Publication date: September 2020Source: Interdisciplinary Neurosurgery, Volume 21Author(s): Sang Hoon Jang, Soon O. Hong, Hyeok Jang, Ho-Yeon Lee, Won Chul Choi, Jae Taek Hong
Anterior cervical discectomy with an interbody cage (ACDF) to obtain fusion is a common procedure in cervical spine surgery. Presently, PEEK with (auto)graft is frequently used for interbody fusion although alternative implant technology like 3-D printing titanium has been introduced recently.