Evidence-based use of arthroplasty in cervical degenerative disc disease

ConclusionsBased on this evidence we conclude that CDA is a safe and effective alternative to ACDF in properly selected patients for one- or two-level diseases. Defining superiority of specific implants and detailing optimal surgical indications will require further well-designed long-term studies.
Source: International Orthopaedics - Category: Orthopaedics Source Type: research

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ConclusionSince technical difficulties with a limited number of hands, some complex surgery like radical hysterectomy has rarely been performed through LESS approach[1]. The dissection of vesicocevical and parametrial space are critical to radical hysterectomy, dissatisfied exposure during the procedure are the majority difficulties[2]. In the video, surgery for cervical cancer was performed successfully and also met the FIGO standards for radical hysterectomy (Type C). Our video demonstrated that the varied and flexible suspension played a significant role to provide a clear vision and sufficiently exposure, it was feasib...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionThe Synaptive Modus V system is a safe tool to perform common spinal surgeries and intracranial tumor resection. Image quality is better than a microscope but with slightly less depth perception. Vigorous training in the laboratory may be helpful before clinical use.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research
ConclusionsWe advise against the routine use of ECO after single- or two-level ACDF as we did not find out any significant statistical differences between the two groups.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research
Anterior cervical discectomy and fusion (ACDF) is considered the gold standard surgical intervention for cervical myelopathy and radiculopathy. Obtaining a solid fusion is an important goal of ACDF, and doing so has correlated with favorable clinical outcomes. A common complication after surgery is post-operative dysphagia. Multiple techniques have been utilized in attempt to prevent and treat dysphagia, including use of retropharygeal steroids.
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Clinical Study Source Type: research
Include Porous PEEK and porous titanium offerings for anterior cervical discectomy and fusion (ACDF) techniques Modulus implants designed for bone in-growth, while mimicking a stiffness and allowing for enhanced visualization on a variety of imaging modalities Designed to combine inherent benefits of porosity with the advantageous material properties of titaniumThis story is related to the following:Surgical Implants
Source: Industrial Newsroom - Health, Medical and Dental Supplies - Category: Medical Devices Source Type: news
CONCLUSIONS: A computer vision algorithm was trained to classify at least 9 different types of anterior cervical fusion systems using relatively sparse data sets and was demonstrated to perform with high accuracy. This represents one of many potential clinical applications of machine learning and computer vision in neurosurgical practice. PMID: 31491759 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
Conclusion: This study revealed that differentiation grade, histologic grade, pathological T-stage, and lympho-vascular invasion were significant independent prognostic factors on clinical outcomes. PMID: 31480828 [PubMed - as supplied by publisher]
Source: Clinical and Experimental Otorhinolaryngology - Category: ENT & OMF Tags: Clin Exp Otorhinolaryngol Source Type: research
CONCLUSIONS Sound pressure signals may provide an auxiliary feedback system for enhancing drilling operation in ACDF surgery, especially in minimally invasive surgery. PMID: 31474746 [PubMed - in process]
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
Authors: Salame K, Grundshtein A, Regev G, Khashan M, Lador R, Lidar Z Abstract BACKGROUND: Spinal manipulation therapy (SMT) is commonly used as an effective therapeutic modality for a range of cervical symptoms. However, in rare cases, cervical manipulation may be associated with complications. In this review we present a series of cases with cervical spine injury and myelopathy following therapeutic manipulation of the neck, and examine their clinical course and neurological outcome. We conducted a search for patients who developed neurological symptoms due to cervical spinal cord injury following neck SMT in th...
Source: The Israel Medical Association Journal - Category: General Medicine Tags: Isr Med Assoc J Source Type: research
Conclusion. Patients with an AS had similar postoperative clinical outcomes compared with NAS. Furthermore, the presence of an AS was not a predictor of poorer clinical outcomes. This is the first study to investigate the effect of AS in patients undergoing ACDF and suggests that an adjacent-level spondylolisthesis does not need to be included in a fusion construct if it is not part of the primary symptom generating pathology. Level of Evidence: 3
Source: Spine - Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research
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