Change in sagittal profile after implantation of anchored interbody cage in the surgical procedure for degenerative cervical spine disease.

CONCLUSION: SSP change after 1- or 2-level ACDF correlates mostly weakly with GSP change. Male gender and osteoporosis were identified as risk factors for global lordotisation following ACDF. PMID: 32158016 [PubMed - as supplied by publisher]
Source: Biomedical Papers of the Medical Faculty of the Univ Palacky Olomouc Czech Repub - Category: Biomedical Science Tags: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub Source Type: research

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The aim of our study was to explore risk factors of cage nonunion after anterior cervical discectomy and fusion (ACDF). 295 patients underwent ACDF in our hospital between Jan. 2014 and Jan. 2017. Of them, 277 patients suffered cage union (union group, UG) after 6-month follow-up and 18 did not (nonunion group, NG). We collected possible factors including gender, history of smoking, alcohol, hypertension, heart disease, diabetes, body mass index, diagnose, and preoperative visual analog scale -neck, visual analog scale-arm, neck disability index (NDI) and Japanese Orthorpaedic Association, surgical duration, blood loss, f...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
AbstractPurposeThe purpose was to investigate reasons and their frequency for why total disc replacement (TDR) specialty surgeons performed anterior cervical discectomy and fusion (ACDF) rather than TDR.MethodsA consecutive series of 464 patients undergoing cervical spine surgery during a 5-year period by three TDR specialty surgeons was reviewed. For each ACDF, the reason for not performing TDR was recorded.ResultsTDR was performed in 76.7% of patients (n  =  356) and ACDF in 23.3% (n  =  108). The most common reason for ACDF versus TDR was anatomical (conditions that may not be adequately addr...
Source: European Spine Journal - Category: Orthopaedics Source Type: research
Abstract OBJECTIVE: To observe the clinical effect of zoledronic acid (ZA) in patients with cervical spondylosis and osteoporosis after anterior cervical discectomy and fusion (ACDF) surgery. METHODS: All selected patients were divided into the study group and the control group according to the sequence of surgery time. In the study group, 5 mg (100 ml) of ZA was applied intravenously as intervention on the 5 day after ACDF surgery. Patients were followed up regularly after surgery. RESULTS: Forty-three cases completed the follow-ups (21/22), the neck disability index (NDI) score significantly decreased ...
Source: Journal of Orthopaedic Surgery - Category: Orthopaedics Authors: Tags: J Orthop Surg (Hong Kong) Source Type: research
To compare the mid-term efficacy and safety of anterior cervical discectomy and fusion (ACDF) treatment with Zero-Profile device between cervical degenerative disc disease (CDDD) with osteoporosis and non-osteoporosis.
Source: World Neurosurgery - Category: Neurosurgery Authors: Tags: Original article Source Type: research
ConclusionElective surgery and interventional procedures could be limited in medically underserved areas and low- and middle-income countries due to a lack of resources and surgeons and thus surgical and interventional procedures should be prioritized within these settings. There are non-invasive alternatives that produce similar outcomes and are a recommended option where surgical procedures are not available.Graphical abstract These slides can be retrieved under Electronic Supplementary Material.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
Abstract OBJECTIVE Cervical disc arthroplasty (CDA) has been demonstrated to be as safe and effective as anterior cervical discectomy and fusion (ACDF) in the management of 1- and 2-level degenerative disc disease (DDD). However, there has been a lack of data to address the fundamental discrepancy between the two surgeries (CDA vs ACDF), and preservation versus elimination of motion, in the management of cervical myelopathy associated with congenital cervical stenosis (CCS). Although younger patients tend to benefit more from motion preservation, it is uncertain if CCS caused by multilevel DDD can be treated safel...
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
CONCLUSION: Anti-osteoporotic treatment appear to improve the radiological and functional results following following anterior cervical discectomy and fusion. PMID: 26969954 [PubMed - indexed for MEDLINE]
Source: Acta Orthopaedica - Category: Orthopaedics Authors: Tags: Acta Orthop Traumatol Turc Source Type: research
Conclusion. The reoperation rate was higher after laminectomy with posterior fusion or laminoplasty. Given clinical scenarios in which either anterior or posterior approaches can be utilized, risk of reoperation can be another variable to consider in surgical planning and patient education. Level of Evidence: 3
Source: Spine - Category: Orthopaedics Tags: Cervical Spine Source Type: research
CONCLUSION: Anti-osteoporotic treatment appear to improve the radiological and functional results following following anterior cervical discectomy and fusion. PMID: 26969954 [PubMed - in process]
Source: Acta Orthopaedica et Traumatologica Turcica - Category: Orthopaedics Authors: Tags: Acta Orthop Traumatol Turc Source Type: research
Conclusion: Patients who have undergone LDs are at A greater risk of subsequent CDs, an increased risk that is evident in all patients regardless of demographics or the presence of fracture or osteoporosis.
Source: QJM - Category: Internal Medicine Authors: Tags: Original papers Source Type: research
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