Document Detail


Anterior cervical discectomy: is fusion necessary?
MedLine Citation:
PMID:  10413119     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: A prospective, randomized trial was performed to compare the efficacy of anterior cervical discectomy (ACD) with ACD and fusion (ACDF) for the treatment of cervical spondylosis in patients with neurological compromise. METHODS: Forty-four patients underwent ACD and 40 underwent ACDF. Operative time and length of hospital stay were shorter and there was less need for analgesia in the ACD group. It was found that whereas the incidence of fusion was greater in the ACDF group compared to the ACD group (97 compared with 70%, respectively; p<0.01), patient satisfaction and a return to preoperative activity level was similar between groups. CONCLUSIONS: Analysis of the results suggests that the addition of a fusion procedure may be unnecessary.
Authors:
G C Dowd; F P Wirth
Related Documents :
7056779 - Pulmonary function before and after surgical correction of scoliosis.
11189919 - The results of anterior fusion and cotrel-dubousset-hopf instrumentation in idiopathic ...
9755779 - Postlaminectomy and postirradiation kyphosis in children and adolescents.
14588389 - Evaluation and analysis of patient outcomes with an intrasegmental fixation system in l...
8073319 - The relationship between pes cavus and idiopathic scoliosis.
9383859 - Adult spinal deformity and respiratory failure. surgical results in 35 patients.
16199269 - Evaluation of subconjunctival triamcinolone for nonnecrotizing anterior scleritis.
7056779 - Pulmonary function before and after surgical correction of scoliosis.
9010009 - The prognosis and main prognostic indicators of guillain-barré syndrome. a multicentre...
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  90     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1999 Jan 
Date Detail:
Created Date:  1999-07-27     Completed Date:  1999-07-27     Revised Date:  2005-04-14    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  8-12     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurosurgery, Louisiana State University Medical Center, New Orleans, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cervical Vertebrae / surgery*
Diskectomy / adverse effects,  methods*
Humans
Prospective Studies
Spinal Fusion*
Spinal Osteophytosis / surgery*
Treatment Outcome
Comments/Corrections
Comment In:
J Neurosurg. 1999 Aug;91(2):353-4   [PMID:  10433333 ]
J Neurosurg. 1999 Aug;91(2):354   [PMID:  10433334 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Inside-outside technique for posterior occipitocervical spine instrumentation and stabilization: pre...
Next Document:  Risk of early closed reduction in cervical spine subluxation injuries.