Document Detail

Anterior cervical discectomy: is fusion necessary?
MedLine Citation:
PMID:  10413119     Owner:  NLM     Status:  MEDLINE    
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.
G C Dowd; F P Wirth
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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    
Department of Neurosurgery, Louisiana State University Medical Center, New Orleans, USA.
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MeSH Terms
Cervical Vertebrae / surgery*
Diskectomy / adverse effects,  methods*
Prospective Studies
Spinal Fusion*
Spinal Osteophytosis / surgery*
Treatment Outcome
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

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