Document Detail


Anterior fusion alone compared with combined anterior and posterior fusion for the treatment of degenerative cervical kyphosis.
MedLine Citation:
PMID:  21037350     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We evaluated the efficacy of anterior fusion alone compared with combined anterior and posterior fusion for the treatment of degenerative cervical kyphosis. Anterior fusion alone was undertaken in 15 patients (group A) and combined anterior and posterior fusion was carried out in a further 15 (group B). The degree and maintenance of the angle of correction, the incidence of graft subsidence, degeneration at adjacent levels and the rate of fusion were assessed radiologically and clinically and the rate of complications recorded. The mean angle of correction in group B was significantly higher than in group A (p = 0.0009). The mean visual analogue scale and the neck disability index in group B was better than in group A (p = 0.043, 0.0006). The mean operation time and the blood loss in B were greater than in group A (p < 0.0001, 0.037). Pseudarthrosis, subsidence of the cage, and problems related to the hardware were more prevalent in group A than in group B (p = 0.034, 0.025, 0.013). Although the combined procedure resulted in a longer operating time and greater blood loss than with anterior fusion alone, our results suggest that for the treatment of degenerative cervical kyphosis the combined approach leads to better maintenance of sagittal alignment, a higher rate of fusion, a lower incidence of complications and a better clinical outcome.
Authors:
K-J Song; J S Johnson; B-R Choi; J C Wang; K-B Lee
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  92     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-01     Completed Date:  2010-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1548-52     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School, G34-18 Keumam-dong, Jeonju-shi, 561-712, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cervical Vertebrae / radiography,  surgery*
Disability Evaluation
Female
Humans
Kyphosis / radiography,  surgery*
Male
Middle Aged
Retrospective Studies
Spinal Fusion / adverse effects,  methods*
Treatment Outcome

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


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