Document Detail

Radiographic analysis of fusion progression following one-level cervical fusion with or without plate fixation.
MedLine Citation:
PMID:  17665339     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Anterior cervical discectomy and fusion (ACDF) using bone graft or a cage with plate fixation is an accepted technique for the treatment of symptomatic degenerative disc disease. It is, however, debatable whether a plate is really necessary to increase the progress of fusion. Thus, the aim of this randomized and controlled prospective study was to evaluate whether ACDF with a cage and anterior plate fixation results in a greater progress of fusion compared with ACDF using a stand-alone cage. METHODS: 37 candidates for ACDF were treated either with a stand-alone cage (study group) or with a cage+plate fixation (control group). 19 patients were randomized to be stabilized with a stand-alone cage and 18 patients were treated with a cage and additional anterior plate fixation. The progress of cervical fusion over time was compared by radiostereometric analysis (RSA). Follow-up examinations pre- and postoperatively were done using the Visual Analogue Scale (VAS) for neck and arm pain. Radiographic assessment of fusion using an RSA-control was done after one, six and twelve weeks, as well as after six months, and one and two years postoperatively. Mann-Whitney test for unpaired values was used to determine the statistical differences in residual intervertebral motion. RESULTS: Three-dimensional analysis of segmental motion (left-right, cranio-caudal, and posterior-anterior) did not reveal any statistical differences between both groups at any examination time postoperatively ( P>0.05). The VAS score did not differ between the groups ( P>0.05). CONCLUSION: Anterior plate fixation did not demonstrate an improvement in the progress of fusion in one-level ACDF.
A Nabhan; D Pape; T Pitzen; W-I Steudel; F Bachelier; J Jung; F Ahlhelm
Related Documents :
3995829 - Closed loop instrumentation of the lumbar spine.
7076839 - L-rod instrumentation for scoliosis in cerebral palsy.
12445339 - Atlantoaxial fixation using plate and screw method: a report of 160 treated patients.
10413119 - Anterior cervical discectomy: is fusion necessary?
10870149 - Instrumented and noninstrumented posterolateral fusion in adult spondylolisthesis--a pr...
16449899 - Spinal range of motion, muscle endurance, and back pain and function at least 20 years ...
25019119 - A comparison of conservative and invasive dental approaches in the treatment of tension...
3484869 - Radiographic appearance of the esophagus and stomach after laser treatment of obstructi...
22087759 - Peripheral leukocyte counts and outcomes after intracerebral hemorrhage.
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2007-07-30
Journal Detail:
Title:  Zentralblatt für Neurochirurgie     Volume:  68     ISSN:  0044-4251     ISO Abbreviation:  Zentralbl. Neurochir.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-31     Completed Date:  2007-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0413646     Medline TA:  Zentralbl Neurochir     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  133-8     Citation Subset:  IM    
Department of Neurosurgery, University of Saarland, Homburg, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Bone Plates*
Cervical Vertebrae / radiography*,  surgery*
Internal Fixators*
Intervertebral Disk / pathology,  surgery
Middle Aged
Neck Pain / etiology,  psychology
Pain / epidemiology,  psychology
Pain Measurement
Prospective Studies
Spinal Fusion*
Spine / radiography*

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

Previous Document:  Debridement and spinal instrumentation as a single-stage procedure in bacterial spondylitis/spondylo...
Next Document:  A less invasive posterior approach for the management of extended secondary epidural abscess technic...