| Radiographic analysis of fusion progression following one-level cervical fusion with or without plate fixation. | |
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MedLine Citation:
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PMID: 17665339 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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A Nabhan; D Pape; T Pitzen; W-I Steudel; F Bachelier; J Jung; F Ahlhelm |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial Date: 2007-07-30 |
Journal Detail:
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Title: Zentralblatt für Neurochirurgie Volume: 68 ISSN: 0044-4251 ISO Abbreviation: Zentralbl. Neurochir. Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-08-31 Completed Date: 2007-10-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0413646 Medline TA: Zentralbl Neurochir Country: Germany |
Other Details:
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Languages: eng Pagination: 133-8 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, University of Saarland, Homburg, Germany. dr_a_nabhan@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arm Bone Plates* Cervical Vertebrae / radiography*, surgery* Diskectomy Female Humans Internal Fixators* Intervertebral Disk / pathology, surgery Male 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
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