| The effect of cervical plating on single-level anterior cervical discectomy and fusion. | |
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MedLine Citation:
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PMID: 10598986 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The use of anterior plates for single-level cervical fusions is controversial. Previous studies that evaluated single and multiple-level fusions have shown increased and decreased fusion rates when cervical plates are used. The purpose of this study was to compare the clinical and radiographic success of single-level discectomy performed with and without anterior cervical plate fixation. During a 6-year period, 80 patients were surgically treated with a single-level anterior cervical discectomy. Forty-four patients had cervical plates, whereas 36 had fusions without plates (average follow-up, 2.3 years). The pseudarthrosis rates were 4.5% (2 of 44) for patients with plating and 8.3% (3 of 36) without plating. This difference was not significant (p = 0.653). There was no correlation of pseudarthrosis with sex, age, level of surgery, history of tobacco use, or the presence of previous anterior surgery. The amount of graft collapse for patients with plating was 0.75 mm compared with 1.5 mm for those without a plate (p = 0.026). The amount of kyphotic deformity of the fused segment was 1.2 degrees with plating compared with 1.9 degrees for patients without plating (p = 0.079). Ninety-one percent of the patients with plating had good or excellent results compared with 88% in the group without cervical plates, based on Odom's criteria. The addition of plate fixation for single-level anterior cervical discectomy and fusion is safe and not associated with a significant increase in complication rates. The pseudarthrosis rates are not significantly different when a cervical plate is used. |
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Authors:
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J C Wang; P W McDonough; K Endow; L E Kanim; R B Delamarter |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of spinal disorders Volume: 12 ISSN: 0895-0385 ISO Abbreviation: J Spinal Disord Publication Date: 1999 Dec |
Date Detail:
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Created Date: 2000-01-11 Completed Date: 2000-01-11 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8904842 Medline TA: J Spinal Disord Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 467-71 Citation Subset: IM |
Affiliation:
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UCLA Department of Orthopaedic Surgery, UCLA School of Medicine, Los Angeles, California 90095-6902, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Bone Plates* Cervical Vertebrae / radiography, surgery* Diskectomy / instrumentation* Female Follow-Up Studies Humans Male Middle Aged Retrospective Studies Spinal Fusion / instrumentation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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