What is the superior surgical strategy for bi-level cervical spondylosis-anterior cervical disc replacement or anterior cervical decompression and fusion?

Anterior decompression and fusion in cervical spondylosis

Cervical spondylosis is the most frequent reason for progressive impairment of spinal cord and nerve roots, which is clinically manifested as cervical spondylotic myelopathy (CSM), cervical radiculopathy, or both. Eighty operated patients are presented (49 men and 31 women), who had evidence of CSM and/ or radiculopathy. Age ranged from 26 to 80 years (mean 50 years). Depending on the predomina...

Treatment of Single-Level Cervical Spondylosis: Cervical Disk Arthroplasty Versus Anterior Cervical Decompression and Fusion.

A meta-analysis was performed to compare cervical arthroplasty with anterior cervical diskectomy and fusion for single-level cervical spondylosis. A comprehensive search was conducted with PubMed, Embase, and the Cochrane Central Register of Controlled Trials from January 1, 2000, to April 30, 2015. Random-effects models were used for heterogeneous data. Fixed-effects models were used for poole...

Cervical Total Disc Replacement is Superior to Anterior Cervical Decompression and Fusion: A Meta-Analysis of Prospective Randomized Controlled Trials

BACKGROUND Despite being considered the standard surgical procedure for symptomatic cervical disc disease, anterior cervical decompression and fusion invariably accelerates adjacent segment degeneration. Cervical total disc replacement is a motion-preserving procedure developed as a substitute to fusion. Whether cervical total disc replacement is superior to fusion remains unclear. METHODS We...

Cost-effectiveness of single-level anterior cervical discectomy and fusion for cervical spondylosis

Cost-effectiveness of single-level anterior cervical discectomy and fusion for cervical spondylosis.

STUDY DESIGN Cost-effectiveness analysis with retrospective cost analysis and literature review. OBJECTIVE To determine the relative cost-effectiveness of anterior cervical discectomy and fusion (ACDF) with autograft, allograft, and allograft with plating for single-level anterior cervical spondylosis. SUMMARY OF BACKGROUND DATA There are several accepted methods of surgically treating sing...