AIM: The aim of this study was to evaluate the efficacy of cage-assisted fusion in three and four level cervical arthrodesis without additional anterior plating in patients with normal bMD. We hypothesized that omitting the use of long anterior cervical plate in multi-level ACDF will simplify the surgery, reduce the surgical time, avoid excessive and prolonged retraction on esophagus and caroti...

We evaluated the results of the Robinson method of anterior cervical discectomy and arthrodesis with use of autogenous iliac-crest bone graft, at one to four levels, in 122 patients who had cervical radiculopathy. A one-level procedure was done in sixty-two of the 122 patients; a two-level procedure, in forty-eight; a three-level procedure, in eleven; and a four-level procedure, in one. The ave...

we evaluated the specific pattern of pre- and postoperative neurological signs and symptoms of cervical spondylotic myelopathy (csm) to determine [mdings which had a predictive value for surgical outcome. consecutive patients with csm caused by osteophytic ridge or intervertebral disc herniation who underwent anterior cervical decompression and fusion in loghman hakim hospital from 1999-2003 we...

Abstract Central cord syndrome is a form of incomplete spinal injury appearing in the anesthesia literature primarily trauma. Our institution recently managed rare, life-threatening central following an uneventful anterior cervical discectomy and fusion which uniquely presented as respiratory depression progressing to quadriplegia. This patient's dramatic experience began nearly indistinguishab...

BACKGROUND Both anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy and fusion (ACCF) are used to treat multilevel cervical spondylotic myelopathy (mCSM); however, which one is better treatment for mCSM remains considerable controversy. A meta-analysis was performed to compare clinical outcomes, radiographic outcomes, and surgical outcomes between ACDF and ACCF in tr...

BACKGROUND The number of surgical techniques for decompression and solid interbody fusion as treatment for cervical spondylosis has increased rapidly, but the rationale for the choice between different techniques remains unclear. OBJECTIVES To determine which technique of anterior interbody fusion gives the best clinical and radiological outcomes in patients with single- or double-level degen...

Injury to the recurrent laryngeal nerve (RLN) is a potentially debilitating complication of anterior cervical discectomy and fusion (ACDF) surgery, which can lead dysphonia, dysphagia, aspiration. Intraoperative adductor reflex (LAR) monitoring newly developed technique assess monitor RLN integrity. However, role LAR in ACDF surgery poorly studied. Here, we describe case intraoperative was succ...