Background: Decompression and fusion with autograft is the gold standard technique in the treatment of narrowing of the cervical canal. Using polyetheretherketone (PEEK) cages or nonabsorbable polymer boxes with elasticity similar to bone, radiolucent, and the same degree of fusion reduces morbidity. methods: We carried out a prospective, longitudinal, deliberate intervention case series with e...

BACKGROUND In standard anterior cervical diskectomy, complete resection of the uncinate process is not commonly attempted because of the risk of injury to the vertebral artery. This may result in incomplete decompression of the nerve root when there is severe osseous foraminal stenosis. OBJECTIVE To demonstrate the feasibility of total uncinectomy with an ultrasonic bone dissector in patients...

The authors retrospectively evaluated 30 patients with an anterior cervical interbody fusion for cervical spondylosis or disc herniation. Open box carbon fiber cages were used at 45 levels. The visual analogue scales (VAS), respectively for neck and for arm pain, and the neck disability index (NDI) improved significantly (p < 0.001). Fusion occurred in 87% of the operated levels. Subsidence of ...

Early surgical treatment of the cervical spine for neural decompression used the posterior approach to perform cervical laminectomies for trauma and degenerative disease (44, 60, 88). Scoville et al. (72) and Frykholm (31) refined the posterior cervical approach for degenerative disc disease and introduced the laminoforaminotomy technique. About 20 years later, a number of surgeons introduced a...

Introduction Anterior cervical retropharyngeal approach for decompression of neural structures is well known and considered as an effective surgical procedure. Opportunities for segment fusion or discoarthroplasty for motion preservation are granted. Both conceptions have their advantages and disadvantages separately from risks of the surgical approach. The aim of this study is to present and a...

A 21-year-old woman presented with cervical myelopathy due to nontraumatic cervical disc herniation associated with cervical canal stenosis. The patient underwent removal of the herniated disc and anterior fusion with an autogenous iliac crest bone graft. After surgery, the patient showed satisfactory improvement. Cases of cervical disc herniation in our center and reported cases without cervic...

BACKGROUND CONTEXT Multilevel cervical myelopathy can be treated with anterior cervical discectomy and fusion (ACDF) or corpectomy via the anterior approach and laminoplasty via the posterior approach. Till date, there is no proven superior approach. PURPOSE To elucidate any potential advantage of one approach over the other with regard to clinical midterm outcomes in this study. STUDY DESI...

BACKGROUND Clinical adjacent-segment pathology (CASP) is an important problem after anterior cervical surgery. The purpose of this study was to predict prevalence of CASP and determine the possible risk factors for CASP after single-level anterior cervical discectomy and fusion surgery. MATERIAL AND METHODS We retrospectively reviewed a series of patients who underwent single-level cervical dis...