Adjacent level cervical disc disease and secondarily progressive disc space degeneration that develops years after previously successful anterior cervical fusion at one or more levels is a common, but potentially complex problem to manage. The patient is faced with the option of further open surgery which involves adding another level of disc removal with fusion, posterior decompression, and st...

One male patient at 59 years old of age was diagnosed as cervical myelopathy for unsteady gait and stiff lower limbs, followed by cervical 3/4 and 5/6 discectomy plus bone grafting and internal fixation, when processing the superior endplate of left cervical 4 disk, a large number of arterial bleeding occurred, which was stopped by packing method, and followed by continued cervical discectomy p...

Total disc arthroplasty is a new option in the treatment of cervical degenerative disc disease. Several types of cervical disc prostheses currently challenge the gold-standard discectomy and fusion procedures. This review describes the Bryan Cervical Disc System and presents the Bryan prosthesis, its indications, surgical technique, complications, and outcomes, as given in the literature.

  The authors report experiences of anterior cervical discectomy without fusion for cervical disc disease. A series of 17 patients were operated on using a modified Smith-Robinson technique. Radical discectomy and extensive removal of posterior osteophytes were performed without bone graft. Fifteen out of the 17 cases were operated on at a single level. Three discectomies were perform ed a...

Anterior cervical plating is commonly performed to stabilize anterior cervical fusions. Modern plating options include dynamic plates, with screws that can either toggle within fixed holes or translate within slotted holes. Regardless of the plating system used, paramount to success and avoidance of complications with plated anterior cervical fusions are meticulous plating techniques, exacting ...

OBJECTIVE The authors conducted a retrospective study to compare the implantation of carbon fiber composite frame cages (CFCFCs) to the implantation of polyetheretherketone (PEEK) cages after anterior cervical discectomy for cervical degenerative disc disease. In addition, the predictive factors that influenced fusion or subsidence were investigated. METHODS A total of 58 patients with single...

The most frequent pain syndrome in the musculoskeletal system after the low back pain is the neck and arm pain. Classically, every person out of three suffers neck pain at5 least once in his/her lifetime.4 The frequency of chronic neck pain can be as high as 70%. The prevalence of acute neck pain is 10% in males, while the same is 13% in females. Frequency of the acute and self-limiting neck pa...

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...

PURPOSE To compare radiographic and clinical outcomes after anterior cervical discectomy in patients with cervical degenerative disc disease using PEEK cages or PMMA spacers with a minimum 1-year follow-up. METHODS Anterior cervical discectomy was performed in 107 patients in one or two levels using empty PEEK cages (51 levels), Sulcem PMMA spacers (49 levels) or Palacos PMMA spacers (41 leve...

STUDY DESIGN A radiographic review of 87 patients with either unilateral or bilateral facet dislocations or fracture/dislocations treated with anterior cervical discectomy, fusion, and plating. OBJECTIVE The primary objective of this study was to report the incidence of radiographic failure and factors that would predispose to this loss of alignment. The secondary objective was to report the ...