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...

Spring 2007 • Vol. 2 – No. 1 10 ABSTRACT This report describes the author’s experience in an ongoing multi-institutional trial of two alternative therapies for cervical disc disease: conventional anterior cervical discectomy with cortical allograft fusion and plating (ACDF), versus discectomy and replacement with the PrestigeTM ST cervical disc device. Because the artifi cial disc preserves mot...

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...

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 ...

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...

Cervical spondylotic myelopathy is a progressive disease and a common cause of acquired disability in the elderly. A variety of surgical interventions are available to halt or improve progression of the disease. Surgical options include anterior or posterior approaches with and without fusion. These include anterior cervical discectomy and fusion, anterior cervical corpectomy and fusion, cervic...

introduction sub axial cervical spine dislocations are common and managing these cases by closed reduction is successful in the majority of cases. however, treatment of old and neglected cases is difficult and the results may vary in terms of neurological and functional outcomes. case presentation we present two cases of traumatic bilateral cervical facet dislocation with no neurological defici...

STUDY DESIGN National population-based cohort study. OBJECTIVE To evaluate reoperation rates of cervical spine surgery for cervical degenerative conditions utilizing a national population database. SUMMARY OF BACKGROUND DATA There is an inherently low incidence of reoperation after surgery for cervical degenerative disease. Therefore, it is difficult to sufficiently power studies to detect ...

STUDY DESIGN Technique report and case series. OBJECTIVE The aim of this study was to develop a new surgical technique for anterior reduction in management of unilateral/bilateral facet dislocations and to report the results of 8 patients with successful outcomes associated with this approach. SUMMARY OF BACKGROUND DATA The anterior-only surgical procedure, including discectomy, open reduct...

BACKGROUND PROCON was designed to assess the clinical outcome, development of adjacent disc disease and costs of cervical anterior discectomy without fusion, with fusion using a stand alone cage and implantation of a Bryan's disc prosthesis. Description of rationale and design of PROCON trial and discussion of its strengths and limitations. METHODS/DESIGN Since proof justifying the use of imp...