A prospective randomized comparison of rectangular titanium cage fusion and iliac crest autograft fusion in patients undergoing anterior cervical discectomy

Journal of Neurosurgery. Spine
Claudius ThoméDimitris Zevgaridis

Abstract

The authors compare clinical outcome and fusion rates after iliac crest autograft (ICAG)- and rectangular titanium cage (RTC)-augmented fusion in patients undergoing anterior cervical discectomy (ACD). One hundred consecutive patients with 127 levels of cervical disc disease refractory to conservative treatment were randomized into one of the two treatment groups (ICAG/RTC fusion). The visual analog scale was used by the patient to rate overall pain and head, neck, arm, and donor site pain separately. Myelopathy was documented according to Japanese Orthopaedic Association and Nurick grading systems. Outcome was analyzed using Odom criteria, the 36-Item Short Form (SF-36), and Patient Satisfaction Index scales. Fusion rates were assessed on standard and flexion-extension radiographs. Follow-up data of at least 12 months' duration were available for 95 patients. More residual overall pain after 12 months was documented in patients who underwent ICAG fusion (3.3 +/- 2.5 [ICAG] and 2.2 +/- 2.4 [RTC]; p < 0.05). Although arm and head pain were minimal in both groups, neck pain proved to be the predominant symptom (2.7 +/- 2.5 [ICAG] and 1.9 +/- 2.1 [RTC]), which resolved in only 67 and 48% of RTC- and ICAG-treated patients, respecti...Continue Reading

References

Oct 1, 1977·Journal of Neurosurgery·D H Wilson, D D Campbell
Jun 1, 1976·Pain·J Scott, E C Huskisson
Feb 1, 1997·British Journal of Neurosurgery·R F Hafez, H A Crockard
Jul 21, 1999·Journal of Neurosurgery·G C Dowd, F P Wirth
Nov 24, 1999·Spine·M PalitL Lawrence-Miyasaki
May 24, 2000·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J van LimbeekP W Pavlov
Feb 14, 2002·Neurosurgery·Robert F HearyCristian Brotea
Jan 4, 1958·Journal of the American Medical Association·G L ODOMB WOODHALL
Nov 1, 1958·Journal of Neurosurgery·R B CLOWARD
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Joseph C CauthenAlice T Allen

❮ Previous
Next ❯

Citations

Jan 16, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Pavel Barsa, Petr Suchomel
Oct 31, 2006·Neurosurgical Review·Johannes SchröderHansdetlef Wassmann
Jan 19, 2013·The Clinical Journal of Pain·Collin ClarkeThomas Buchheit
Sep 23, 2009·Journal of Neurosurgery. Spine·Timothy C RykenUNKNOWN Joint Section on Disorders of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons and Congr
Oct 23, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Toru YamagataKenji Ohata
Sep 20, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jian ZhouYiqun Ma
Nov 23, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Niklaus KrayenbühlJavier Fandino
Mar 31, 2015·Acta neurochirurgica·Martin N StienenOliver P Gautschi
Feb 23, 2018·Acta neurochirurgica·Iris NoordhoekCarmen L A Vleggeert-Lankamp
Sep 8, 2017·Journal of Korean Neurosurgical Society·Su Hun LeeGeun Sung Song
Aug 21, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Wei CuiSong Ma
Jan 21, 2011·The Cochrane Database of Systematic Reviews·Wilco JacobsCumhur Oner
Nov 19, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·I NoordhoekC L A Vleggeert-Lankamp
Feb 19, 2019·Global Spine Journal·Nikhil R NayakNeil R Malhotra
May 1, 2008·Deutsches Ärzteblatt International·Frerk MeyerClaudius Thomé
Aug 26, 2020·The Journal of Bone and Joint Surgery. American Volume·Anne E H BroekemaJos M A Kuijlen

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.

Related Papers

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
B LindHans Rosén
European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Håkan LöfgrenL Vavruch
© 2021 Meta ULC. All rights reserved