Radiological and clinical results of patients after ACDF with and without preoperative software-assisted cage selection

Clinical Neurology and Neurosurgery
Christopher BrenkeMartin Barth

Abstract

Comparison of software facilitated preoperatively-selected cages versus standard intraoperatively-selected cages, assessing radiological and clinical outcomes of patients after single level cervical discectomy and fusion (ACDF). Cages of study group patients were preoperatively chosen via software-aided dimensioning. Controls obtained cages determined by intraoperative trail implants. Primary endpoints were segmental height (SH), regional angulation (RA) and global cervical angulation (GCA) measured on plain radiographs before, immediately and 12 months after surgery. Neck pain on the visual analogue scale, the neck disability index, and patient satisfaction index recorded at 12 months follow up (FU) were the secondary endpoints. Each group comprised of 20 patients and both depicted similar demographics and operated segmental levels. Mean postoperative SH was significantly increased in both study and control groups, p<0.001* and p=0.006* respectively. Immediate postoperative gain of lordosis was only significant for the study group p<0.001*. At 12 months FU, SH and RA decreased significantly in both groups. GCA and all secondary endpoints were similar for various measured time points. The two groups did not show any significant...Continue Reading

References

Mar 11, 2006·Neurosurgery·Ronald H M A BartelsTon Feuth
Jun 17, 2006·Journal of Neurosurgery. Spine·Kirsten SchmiederAlbrecht Harders
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
Jul 4, 2009·The Spine Journal : Official Journal of the North American Spine Society·Paul Klimo, Michael W Peelle
Feb 21, 2014·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Christopher BrenkeMartin Barth
Dec 20, 2014·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·Christopher BrenkeMartin Barth

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