The efficacy of plate construct augmentation versus cage alone in anterior cervical fusion

Spine
Kyung-Jin SongJong-Pil Eun

Abstract

STUDY DESIGN.: Retrospective study. OBJECTIVE.: To compare the efficacy of anterior cervical discectomy and fusion with cage alone (ACDF-CA) with cage and plate construct (ACDF-CPC) in regards to fusion rate, radiologic and clinical outcomes. SUMMARY OF BACKGROUND DATA.: ACDF-CA has shown good results; however, debate exists regarding the high rate of complications such as pseudarthrosis, subsidence, and local kyphosis. In an attempt to avoid these complications, the authors have performed ACDF with cage and plate construct (ACDF-CPC). METHODS.: A total of 78 consecutive patients who underwent 1- or 2-level ACDF-CA or ACDF-CPC suffering from cervical radiculopathy were divided into 2 groups; Group A (n = 38) underwent ACDF-CA; Group B (n = 40) underwent ACDF-CPC. Fusion rate, segmental kyphosis, disc height, and subsidence rate were assessed by radiographs. Clinical outcomes were assessed using Robinson criteria. RESULTS.: Solid fusion was achieved in 78.9% (30/38) of subjects in group A compared to 97.5% (39/40) of subjects in group B (P = 0.01). Segmental kyphosis was noted in 42.1% (16/38) in group A compared with 10% (4/40) in group B (P < 0.01). There was a significant decrease in disc height in group A compared to group B...Continue Reading

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Citations

Dec 18, 2012·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·Jeong Yoon ParkYong Eun Cho
Sep 26, 2013·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·Giuseppe M V BarbagalloVincenzo Albanese
Jul 12, 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·Jan-Karl BurkhardtFrançois Porchet
Jan 26, 2016·Clinical Neurology and Neurosurgery·Christopher BrenkeMartin Barth
Jul 31, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Erlick A C PereiraTom A D Cadoux-Hudson
Jan 7, 2016·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·Tobias A MatteiDzung H Dinh
Mar 13, 2016·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·Yijie LiuWeimin Jiang
Apr 9, 2015·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·Yuanyuan ChenWen Yuan
Feb 25, 2015·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ahmad El-Tantawy
Feb 28, 2015·The Spine Journal : Official Journal of the North American Spine Society·Daniel LubelskiThomas E Mroz
Apr 25, 2015·BMC Musculoskeletal Disorders·Elizabeth ChongWilliam R Walsh
Jul 23, 2013·The Spine Journal : Official Journal of the North American Spine Society·Timothy Y WangThomas E Mroz
May 29, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Soo Eon LeeChi Heon Kim
Sep 17, 2016·Neuroscience Journal·Ali Haghnegahdar, Mahsa Sedighi
Aug 25, 2016·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·Zhonghai LiShuxun Hou
Feb 6, 2017·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Sharon C YsonEdward Rainier G Santos
Nov 25, 2017·Journal of Back and Musculoskeletal Rehabilitation·Tao LanYang Chen
Sep 8, 2017·Journal of Korean Neurosurgical Society·Su Hun LeeGeun Sung Song

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