Treatment of anterior cervical pseudoarthrosis: posterior fusion versus anterior revision

The Spine Journal : Official Journal of the North American Spine Society
Leah CarreonMitchell J Campbell

Abstract

Posterior fusion has been advocated as the most effective treatment of anterior cervical pseudoarthrosis. Authors cite the benefits of increased stability and avoiding the risk of dissection through anterior scar tissue. Despite these advantages, posterior fusion is a more extensive procedure from the standpoint of perioperative and postoperative recovery. The objective of this study is to compare the results of posterior fusions to revision anterior fusions for repair of anterior cervical pseudoarthrosis. This is a retrospective case series from a single institution. 120 patients with nonunion documented on flexion-extension radiographs, computed tomography (CT) scan or tomograms after an anterior cervical discectomy and fusion with at least 2-year follow-up. Surgical data, status of fusion, complications, and any revision surgeries. Hospital and office records were reviewed to determine demographic data, surgical data, status of fusion, and any revision surgeries. Nonunion was confirmed during surgery. Of the 120 patients included in the study, 27 had repeat anterior procedures and 93 had posterior procedures. The proportion of smokers, the number of surgical levels, and the average time to revision in each group were similar...Continue Reading

References

Jan 1, 1989·Acta neurochirurgica·H Bertalanffy, H R Eggert
Jun 1, 1996·Journal of Neurosurgery·C G ParamoreV K Sonntag
Feb 15, 2001·Archives of Otolaryngology--head & Neck Surgery·C P WinslowM K Wax
Dec 5, 2003·The Annals of Otology, Rhinology, and Laryngology·Eli M BaronWilliam F Young
May 6, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Scott S ReubenRachel Kaye

❮ Previous
Next ❯

Citations

Jul 3, 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·Heiko KollerPeter Metz-Stavenhagen
Jul 4, 2009·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·Heiko KollerMichael Mayer
Sep 23, 2009·Journal of Neurosurgery. Spine·Michael G KaiserUNKNOWN Joint Section on Disorders of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons and Congr
Sep 23, 2009·Journal of Neurosurgery. Spine·Michael G KaiserUNKNOWN Joint Section on Disorders of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons and Congr
Oct 21, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Benjamin D ElderTimothy F Witham
Nov 16, 2011·The Orthopedic Clinics of North America·Jeffrey A RihnTodd J Albert
Jun 14, 2012·Orthopedics·Scott D HodgesDanette Newton
Sep 16, 2008·The Spine Journal : Official Journal of the North American Spine Society·Mohammed F ShamjiRobert E Isaacs
Jul 4, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Rob D DickermanBrent C Morgan
Aug 4, 2015·Neurosurgical Focus·Andrei F Joaquim, K Daniel Riew
Mar 5, 2015·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·John D KoernerTodd J Albert
Sep 4, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Bruce M McCormack, Raman Dhawan
Mar 8, 2017·Clinical Spine Surgery : a Spine Publication·Brian R PiazzaJesse E Bible
Aug 26, 2016·Asian Spine Journal·Dante Leven, Samuel K Cho
Apr 14, 2011·Journal of Spinal Disorders & Techniques·Hong LiuTimothy A Garvey
Aug 5, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Noah M RaizmanWarren D Yu
Jun 24, 2017·Operative Neurosurgery·William SmithBruce M McCormack
Sep 23, 2010·Clinical Orthopaedics and Related Research·Jason David EubanksJames D Kang
May 4, 2016·Clinical Spine Surgery : a Spine Publication·Kevin R O'NeillClinton J Devin
Mar 29, 2021·The Spine Journal : Official Journal of the North American Spine Society·Dong-Ho LeeChoon Sung Lee

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.