scholarly journals Bibliometric and visualized analysis of the top 100 most-cited articles on anterior cervical surgery

2021 ◽  
Vol 6 (12) ◽  
pp. 1203-1213
Author(s):  
Junbo He ◽  
Tingkui Wu ◽  
Chen Ding ◽  
Beiyu Wang ◽  
Ying Hong ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Citation Count ◽  
Surgical Techniques ◽  
Inverse Correlation ◽  
Cervical Disc ◽  
Cervical Disc Arthroplasty ◽  
Medical Decisions ◽  
Morphogenetic Protein ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

Anterior cervical surgery (ACS) owes its development to various pioneering individuals whose revolutionary works form key advances and guide current medical decisions. This bibliometric study aimed to identify, analyse and visualize the main features of the most-cited papers in ACS. The citation count for the top 100 most-cited articles ranged from 148 to 1,197, and citations per year ranged from 3.1 to 89.8. The articles were published from 1958 to 2016, with the 2000s being the most active decade. There was an inverse correlation between the average citations per year since publication and article age. The oldest as well as most-cited two articles were both published in 1958 by Smith and Robinson, and Cloward, respectively. In their studies, the authors individually described the technique of anterior cervical discectomy with fusion (ACDF). The most popular keywords were: ‘fusion’ (22), ‘spine’ (20), ‘cervical spine’ (16), ‘complications’ (15), ‘arthrodesis’ (13), ‘interbody fusion’ (13), ‘bone morphogenetic protein’ (13), and ‘radiculopathy’ (12). ACDF was the most frequent surgical procedure (80%), while cervical disc arthroplasty is of gradual greater impact. The surgical techniques of ACDF have remained unaltered for over 60 years. More attempts are needed to promote its development. Cite this article: EFORT Open Rev 2021;6:1203-1213. DOI: 10.1302/2058-5241.6.210074

scholarly journals Anterior cervical spine surgical complications: Safety comparison between teacher and student

2021 ◽  
Vol 12 ◽  
pp. 43
Author(s):  
Edvin Zekaj ◽  
Guglielmo Iess ◽  
Domenico Servello
Keyword(s):  
Critical Factor ◽  
Anterior Cervical Discectomy ◽  
Cervical Disc ◽  
Cervical Disc Arthroplasty ◽  
Complication Rates ◽  
Years Of Experience ◽  
Cervical Discectomy ◽  
Phone Calls ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

Background: Anterior cervical surgery has a widespread use. Despite its popularity, this surgery can lead to serious and life-threatening complications, and warrants the attention of skilled attending spinal surgeons with many years of experience. Methods: We retrospectively evaluated postoperative complications occurring in 110 patients who underwent anterior cervical surgery (anterior cervical discectomy without fusion, anterior cervical discectomy and fusion, and anterior cervical disc arthroplasty) between 2013 and 2020. These operations were performed by an either an attending surgeon with 30 years’ experience versus a novice neurosurgeon (NN) with <5 years of training with the former surgeon. Complications were variously identified utilizing admission/discharge notes, surgical reports, follow-up visits, and phone calls. Complications for the two groups were compared for total and specific complication rates (using the Pearson’s Chi-square and Fisher’s test). Results: The total cumulative complication rate was 15.4% and was not significantly different between the two cohorts. The most frequent postoperative complication was dysphagia. Notably, there were no significant differences in total number of postoperative instances of dysphagia, dysphonia, unintended durotomy, hypoasthenia, and hypoesthesia; the only difference was the longer operative times for NNs. Conclusion: Surgeons’ years of experience proved not to be a critical factor in determining complication rates following anterior cervical surgery.

Anterior surgery for cervical disc disease

1980 ◽  
Vol 53 (1) ◽  
pp. 12-19 ◽  
Author(s):  
L. Dade Lunsford ◽  
David J. Bissonette ◽  
David S. Zorub
Keyword(s):  
Surgical Techniques ◽  
Cervical Disc ◽  
Cervical Canal ◽  
Cervical Disc Disease ◽  
Disc Disease ◽  
Duration Of Symptoms ◽  
Content Type ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

✓ The results of anterior cervical surgery for treatment of cervical spondylotic myelopathy (CSM) are assessed 1 to 7 years postoperatively in 32 patients. At follow-up review, 50% were improved after surgery and 50% were unimproved or had deteriorated in spite of surgery. The results could not be statistically linked to the patients' age, duration of symptoms, severity of myelopathy, cervical canal size, or the performance of single- or multiple-level operations. Various anterior surgical techniques were used, but none proved to have superior results. The results in this series failed to surpass the results obtained by others for conservative treatment alone. In many cases, symptoms of CSM progressed despite the intervention of anterior cervical surgery.

Anterior surgery for cervical disc disease

1980 ◽  
Vol 53 (1) ◽  
pp. 1-11 ◽  
Author(s):  
L. Dade Lunsford ◽  
David J. Bissonette ◽  
Peter J. Jannetta ◽  
Peter E. Sheptak ◽  
David S. Zorub
Keyword(s):  
Disc Herniation ◽  
University Hospital ◽  
Cervical Disc ◽  
Complete Relief ◽  
Anterior Fusion ◽  
Disc Disease ◽  
Anterior Surgery ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery ◽  
Results Of Surgery

✓ Between 1971 and 1977, 334 patients at the Presbyterian-University Hospital underwent anterior surgery for treatment of hard or soft cervical disc herniation. Of these patients, 295 had radicular symptoms only. This retrospective study details the results of anterior cervical surgery for treatment of lateral disc herniation in 253 patients who survived 1 to 7 years postoperatively. Sixty-seven percent had excellent or good results. Although 77% initially noted complete relief of symptoms after surgery, 38% subsequently developed one or more recurrent symptoms at some time during the follow-up period. The overall results of surgery for soft disc cases were no different from the results for hard discs, although significantly more hard disc cases required postoperative conservative treatment. The results of surgery after anterior fusion were no different than the results after anterior discectomy alone. However, overall postoperative complications were more frequent and hospitalizations were longer in the patients who underwent fusion. Patients with multiple-level surgery had statistically similar results to those with single-level surgery. None of the nine preoperative clinical features reported by others to influence the results of anterior cervical surgery were found to consistently affect outcome in the present series.

scholarly journals Anterior cervical surgery to treat diffuse idiopathic skeletal hypertrophic combined with cervical disc herniation

Medicine ◽  
2021 ◽  
Vol 100 (22) ◽  
pp. e26097
Author(s):  
Kun Gao ◽  
Yafei Cao ◽  
Weidong Liu ◽  
Shufen Sun ◽  
Yihong Wu ◽  
...  
Keyword(s):  
Disc Herniation ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

scholarly journals Cervical Total Disc Arthroplasty

2012 ◽  
Vol 2 (2) ◽  
pp. 105-108 ◽  
Author(s):  
Rahul Basho ◽  
Kenneth A. Hood
Keyword(s):  
Cervical Spine ◽  
Surgical Techniques ◽  
Adjacent Segment Degeneration ◽  
Cervical Disc ◽  
Cervical Disc Arthroplasty ◽  
Adjacent Segment ◽  
Disc Arthroplasty ◽  
Definitive Answer ◽  
Investigational Device Exemption ◽  
Early Results

Symptomatic adjacent segment degeneration of the cervical spine remains problematic for patients and surgeons alike. Despite advances in surgical techniques and instrumentation, the solution remains elusive. Spurred by the success of total joint arthroplasty in hips and knees, surgeons and industry have turned to motion preservation devices in the cervical spine. By preserving motion at the diseased level, the hope is that adjacent segment degeneration can be prevented. Multiple cervical disc arthroplasty devices have come onto the market and completed Food and Drug Administration Investigational Device Exemption trials. Though some of the early results demonstrate equivalency of arthroplasty to fusion, compelling evidence of benefits in terms of symptomatic adjacent segment degeneration are lacking. In addition, non-industry-sponsored studies indicate that these devices are equivalent to fusion in terms of adjacent segment degeneration. Longer-term studies will eventually provide the definitive answer.

scholarly journals Multilevel cervical arthroplasty: current evidence. A systematic review

2017 ◽  
Vol 42 (2) ◽  
pp. E4 ◽  
Author(s):  
Andrei F. Joaquim ◽  
K. Daniel Riew
Keyword(s):  
Systematic Review ◽  
Clinical Studies ◽  
Case Reports ◽  
Current Evidence ◽  
Cervical Disc ◽  
Cervical Disc Arthroplasty ◽  
Cervical Arthroplasty ◽  
Study Objective ◽  
Single Level ◽  
Cervical Surgery

OBJECTIVE Cervical disc arthroplasty (CDA) has been demonstrated to be an effective treatment modality for single-level cervical radiculopathy or myelopathy. Its advantages over an anterior cervical discectomy and fusion (ACDF) include motion preservation and decreased reoperations at the index and adjacent segments up to 7 years postoperatively. Considering the fact that many patients have multilevel cervical disc degeneration (CDD), the authors performed a systematic review of the clinical studies evaluating patients who underwent multilevel CDA (2 or more levels). METHODS A systematic review in the MEDLINE database was performed. Clinical studies including patients who had multilevel CDA were selected and included. Case reports and literature reviews were excluded. Articles were then grouped according to their main study objective: 1) studies comparing multilevel CDA versus ACDF; 2) studies comparing single-level CDA versus multilevel CDA; and 3) multilevel CDA after a previous cervical spine surgery. RESULTS Fourteen articles met all inclusion criteria. The general conclusions were that multilevel CDA was at least as safe and effective as ACDF, with preservation of cervical motion when compared with ACDF and potentially with fewer reoperations expected in most of the studies. Multilevel CDAs are clinically effective as single-level surgeries, with good clinical and radiological outcomes. Some studies reported a higher incidence of heterotopic ossification in multilevel CDA when compared with single-level procedures, but without clinical relevance during the follow-up period. A CDA may be indicated even after a previous cervical surgery in selected cases. CONCLUSIONS The current literature supports the use of multilevel CDA. Caution is necessary regarding the more restrictive indications for CDA when compared with ACDF. Further prospective, controlled, multicenter, and randomized studies not sponsored by the device manufactures are desirable to prove the superiority of CDA surgery over ACDF as the treatment of choice for CDD in selected cases.

Astronaut Michael Collins, Apollo 8, and the anterior cervical fusion that changed the history of human spaceflight

2019 ◽  
Vol 31 (1) ◽  
pp. 87-92
Author(s):  
Richard Menger ◽  
Michael Wolf ◽  
Jai Deep Thakur ◽  
Anil Nanda ◽  
Anthony Martino
Keyword(s):  
Air Force ◽  
Disc Herniation ◽  
The United States ◽  
Cervical Disc ◽  
The Moon ◽  
Cascading Effect ◽  
Cervical Surgery ◽  
History Of ◽  
Anterior Cervical Surgery ◽  
The Impact

In 1961, President John F. Kennedy declared that the United States would send a man to the moon and safely bring him home before the end of the decade. Astronaut Michael Collins was one of those men. He flew to the moon on the historic flight of Apollo 11 while Neil Armstrong and Buzz Aldrin walked on its surface. However, this was not supposed to be the case.Astronaut Collins was scheduled to fly on Apollo 8. While training, in 1968, he started developing symptoms of cervical myelopathy. He underwent evaluation at Wilford Hall Air Force Hospital in San Antonio and was noted to have a C5–6 disc herniation and posterior osteophyte on myelography. Air Force Lieutenant General (Dr.) Paul W. Myers performed an anterior cervical discectomy with placement of iliac bone graft. As a result, Astronaut James Lovell took his place on Apollo 8 flying the uncertain and daring first mission to the moon. This had a cascading effect on the rotation of astronauts, placing Michael Collins on the Apollo 11 flight that first landed men on the moon. It also placed Astronaut James Lovell in a rotation that exposed him to be the Commander of the fateful Apollo 13 flight.Here, the authors chronicle the history of Astronaut Collins’ anterior cervical surgery and the impact of his procedure on the rotation of astronaut flight selection, and they review the pivotal historic nature of the Apollo 8 spaceflight. The authors further discuss the ongoing issue of cervical disc herniation among astronauts.

The effectiveness of anterior cervical decompression and fusion for the relief of dizziness in patients with cervical spondylosis

2018 ◽  
Vol 100-B (1) ◽  
pp. 81-87 ◽  
Author(s):  
B. Peng ◽  
L. Yang ◽  
C. Yang ◽  
X. Pang ◽  
X. Chen ◽  
...  
Keyword(s):  
Cervical Spondylosis ◽  
Japanese Orthopaedic Association ◽  
Cervical Disc ◽  
Conservative Group ◽  
Anterior Cervical Decompression ◽  
Cervical Surgery ◽  
One Year ◽  
Anterior Cervical Surgery ◽  
Cervicogenic Dizziness ◽  
Surgical Group

Aims Cervical spondylosis is often accompanied by dizziness. It has recently been shown that the ingrowth of Ruffini corpuscles into diseased cervical discs may be related to cervicogenic dizziness. In order to evaluate whether cervicogenic dizziness stems from the diseased cervical disc, we performed a prospective cohort study to assess the effectiveness of anterior cervical discectomy and fusion on the relief of dizziness. Patients and Methods Of 145 patients with cervical spondylosis and dizziness, 116 underwent anterior cervical decompression and fusion and 29 underwent conservative treatment. All were followed up for one year. The primary outcomes were measures of the intensity and frequency of dizziness. Secondary outcomes were changes in the modified Japanese Orthopaedic Association (mJOA) score and a visual analogue scale score for neck pain. Results There were significantly lower scores for the intensity and frequency of dizziness in the surgical group compared with the conservative group at different time points during the one-year follow-up period (p = 0.001). There was a significant improvement in mJOA scores in the surgical group. Conclusion This study indicates that anterior cervical surgery can relieve dizziness in patients with cervical spondylosis and that dizziness is an accompanying manifestation of cervical spondylosis. Cite this article: Bone Joint J 2018;100-B:81–7.

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