194. Outcomes of Anterior Cervical Fusion in Patients with Predominant Neck Pain, Predominant Arm Pain or Equal Neck and Arm Pain

2009 ◽  
Vol 9 (10) ◽  
pp. 102S-103S
Author(s):  
Sarah Jernigan ◽  
Leah Carreon ◽  
Mitchell Campbell ◽  
James Smith ◽  
John Johnson ◽  
...  
Keyword(s):  
Neck Pain ◽  
Anterior Cervical Fusion ◽  
Cervical Fusion ◽  
Arm Pain

Posterior Cervical Fusion Using Cervical Interfacet Spacers in Patients With Symptomatic Cervical Pseudarthrosis

Neurosurgery ◽  
2015 ◽  
Vol 78 (5) ◽  
pp. 661-668 ◽  
Author(s):  
Manish K. Kasliwal ◽  
Jacquelyn A. Corley ◽  
Vincent C. Traynelis
Keyword(s):  
Neck Pain ◽  
Outcome Measures ◽  
Vertical Axis ◽  
Mean Difference ◽  
Cervical Fusion ◽  
Cervical Lordosis ◽  
Sagittal Vertical Axis ◽  
Arm Pain ◽  
Vas Score ◽  
Posterior Cervical Fusion

Abstract BACKGROUND: Posterior cervical fusion with cervical interfacet spacer (CIS) is a novel allograft technology offering the potential to provide indirect neuroforaminal decompression while simultaneously enhancing fusion by placing the allograft in compression. OBJECTIVE: To analyze the clinical and radiological outcomes after posterior cervical fusion with CIS in patients with symptomatic anterior cervical pseudarthroses. METHODS: Medical records of patients who underwent posterior cervical fusion with CIS for symptomatic pseudarthrosis after anterior cervical diskectomy and fusion were reviewed. Standardized outcome measures such as visual analog scale (VAS) score for neck and arm pain, Neck Disability Index (NDI), and upright lateral cervical radiographs were reviewed. RESULTS: There were 19 patients with symptomatic cervical pseudarthrosis. Preoperative symptoms included refractory neck or arm pain. The average follow-up was 20 months (range, 12-56 months). There was improvement in VAS score for neck pain (P < .004), radicular arm pain (P < .007), and NDI score (P < .06) after surgery, with 83%, 72%, and 67% of patients showing improvement in their VAS neck pain, VAS arm pain, and NDI scores, respectively. Fusion rate was high, with fusion occurring at all levels treated for pseudarthrosis. There was a small improvement in cervical lordosis (mean difference, 2 ± 5.17°; P = .09) and slight worsening of C2-7 sagittal vertical axis after surgery (mean difference, 1.89 ± 7.87 mm; P = .43). CONCLUSION: CIS provides an important fusion technique, allowing placement of an allograft in compression for posterior cervical fusion in patients with anterior cervical pseudarthroses. Although there was improvement in clinical outcome measures after surgery, placement of CIS had no clinically significant impact on cervical lordosis and C2-7 sagittal vertical axis.

scholarly journals Two-level cervical arthroplasty using a “no-distraction” technique

2017 ◽  
Vol 42 (videosuppl1) ◽  
pp. V1
Author(s):  
Deshpande Rajakumar ◽  
Ankit Sharma ◽  
Akshay Hari ◽  
Subhas Konar ◽  
Murali Krishna
Keyword(s):  
Surgical Technique ◽  
Neck Pain ◽  
Vertebral Body ◽  
Degenerative Disease ◽  
Anterior Cervical Fusion ◽  
Cervical Fusion ◽  
Cervical Arthroplasty ◽  
Motion Preservation ◽  
Link Type

Cervical arthroplasty is being recognized as an emerging alternative to anterior cervical fusion with comparable or superior outcomes. The authors describe the surgical nuances of 2-level cervical arthroplasty in a case of 2-level degenerative disease. In this surgical technique, conventional vertebral body distraction has been avoided to prevent facet distraction, which can be a cause of persistent postoperative neck pain. Good motion preservation was observed at the 1-year follow-up examination.The video can be found here: https://youtu.be/YTpRVRXuZZk.

Impact of functional restoration after anterior cervical fusion on chronic disability in work-related neck pain

2002 ◽  
Vol 2 (4) ◽  
pp. 267-273 ◽  
Author(s):  
Tom G Mayer ◽  
Christopher Anagnostis ◽  
Robert J Gatchel ◽  
Trent Evans
Keyword(s):  
Neck Pain ◽  
Functional Restoration ◽  
Anterior Cervical Fusion ◽  
Cervical Fusion ◽  
Work Related ◽  
Chronic Disability

Single-level anterior cervical fusion: a new method to evaluate the real need for plate augmentation

2019 ◽  
Vol 63 (4) ◽  
Author(s):  
Marco Ajello ◽  
Nicola Marengo ◽  
Paolo Pacca ◽  
Federico Pecoraro ◽  
Francesco Zenga ◽  
...  
Keyword(s):  
Anterior Cervical Fusion ◽  
New Method ◽  
Cervical Fusion ◽  
The Real ◽  
Single Level

Immediate effects of thoracic manipulation on cervical joint position sense in individuals with mechanical neck pain: A randomized controlled trial

2021 ◽  
pp. 1-9
Author(s):  
Emin Ulas Erdem ◽  
Banu Ünver ◽  
Eda Akbas ◽  
Gizem Irem Kinikli
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Position Sense ◽  
Joint Position Sense ◽  
Position Error ◽  
Cervical Region ◽  
Joint Position ◽  
Cervical Range Of Motion ◽  
Arm Pain ◽  
Neck Function

BACKGROUND: Performing thoracic manipulations for neck pain can result in immediate improvements in neck function. OBJECTIVE: The aim of this study was to investigate the immediate effects of thoracic manipulation on cervical joint position sense and cervical range of motion in individuals with chronic mechanical neck pain. METHODS: Eighty male volunteers between 18–25 years and having chronic or recurrent neck or shoulder pain of at least 3 months duration with or without arm pain were randomized into two groups: Thoracic Manipulation Group (TMG:50) and Control Group (CG:30), with a pretest-posttest experimental design. The TMG was treated with thoracic extension manipulation while the CG received no intervention. Cervical joint position error and cervical range of motion of the individuals were assessed at baseline and 5 minutes later. RESULTS: There was no difference in demographic variables such as age (p= 0.764), Body Mass Index (p= 0.917) and Neck Pain Disability Scale (NPDS) scores (p= 0.436) at baseline outcomes between TMG and CGs. Joint position error outcomes between the two groups following intervention were similar in all directions at 30 and 50 degrees. Differences in range of motion following intervention in neck flexion (p< 0.001) and right rotation (p= 0.004) were higher in TMG compared to CG. CONCLUSIONS: A single session of thoracic manipulation seems to be inefficient on joint position sense in individuals with mild mechanical neck pain. However, thoracic manipulation might be an effective option to increase flexion and rotation of the cervical region as an adjunctive to treatment.

scholarly journals Anterior Cervical Fusion in Hemodialytic Patients: Report of 8 Cases

2007 ◽  
Vol 56 (2) ◽  
pp. 282-286
Author(s):  
Kuniyoshi Tsuchiya ◽  
Kazuhiro Yamaoka ◽  
Mitsuharu Miyagi ◽  
Takeshi Okamura
Keyword(s):  
Anterior Cervical Fusion ◽  
Cervical Fusion

Late Radiographic Findings After Anterior Cervical Fusion for Spondylotic Myeloradiculopathy

Spine ◽  
1993 ◽  
Vol 18 (15) ◽  
pp. 2167-2173 ◽  
Author(s):  
Hisatoshi Baba ◽  
Nobuaki Furusawa ◽  
Shinichi Imura ◽  
Norio Kawahara ◽  
Hiroyuki Tsuchiya ◽  
...  
Keyword(s):  
Anterior Cervical Fusion ◽  
Cervical Fusion ◽  
Radiographic Findings

scholarly journals Adjacent-level arthroplasty following cervical fusion

2017 ◽  
Vol 42 (2) ◽  
pp. E5 ◽  
Author(s):  
Deshpande V. Rajakumar ◽  
Akshay Hari ◽  
Murali Krishna ◽  
Subhas Konar ◽  
Ankit Sharma
Keyword(s):  
Cobb Angle ◽  
Anterior Cervical Discectomy ◽  
Cervical Disc ◽  
Cervical Fusion ◽  
Adjacent Level ◽  
Cervical Disc Disease ◽  
Disc Disease ◽  
Cervical Arthroplasty ◽  
Arm Pain

OBJECTIVE Adjacent-level disc degeneration following cervical fusion has been well reported. This condition poses a major treatment dilemma when it becomes symptomatic. The potential application of cervical arthroplasty to preserve motion in the affected segment is not well documented, with few studies in the literature. The authors present their initial experience of analyzing clinical and radiological results in such patients who were treated with arthroplasty for new or persistent arm and/or neck symptoms related to neural compression due to adjacent-segment disease after anterior cervical discectomy and fusion (ACDF). METHODS During a 5-year period, 11 patients who had undergone ACDF anterior cervical discectomy and fusion (ACDF) and subsequently developed recurrent neck or arm pain related to adjacent-level cervical disc disease were treated with cervical arthroplasty at the authors' institution. A total of 15 devices were implanted (range of treated levels per patient: 1–3). Clinical evaluation was performed both before and after surgery, using a visual analog scale (VAS) for pain and the Neck Disability Index (NDI). Radiological outcomes were analyzed using pre- and postoperative flexion/extension lateral radiographs measuring Cobb angle (overall C2–7 sagittal alignment), functional spinal unit (FSU) angle, and range of motion (ROM). RESULTS There were no major perioperative complications or device-related failures. Statistically significant results, obtained in all cases, were reflected by an improvement in VAS scores for neck/arm pain and NDI scores for neck pain. Radiologically, statistically significant increases in the overall lordosis (as measured by Cobb angle) and ROM at the treated disc level were observed. Three patients were lost to follow-up within the first year after arthroplasty. In the remaining 8 cases, the duration of follow-up ranged from 1 to 3 years. None of these 8 patients required surgery for the same vertebral level during the follow-up period. CONCLUSIONS Artificial cervical disc replacement in patients who have previously undergone cervical fusion surgery appears to be safe, with encouraging early clinical results based on this small case series, but more data from larger numbers of patients with long-term follow-up are needed. Arthroplasty may provide an additional tool for the management of post-fusion adjacent-level cervical disc disease in carefully selected patients.

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