P135. Radiological outcomes of a novel 3-dimensional printed titanium cervical interbody cage following single and multilevel anterior cervical discectomy and fusion: a case series of 108 operated levels

2019 ◽  
Vol 19 (9) ◽  
pp. S220
Author(s):  
Antonio T. Brecevich ◽  
Celeste Abjornson ◽  
Frank P. Cammisa
Keyword(s):  
Case Series ◽  
Anterior Cervical Discectomy ◽  
Interbody Cage ◽  
Cervical Discectomy ◽  
3 Dimensional

Albert Dereymaeker and Joseph Cyriel Mulier’s description of anterior cervical discectomy with fusion in 1955

2018 ◽  
Vol 28 (4) ◽  
pp. 395-400 ◽  
Author(s):  
Ronald H. M. A. Bartels ◽  
Jan Goffin
Keyword(s):  
French Literature ◽  
Case Series ◽  
Anterior Cervical Discectomy ◽  
Subsequent Paper ◽  
Intervertebral Disc Space ◽  
Disc Space ◽  
Iliac Crest Graft ◽  
Cervical Discectomy ◽  
Time Period

Anterior cervical discectomy with fusion (ACDF) is a very well-known and often-performed procedure in the practice of spine surgeons. The earliest descriptions of the technique have always been attributed to Cloward, Smith, and Robinson. However, in the French literature, this procedure was also described by others during the exact same time period (in the 1950s).At a meeting in Paris in 1955, Belgians Albert Dereymaeker and Joseph Cyriel Mulier, a neurosurgeon and an orthopedic surgeon, respectively, described the technique that involved an anterior cervical discectomy and the placement of an iliac crest graft in the intervertebral disc space. In 1956, a summary of their oral presentation was published, and a subsequent paper—an illustrated description of the technique and the details of a larger case series with a 3.5-year follow-up period—followed in 1958.The list of authors who first described ACDF should be completed by adding Dereymaeker’s and Mulier’s names. They made an important contribution to the practice of spinal surgery that was not generally known because they published in French.

scholarly journals Factors Influencing Interbody Cage Subsidence Following Anterior Cervical Discectomy and Fusion

2019 ◽  
Vol 32 (7) ◽  
pp. 297-302 ◽  
Author(s):  
Hidetoshi Igarashi ◽  
Masahiro Hoshino ◽  
Keita Omori ◽  
Hiromi Matsuzaki ◽  
Yasuhiro Nemoto ◽  
...  
Keyword(s):  
Anterior Cervical Discectomy ◽  
Interbody Cage ◽  
Cervical Discectomy ◽  
Factors Influencing ◽  
Cage Subsidence

Horner Syndrome After Anterior Cervical Discectomy and Fusion: Case Series and Systematic Review

2020 ◽  
Vol 133 ◽  
pp. e68-e75
Author(s):  
Daniel Lubelski ◽  
Zachary Pennington ◽  
Daniel M. Sciubba ◽  
Nicholas Theodore ◽  
Ali Bydon
Keyword(s):  
Systematic Review ◽  
Case Series ◽  
Anterior Cervical Discectomy ◽  
Horner Syndrome ◽  
Cervical Discectomy

scholarly journals A Novel Local Cancellous Autograft Source for Anterior Cervical Discectomy With Fusion

2020 ◽  
pp. 219256822094774
Author(s):  
Conor N. O’Neill ◽  
Zakk J. Walterscheid ◽  
Jonathan J. Carmouche
Keyword(s):  
Iliac Crest ◽  
Case Series ◽  
Cervical Vertebra ◽  
Anterior Cervical Discectomy ◽  
Iliac Crest Bone Graft ◽  
Visual Analogue Pain Scale ◽  
Cervical Discectomy ◽  
Vas Score ◽  
Postoperative Score ◽  
Grafting Technique

Study Design: Case series. Objectives: Successful clinical outcome scores following anterior cervical discectomy and fusion (ACDF) have been correlated with high fusion rate. Published fusion rates using iliac crest bone graft (ICBG) have been shown to be as high as 100% for single-level fusions in some studies; however, there is potential associated morbidity with ICBG harvest. This technical description and preliminary case series assessed the clinical efficacy and results of a novel grafting technique for ACDF. Methods: Twelve patients underwent novel grafting technique for ACDF in which autograft was procured from the cervical vertebra adjacent to the operative disk. Patients were followed for 2 years using visual analogue pain scale (VAS) and radiological assessment of fusion. Results: Patients experienced clinically meaningful reduction of radicular symptoms in the affected arm(s) with an average preoperative VAS score of 5.0 ± 0.8 and an average 2-year postoperative score of 1.108 ± 0.475 ( P = .0013). Patients also experienced significant resolution of neck pain with an average preoperative VAS score of 7.1 ± 0.5 and average 2-year postoperative score of 2.708 ± 0.861 ( P = .0018). All patients achieved solid fusion by 1 year. There were no major or minor complications noted during follow-up. Conclusions: This procedure allows for both autograft harvest and cervical decompression to be performed through a single incision. In this series, this technique eliminated the morbidity associated with autograft harvest from the iliac crest while achieving high fusion rates and without additional technique-related complications.

scholarly journals Posterior longitudinal ligament resection during microscopic anterior cervical discectomy: technique and safety consideration

2019 ◽  
Vol 34 (1) ◽  
Author(s):  
Ashraf Mohamed Farid ◽  
Sherif Elsayed ElKheshin
Keyword(s):  
Case Series ◽  
Complete Removal ◽  
Posterior Longitudinal Ligament ◽  
Radicular Pain ◽  
Anterior Cervical Discectomy ◽  
Saline Irrigation ◽  
Cervical Discectomy ◽  
Significant Difference ◽  
Safety Consideration ◽  
Sharp Dissection

Abstract Background Herniation of the cervical disk material results in interruption of the posterior longitudinal ligament (PLL) in the majority of patients. Routine opening of the PLL during ACDF is a necessary step for complete removal of all disk fragments. Objectives Safety measures during PLL opening during microscopic anterior cervical discectomy and risk-free surgery Study design A retrospective clinical case series Patients and methods The study was conducted on 145 patients. The main symptom was radicular pain. Pre-operative identification of PLL was assessed by MRI. All patients were operated upon by ACDF. We started dissection off the midline in patients with intact ligament while we used the site of disruption to start and complete dissection in patients with interrupted ligament. Follow-up was done monthly. Results Ninety-seven percent of patients underwent single level surgery. The most commonly operated level was C5-6. PLL was interrupted in 60.7% of patients. There was a statistically significant difference between median VAS in immediate, early, and late post-operative period. Bleeding was encountered in 46% of patients. Saline irrigation was a suitable method for hemostasis. Conclusion Conventional MRI is the modality of choice for pre-operative identification of PLL. It is better to use the site of ligament interruption to start sharp dissection and to start lateral to the midline in intact ligament. Sharp dissection is better with curved knife. Thin foot plate Kerrison is suitable for excision of the remaining parts. Hemostasis using saline irrigation is better and non-risky than using bipolar coagulation.

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