Long-Term Results After Anterior Cervical Fusion and Osteosynthetic Stabilization for Fractures and/or Dislocations of the Cervical Spine

1995 ◽  
Vol 8 (6) ◽  
pp. 500???508 ◽  
Author(s):  
Jan Goffin ◽  
Johan van Loon ◽  
Frank Van Calenbergh ◽  
Chris Plets
1980 ◽  
Vol 31 (2) ◽  
pp. 201-203 ◽  
Author(s):  
Ethan M. Braunstein ◽  
Letha Y. Hunter ◽  
Robert W. Bailey

2009 ◽  
Vol 18 (5) ◽  
pp. 630-653 ◽  
Author(s):  
Heiko Koller ◽  
Jeremy Reynolds ◽  
Juliane Zenner ◽  
Rosemarie Forstner ◽  
Axel Hempfing ◽  
...  

2005 ◽  
Vol 18 (Supplement 1) ◽  
pp. S101-S106 ◽  
Author(s):  
Yukihiro Matsuyama ◽  
Noriaki Kawakami ◽  
Hisatake Yoshihara ◽  
Taichi Tsuji ◽  
Mitsuhiro Kamiya ◽  
...  

2017 ◽  
Vol 8 (2) ◽  
pp. 61-71
Author(s):  
A N Pogodina ◽  
A A Green ◽  
D S Kasatkin ◽  
A K Kaikov ◽  
A S Lvov ◽  
...  

The aim of the study is to specify the causes, peculiarities of the damage and the tactics of treating patients with clinically significant damages to the esophagus after the anterior cervical fusion or in combination with it.Material and methods: medical treatment of 24 patients in Sklifosovsky Emergency Research Institute with the damage to the esophagus after the front access surgery of the cervical spine during the period of 2003-2016 was analyzed.Results: we succeeded to restore or save the support ability of the spine for all patients and at the same time to take away the infected transplants, and, if necessary, to make adequate decompression of neurovascular entities of the spine column and fixation of the verbal-motor segment. 21 patients underwent conserving surgery in the cervical esophagus with its suturing with the double-row suture. 2 patients had failure of seams in the esophagus and they underwent a repeated surgery of suturing its defect. 2 patients underwent organodetrital surgeries. One patient died. Conclusion: damages to the esophagus after anterior cervical fusion or in combination with it are rare complications. That is why it is impossible to gain much experience in treating of such patients in only one clinic. In this case all publications on this topic are of great interest. Due to unsatisfactory results of the conservative therapy we should consider surgical treatment in general hospitals with the participation of a multidisciplinary brigade the golden standard.


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Yifei Deng ◽  
Guangzhou Li ◽  
Hao Liu ◽  
Ying Hong ◽  
Yang Meng

Abstract Background Thus far, no meta-analysis focusing on the mid- to long-term incidence of adjacent segment disease requiring surgery after cervical total disc replacement and anterior cervical discectomy and fusion has been published yet. This study aimed to compare mid- to long-term rates of symptomatic adjacent-level disease requiring surgery after cervical disc replacement and anterior cervical fusion. Methods A meta-analysis was performed, and only randomized controlled trials with a follow-up period of more than 48 months reporting rates of symptomatic adjacent-level disease requiring surgery after cervical total disc replacement and anterior cervical discectomy and fusion were included. Results The analysis revealed that the overall rate of symptomatic adjacent-level disease requiring surgery in the cervical disc replacement group was significantly lower than that of the anterior cervical fusion group at 48–120 months’ follow-up. The subgroup analysis of different follow-up periods also yielded the same results. The rate of symptomatic adjacent-level disease requiring surgery in the cervical disc replacement group using unrestricted prosthesis was significantly lower than that of the anterior cervical fusion group (p < 0.001); however, the cervical disc replacement group using semi-restricted prosthesis showed no statistical difference compared with the fusion group. Conclusions Our review suggests that cervical disc replacement is preferable to anterior cervical fusion in reducing the incidence of symptomatic adjacent-level disease requiring surgery at mid- to long-term follow-up. A review of the literature also demonstrated that randomized controlled trials investigating the rate of symptomatic adjacent-level disease requiring surgery were insufficient; therefore, studies focusing on this subject with longer-term follow-up are warranted.


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