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.

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. 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 Clinical evaluation of enhanced recovery after surgery protocol for anterior cervical decompression and fusion (ACDF): study protocol for a multicentre randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e047654
Author(s):  
Gui Qin Zhong ◽  
Bi Hua Lin ◽  
Ren Qin Lin ◽  
Ze Yan Liang ◽  
Yan Juan Lin ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Perioperative Care ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Japanese Orthopaedic Association ◽  
Cervical Disc ◽  
Secondary Outcome ◽  
Random Allocation ◽  
Outcome Indicators ◽  
Anterior Cervical Decompression

IntroductionTo improve the efficacy of anterior cervical decompression and fusion (ACDF) and reduce postoperative complications in degenerative cervical myelopathy, our team established a set of perioperative care of enhanced recovery guidelines of ACDF based on the concept of enhanced recovery after surgery. In addition, a prospective, multicentre, randomised clinical trial was designed.Methods and analysisA total of 260 patients aged 18–65 years will be included. Preoperative MRI and CT will be used to confirm the typical manifestations of cervical spondylosis, such as cervical disc herniation and spinal cord compression. The patient presents with neck and shoulder pain, numbness of upper limbs, weakened grip strength and cotton sense of foot tread. Patients received normal conservative treatment for 3 months with no obvious relief or even aggravation of symptoms. Patients will be assigned to the group in strict accordance with the random allocation table. Patients in groups A and B will receive conventional perioperative care and perioperative care for enhanced recovery, respectively. The main outcome indicators are the Karnofsky Performance Scale score and the Japanese Orthopaedic Association scale. Secondary outcome indicators are pain assessment by Numeric Rating Scale, Neck Disability Index, quality of life index (QL-Index) and postoperative complications. Follow-up will be conducted at 3, 6 and 12 months postoperatively.Ethics and disseminationEthical approval has been granted by the Ethics Committee of Fujian Medical University Union Hospital, Fuzhou, China (2020YF034-01). Results of the research will be published in an international peer-reviewed scientific journal and disseminated through presentation at scientific conferences.Trial registration numberChiCTR2000040508.

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.

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.

Haemodynamic CHIVA correction surgery versus compression for primary venous ulcers: first year results

2004 ◽  
Vol 19 (1) ◽  
pp. 28-34 ◽  
Author(s):  
P Zamboni ◽  
C Cisno ◽  
F Marchetti ◽  
P Mazza ◽  
L Fogato ◽  
...  
Keyword(s):  
Quality Of Life ◽  
First Episode ◽  
First Year ◽  
Conservative Group ◽  
Minimally Invasive Surgical ◽  
Venous Ulcers ◽  
One Year ◽  
Compression Treatment ◽  
Surgical Group

Objective: To compare two different treatments for primary venous ulcers: a minimally invasive surgical technique for the haemodynamic correction of reflux, versus a traditional compression treatment. Method: From a cohort of 87 lower extremities affected by the first episode of venous ulcers, 45 mobile patients affected by primary chronic venous insufficiency were randomized to receive either the haemodynamic correction procedure (CHIVA) or compression treatment. Results: Mean follow up lasted one year. The rate of healing in the surgical group was 100% in a mean time of 29 days with a velocity of 2.86 mm2/day,and in the conservative group the rate was 96% in 61 days, with a velocity of 1.66 mm2/day ( P<0.02). All air plethysmographic parameters, with the exception of ejection fraction, significantly improved at six months in the surgical group. Finally, quality of life significantly improved in both groups, but in the surgical group the following domains were significantly different compared with the compression group: RP, role limitations due to physical problems; VT, energy/vitality; SF, social functioning; RE, role limitations due to emotional problems; and MH, mental health. Conclusions: Surgical haemodynamic correction of reflux has been demonstrated to improve venous function, time to ulcer healing and quality of life when compared with compression treatment.

scholarly journals Pathogenesis, Diagnosis, and Treatment of Cervical Vertigo

2015 ◽  
Vol 18;4 (4;18) ◽  
pp. E583-E595
Author(s):  
Baogan Peng
Keyword(s):  
Vertebral Artery ◽  
Manual Therapy ◽  
Cervical Spondylosis ◽  
Scientific Evidence ◽  
Vertebrobasilar Insufficiency ◽  
Clinical Experiences ◽  
Laser Disc ◽  
Cervical Vertigo ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

Cervical vertigo is characterized by vertigo from the cervical spine. However, whether cervical vertigo is an independent entity still remains controversial. In this narrative review, we outline the basic science and clinical evidence for cervical vertigo according to the current literature. So far, there are 4 different hypotheses explaining the vertigo of a cervical origin, including proprioceptive cervical vertigo, Barré-Lieou syndrome, rotational vertebral artery vertigo, and migraine-associated cervicogenic vertigo. Proprioceptive cervical vertigo and rotational vertebral artery vertigo have survived with time. Barré-Lieou syndrome once was discredited, but it has been resurrected recently by increased scientific evidence. Diagnosis depends mostly on patients’ subjective feelings, lacking positive signs, specific laboratory examinations and clinical trials, and often relies on limited clinical experiences of clinicians. Neurological, vestibular, and psychosomatic disorders must first be excluded before the dizziness and unsteadiness in cervical pain syndromes can be attributed to a cervical origin. Treatment for cervical vertigo is challenging. Manual therapy is recommended for treatment of proprioceptive cervical vertigo. Anterior cervical surgery and percutaneous laser disc decompression are effective for the cervical spondylosis patients accompanied with BarréLiéou syndrome. As to rotational vertebral artery vertigo, a rare entity, when the exact area of the arterial compression is identified through appropriate tests such as magnetic resonance angiography (MRA), computed tomography angiography (CTA) or digital subtraction angiography (DSA) decompressive surgery should be the chosen treatment. Key words: Cervical vertigo, dizziness, whiplash injury, neck pain, cervical spondylosis, manual therapy, vestibular rehabilitation, vertebrobasilar insufficiency

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

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