The Relationship between Increased Intervertebral Disc Height and Development of Postoperative Axial Neck Pain after Anterior Cervical Fusion

Study Design: Retrospective observational study. Objective: To investigate the relationship between the extent of ligament ossification and the range of motion (ROM) of the lumbar spine and develop a new scoring system. Methods: Forty-three patients (30 men and 13 women) with lumbar spinal canal stenosis who underwent decompression from January to December 2018. Ligament ossification at L1/2 to L5/S was assessed on plain X-ray (Xp) and computed tomography (CT) using a modified Mata scoring system (0 point: no ossification, 1 point: ossification of less than half of the intervertebral disc height, 2 points: ossification of half or more of the intervertebral disc height, 3 points: complete bridging), and the intra-rater and inter-rater reliability of the scoring was assessed. The relationship of the scores with postoperative lumbar ROM was investigated. Result: Intra-rater reliability was high (Cronbach’s α was 0.74 for L5/S on Xp but 0.8 or above for other sections), as was inter-rater reliability (Cronbach’s α was 0.8 or above for all the segments). ROM significantly decreased as the score increased (scores 1 to 2, and 2 to 3). A significant moderate negative correlation was found between the sum of the scores at L1/2-L5/S and the ROM at L1-S (ρ = − 0.4493, P = 0.025). Conclusion: Our scoring system reflects lumbar mobility and is reproducible. It is effective for assessing DISH in fractures and spinal conditions, and monitoring effects on treatment outcomes and changes over time.

Download Full-text

Response to: ‘A dose–response relationship between severity of disc degeneration and intervertebral disc height in the lumbosacral spine’—authors’ reply

Arthritis Research & Therapy ◽

10.1186/s13075-016-0945-x ◽

2016 ◽

Vol 18 (1) ◽

Author(s):

Andrew J. Teichtahl ◽

Donna M. Urquhart ◽

Yuanyuan Wang ◽

Anita E. Wluka ◽

Stephane Heritier ◽

...

Keyword(s):

Intervertebral Disc ◽

Disc Degeneration ◽

Dose Response ◽

Disc Height ◽

Lumbosacral Spine ◽

Response Relationship ◽

Dose Response Relationship ◽

Intervertebral Disc Height

Download Full-text

Effect of intervertebral disc height on postoperative motion and clinical outcomes after Prodisc-C cervical disc replacement

The Spine Journal ◽

10.1016/j.spinee.2009.03.008 ◽

2009 ◽

Vol 9 (7) ◽

pp. 551-555 ◽

Cited By ~ 28

Author(s):

Chan W.B. Peng ◽

Martin Quirnoa ◽

John A. Bendo ◽

Jeffrey M. Spivak ◽

Jeffrey A. Goldstein

Keyword(s):

Intervertebral Disc ◽

Clinical Outcomes ◽

Disc Height ◽

Disc Replacement ◽

Cervical Disc ◽

Cervical Disc Replacement ◽

Intervertebral Disc Height

Download Full-text

THE HARTSHILL HORSESHOE: THE TREATMENT OF CHRONIC PAIN PATIENTS WITH DISCOGENIC PAIN IN THE ABSENCE OF NEURAL COMPRESSION A PROSPECTIVE 2½- TO 3-YEAR REVIEW

Journal of Musculoskeletal Research ◽

10.1142/s0218957700000215 ◽

2000 ◽

Vol 04 (03) ◽

pp. 209-220 ◽

Cited By ~ 1

Author(s):

W. Peckett ◽

P. Hardcastle ◽

J. Sheppherd ◽

C. Sridhar

Keyword(s):

Intervertebral Disc ◽

Bone Graft ◽

Spinal Fusion ◽

Central Area ◽

Disc Height ◽

Intervertebral Disc Space ◽

Disc Space ◽

Discogenic Pain ◽

Radiological Results ◽

Intervertebral Disc Height

Interbody fusion is a well-recognized technique to achieve spinal fusion. The advantage of using tricortical blocks as opposed to the dowel technique is that intervertebral disc height can be restored. Both techniques can be performed either by the anterior or posterior approach. The traditional tricortical block technique has advantages over using dowels as it is a more stable construct and can restore intervertebral disc height. However, autologous bone graft has an unpredictable behavior causing potential problems of disc space collapse, forward displacement of the graft and donor bone graft site morbidity. The Hartshill horseshoe was developed to overcome these autograft problems. It is an implant that is placed within the periphery of the intervertebral disc space where the vertebral end plate is strongest to resist compression forces. It has holes that allow screw fixation of the implant to bone to provide immediate stability and a central area for bone graft where the vertebral body is most vascular to allow incorporation of such a graft. Previous reports on the Hartshill horseshoe have used autograft (single tricortical graft). This prospective study reports the clinical and radiological results of 19 patients who underwent this procedure using xenograft 2½ to 3 years postoperative. The radiological results do not show any evidence of loosening of the screws or implant nor evidence of intervertebral disc space subsidence. It was not possible to assess the exact incidence of spinal fusion.

Download Full-text

Vertebral Height Growth Predominates Over Intervertebral Disc Height Growth in Adolescents With Scoliosis

Spine ◽

10.1097/01.brs.0000222008.15750.1f ◽

2006 ◽

Vol 31 (14) ◽

pp. 1600-1604 ◽

Cited By ~ 34

Author(s):

Ian A. F. Stokes ◽

Luke Windisch

Keyword(s):

Intervertebral Disc ◽

Height Growth ◽

Disc Height ◽

Vertebral Height ◽

Intervertebral Disc Height

Download Full-text

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

Neurosurgical FOCUS ◽

10.3171/2017.1.focusvid.16376 ◽

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.

Download Full-text