Perlick, Lars and Zander, D. and Kraft, N. and Wallny, T. and Diedrich, O. and Schmitt, O. (2000) Surgical results of single cervical spinal fusion by plate osteosynthesis in chronic cervical radiculopathy. ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE, 138 (5). pp. 452-458. ISSN 0044-3220
Full text not available from this repository. (Request a copy)Abstract
Introduction: In anterior cervical stabilization, collapsise of the grafted bone with resulting localized kyphosis and graft dislocation has been reported. It was the aim of this clinical trial to evaluate the benefit of additional plating while taking specific implant-related complications into account. Methods: The results of single level anterior cervical spinal fusion were evaluated. In 44 patients suffering from chronic cervical radicular pain with degenerative changes, arthrodesis with iliac-crest bone and plate fixation was performed. Apart from elinical parameters, the pre- and postoperative segmental kyphosis and cervical lordosis were evalualed. Results: The total cervical alignment increased from 15.4 degrees to 18.5 degrees while the alignment of the fused segment increased from 2.6 degrees to 7.7 degrees Postoperative decrease of correction did not occur. Bony fusion was confirmed in 95% after 12 months and 100% aller 36 months. Our results show that patients had more relief from radicular pain (80%) ihan from unspecific neck pain (66%). Discussion: In single level anterior cervical fusion, additional plating successfully prevents dislocation of the bone graft and postoperative kyphosis. The clinical results and pseudarthrosis rate do not differ from studies without plating. Long. term follow-up studies are necessary to show the benefit of the reduced postoperative kyphosis.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ANTERIOR INTERBODY FUSION; TERM FOLLOW-UP; BONE GRAFT; DEGENERATIVE DISEASE; ONE-LEVEL; DISCECTOMY; DISKECTOMY; FIXATION; STABILIZATION; COMPLICATIONS; anterior plating; cervical spine; anterior spondylodesis |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 29 Mar 2022 04:44 |
| Last Modified: | 29 Mar 2022 04:44 |
| URI: | https://pred.uni-regensburg.de/id/eprint/42260 |
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