A Prospective Randomized Study of Anterior Single-level Cervical Disc Operations with Long-term Follow-up: Surgical Fusion Is Unnecessary

A Prospective Randomized Study of Anterior Single-level Cervical Disc Operations with Long-term... AbstractOBJECTIVE:After 40 years of experience with anterior cervical operations, whether to fuse is still controversial. This study seeks to answer this question.METHODS:In this prospective randomized study, we operated on 91 patients with single-level cervical root compression using three different methods: 1) discectomy without fusion, 2) fusion with autologous bone graft, and 3) fusion with autologous bone graft plus plating.RESULTS:After 4 years of follow-up, the radiological results indicated that complete bony union was achieved in almost all cases. A slight kyphosis developed in 62.5% of the patients who had undergone discectomy, 40% of the patients who had undergone fusion, and 44% of the patients who had undergone fusion plus plating (not significant). The clinical outcomes were good for 76% of the patients who had undergone discectomy, 82% who had undergone fusion, and 73% who had undergone fusion plus plating. The outcomes were poor in 0, 4, and 4%, respectively (not significant).CONCLUSION:According to this study, satisfactory results can be achieved by performing simple discectomy to treat single-level cervical root compressive disease. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

A Prospective Randomized Study of Anterior Single-level Cervical Disc Operations with Long-term Follow-up: Surgical Fusion Is Unnecessary

A Prospective Randomized Study of Anterior Single-level Cervical Disc Operations with Long-term Follow-up: Surgical Fusion Is Unnecessary

C LIN IC A L STUDIES A Prospective Randomized Study of Anterior Single-level Cervical Disc Operations with Long-term Follow-up: Surgical Fusion Is Unnecessary Sakari Savolainen, M.D., Jaakko Rinne, M.D., Juha Hernesniemi, M.D., Ph.D. Department of Neurosurgery, University Hospital of Kuopio, Kuopio, Finland OBJECTIVE: After 40 years of experience with anterior cervical operations, whether to fuse is still controversial. This study seeks to answer this question. METHODS: In this prospective randomized study, we operated on 91 patients with single-level cervical root compression using three different methods: 1) discectomy without fusion, 2) fusion with autologous bone graft, and 3) fusion with autologous bone graft plus plating. RESULTS: After 4 years of follow-up, the radiological results indicated that complete bony union was achieved in almost all cases. A slight kyphosis developed in 62.5% of the patients who had undergone discectomy, 4 0 % of the patients who had undergone fusion, and 4 4 % of the patients who had undergone fusion plus plating (not significant). The clinical outcomes were good for 76 % of the patients who had undergone discectomy, 8 2 % who had undergone fusion, and 7 3 % who had undergone fusion plus plating. The outcomes were poor in 0, 4, and 4 % , respectively (not significant). CO N CLU SIO N : According to this study, satisfactory results can be achieved by performing simple discectomy to treat single-level cervical root compressive disease. (Neurosurgery 43:51-55, 1998) Keywords: Anterior approach, Cervical disc surgery, Cervical spine, Randomized study study w as ap p roved by the Ethics C o m m itte e of the U n iv e r­ espite 40 years of e x p erie n ce w ith anterior cervical sity H ospital of Kuopio. O n ly patients w ith single-level ra d ic­ disc surgery, w h e th e r to su rgically fuse the adjacent ular sy m p to m s and with co rresp o n d in g single-level disease as vertebral b o d ies rem ain s con troversial (1 -3...
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Publisher
Oxford University Press
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199807000-00032
Publisher site
See Article on Publisher Site

Abstract

AbstractOBJECTIVE:After 40 years of experience with anterior cervical operations, whether to fuse is still controversial. This study seeks to answer this question.METHODS:In this prospective randomized study, we operated on 91 patients with single-level cervical root compression using three different methods: 1) discectomy without fusion, 2) fusion with autologous bone graft, and 3) fusion with autologous bone graft plus plating.RESULTS:After 4 years of follow-up, the radiological results indicated that complete bony union was achieved in almost all cases. A slight kyphosis developed in 62.5% of the patients who had undergone discectomy, 40% of the patients who had undergone fusion, and 44% of the patients who had undergone fusion plus plating (not significant). The clinical outcomes were good for 76% of the patients who had undergone discectomy, 82% who had undergone fusion, and 73% who had undergone fusion plus plating. The outcomes were poor in 0, 4, and 4%, respectively (not significant).CONCLUSION:According to this study, satisfactory results can be achieved by performing simple discectomy to treat single-level cervical root compressive disease.

Journal

NeurosurgeryOxford University Press

Published: Jul 1, 1998

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