Single level cervical fusion by an anterior approach using autologous bone graft influences the adjacent levels degenerative changes: clinical and radiographic results at 10-year minimum follow-up.

Autor: Faldini C; Istituto Ortopedico Rizzoli, University of Bologna, Via Pupilli 1, 40136 Bologna, Italy. cesare.faldini@ior.it, Miscione MT, Acri F, Leonetti D, Nanni M, Chehrassan M, Giannini S
Jazyk: angličtina
Zdroj: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society [Eur Spine J] 2012 May; Vol. 21 Suppl 1, pp. S90-3. Date of Electronic Publication: 2012 Mar 10.
DOI: 10.1007/s00586-012-2215-1
Abstrakt: Introduction: Cervical degenerative pathology can produce pain and disability and, in case of failure of conservative treatment surgery is indicated.
Materials and Methods: 107 patients affected by single level cervical degenerative pathology were surgically treated by Cloward procedure. On radiographs, the sagittal segmental alignment (SSA) of the affected level and sagittal alignment of the cervical spine were measured.
Results: Preoperatively, mean SSA was 0.6° and at the last follow-up 1.8°. In particular, adjacent-level degeneration occurred more frequently in Group A than in Group B.
Conclusion: Lordotic SSA angle can be considered a protective factor against adjacent-level degeneration.
Databáze: MEDLINE
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