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: Cesare Faldini, Maria Teresa Miscione, Sandro Giannini, Francesco Acri, Danilo Leonetti, Mohammadreza Chehrassan, Matteo Nanni
Přispěvatelé: Faldini C, Miscione MT, Acri F, Leonetti D, Nanni M, Chehrassan M, Giannini S.
Rok vydání: 2012
Předmět:
Zdroj: European Spine Journal. 21:90-93
ISSN: 1432-0932
0940-6719
DOI: 10.1007/s00586-012-2215-1
Popis: 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: OpenAIRE