Adjacent segment pathology. natural history or effect of anterior cervical discectomy and fusion? A 10-year follow-up radiological multicenter study using an evaluation scale of the ageing spine
| Autor: | Antonino Raco, Alessandro Frati, Emanuele Piccione, Riccardo Caruso, Alessandro Pesce, Venceslao Wierzbicki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
cervical arthroplasty Pathology Aging Time Factors medicine.medical_treatment Anterior cervical discectomy and fusion Intervertebral Disc Degeneration Cohort Studies surgery 0302 clinical medicine acdf orthopedics and sports medicine Cervical spondylosis 030222 orthopedics medicine.diagnostic_test cervical spondylosis Age Factors Middle Aged Magnetic Resonance Imaging medicine.anatomical_structure Treatment Outcome Predictive value of tests Spinal fusion Cervical Vertebrae Disease Progression ageing spine Female Cervical vertebrae Diskectomy Adult adjacent segment pathology mri medicine.medical_specialty Risk Assessment 03 medical and health sciences Predictive Value of Tests medicine Humans Spinal canal Retrospective Studies Analysis of Variance business.industry Magnetic resonance imaging Retrospective cohort study medicine.disease Surgery Spinal Fusion business 030217 neurology & neurosurgery Follow-Up Studies |
| Popis: | Aim of this study is to compare late degenerative MRI changes in a subset of patients operated on with ACDF to a second subset of patients presenting indication to ACDF but never operated on. Patients from both subgroups received surgical indication according to the same criteria. Both subgroups underwent a cervical spine MRI in 2004–2005 and 10 years later in 2015. These MRI scans were retrospectively evaluated with a cervical spine ageing scale. Comparing the two subset of patients both suffering from clinically relevant single-level disease returns no statistically significant difference in the degenerative condition of posterior ligaments, presence of degenerative spondylolisthesis, foraminal stenosis, diameter of the spinal canal, Modic alteration, and intervertebral discs degeneration at 10-year follow-up. The adjacent segment degeneration represents, in the present cohort, a result of the natural history of cervical spondylosis rather than a consequence of fusion. |
| Databáze: | OpenAIRE |
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