Treatment of the two-level degenerative cervical disk diseases based on algorithmic anterior approach: a multicenter prospective study

Article Orthopedics

Reoperation rates and patient-reported outcomes of single and two-level anterior cervical discectomy and fusion

James S. Chambers et al.

Summary: This study found that the rate of reoperation for anterior cervical discectomy and fusion was lower than previous studies. Patient-reported outcomes also showed significant improvement.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2023)

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Article Orthopedics

Cervical disc arthroplasty combined with two-level ACDF for the treatment of contiguous three-level cervical degenerative disc disease: A comparative study

Kangkang Huang et al.

Summary: This study compared the differences between one-level cervical disc arthroplasty (CDA) and two-level anterior cervical discectomy and fusion (ACDF) in different locations. The clinical outcomes were similar among the constructs, but one type of construct showed a decrease in range of motion of the cervical spine and a higher fusion rate in the superior ACDF segment.

JOURNAL OF ORTHOPAEDIC RESEARCH (2023)

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Review Clinical Neurology

Long-Term Survivorship of Cervical Spine Procedures; A Survivorship Meta-Analysis and Meta-Regression

Mohamed Sarraj et al.

Summary: This study conducted a systematic review and meta-analysis on the survivorship of commonly performed cervical spine procedures. The results showed that anterior procedures had superior survivorship compared to other fusion procedures, while laminoplasty demonstrated the best survivorship overall.

GLOBAL SPINE JOURNAL (2023)

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Article Orthopedics

Two-Level Anterior Cervical Discectomy and Fusion versus Hybrid Total Disc Replacement for Bilevel Pathology with Cervical Radiculopathy/Myelopathy: A Comparative Study with a Minimum 2-Year Follow-up in an Indian Population

Jeevan Kumar Sharma et al.

Summary: This study compared the outcomes of two-level anterior cervical discectomy and fusion (2L-ACDF) versus hybrid total disc replacement (H-TDR) for cervical myeloradiculopathy. The results showed significantly improved Neck Disability Index (NDI) in both groups, with greater adjacent segment disc height loss in the 2L-ACDF group.

ASIAN SPINE JOURNAL (2022)

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Review Clinical Neurology

Failure in cervical total disc arthroplasty: single institution experience, systematic review of the literature, and proposal of the RUSH TDA failure classification system

Athan G. Zavras et al.

Summary: This study retrospectively evaluated the modes and frequencies of cervical TDA failure and proposed a novel classification system. The results showed that cervical TDA fails through six primary mechanisms, with stenosis being the most common. Although the rates of failure requiring subsequent surgical intervention are low, these complications may become more prevalent with further observation.

SPINE JOURNAL (2022)

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Article Clinical Neurology

Trends and patterns of cervical degenerative disc disease: an analysis of magnetic resonance imaging of 1300 symptomatic patients

Mohamed Kamal Mesregah et al.

Summary: This study evaluated the trends and patterns of cervical degenerative disc disease in different age groups of symptomatic patients. The results showed that the number and severity of degenerated intervertebral discs increased significantly with age.

EUROPEAN SPINE JOURNAL (2022)

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Article Clinical Neurology

Cervical Alignment Analysis Comparing Two-Level Cervical Disc Arthroplasty with Anterior Cervical Discectomy and Fusion with Anterior Plate Fixation

Adewale A. Bakare et al.

Summary: This study compares cervical alignments after 2-level cervical disc arthroplasty (CDA) and anterior cervical discectomy and fusion (ACDF). The results show that both approaches achieved significant lordosis gains, but CDA had a greater gain at 12 months. Male patients, patients with BMI > 25 kg/m2, and patients with symptom duration > 12 months achieved greater alignment improvements after CDA. Clinical outcomes were comparable between the two groups, and heterotopic ossification did not significantly affect patient outcomes or alignment.

WORLD NEUROSURGERY (2022)

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Review Public, Environmental & Occupational Health

Clinical Efficacy and Safety of Surgical Treatments in Patients With Pure Cervical Radiculopathy

Quan-You Gao et al.

Summary: A network meta-analysis was conducted to evaluate the clinical efficacy and safety of various surgical interventions for pure cervical radiculopathy. The results showed no significant differences between treatments in terms of major clinical effectiveness and safety outcomes. Anterior cervical foraminotomy, posterior cervical foraminotomy, and anterior cervical discectomy with fusion and additional plating had higher postoperative success rates. Cervical disc replacement had a higher rate of postoperative complications. Autologous bone graft showed better relief from arm pain and neck disability.

FRONTIERS IN PUBLIC HEALTH (2022)

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Article Surgery

An Algorithmic Posterior Approach to the Treatment of Multilevel Degenerative Cervical Spine Disease: A Multicenter Prospective Study

Vadim A. Byvaltsev et al.

Summary: The study aimed to evaluate the effectiveness of an algorithmic posterior approach to the surgical treatment of patients with multilevel degenerative disease of the cervical spine based on preoperative clinical and imaging parameters. The results showed that the algorithmic treatment group had better clinical outcomes and lower complication rates compared to the control group.

INTERNATIONAL JOURNAL OF SPINE SURGERY (2022)

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Article Clinical Neurology

Clinical adjacent segment pathology after anterior cervical discectomy, with and without fusion, for cervical degenerative disc disease: A single center retrospective cohort study with long-term follow-up

Valerie N. E. Schuermans et al.

Summary: In this retrospective cohort study of 601 patients with CDDD, we observed a relatively low rate of additional surgery for CASP with ACDF using stand-alone cages, while ACD significantly increased the risk of developing CASP. Surgical technique, fusion, segmental kyphosis, and natural degeneration play a multifactorial role in the development of CASP.

BRAIN AND SPINE (2022)

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Article Clinical Neurology

Endplate-specific fusion rate 1 year after surgery for two-level anterior cervical discectomy and fusion(ACDF)

Hyun Jun Jang et al.

Summary: This study found that in double-level ACDF procedures, the nonfusion rate was higher at the caudal fusion levels, especially at the lower endplates of the caudal fusion levels. There was no difference in radiological parameters and clinical outcomes between the fusion and pseudarthrosis groups.

ACTA NEUROCHIRURGICA (2022)

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Article Clinical Neurology

Cervical Alignment Analysis Comparing Two-Level Cervical Disc Arthroplasty with Anterior Cervical Discectomy and Fusion with Anterior Plate Fixation

Adewale A. Bakare et al.

Summary: This study compared cervical alignments after 2-level cervical disc arthroplasty (CDA) and anterior cervical discectomy and fusion (ACDF) with anterior plate fixation. The results showed that both procedures achieved similar postoperative alignment changes, with comparable clinical outcomes.

WORLD NEUROSURGERY (2022)

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Article Clinical Neurology

Poor Fusion Rates Following Cervical Corpectomy Reconstructed With an Expandable Cage: Minimum 2-Year Radiographic and Clinical Outcomes

Vadim A. Byvaltsev et al.

Summary: This study analyzed the clinical and radiographic outcomes of 78 patients with degenerative cervical stenosis who underwent corpectomy reconstructed with expandable cages. The results showed improvements in pain, disability index, and cervical lordosis, but with low fusion rates and a relatively low incidence of complications.

NEUROSURGERY (2021)

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Review Clinical Neurology