Summary
Twenty-one patients suffering from cervical spondylosis and peripheral symptoms underwent uncomplicated anterior interbody fusion of the cervical spine and were re-examined clinically and radiologically at 27 ± 15 months (mean ± SD) after the operation. Translatory displacement of the segment adjacent to the fusion level was noted in 14 patients. Its incidence could not be related to the age and sex of the patient, to extent of the fusion, or to post-operative time. Anterior slippage did not correlate with persistent or recurring pain.
Zusammenfassung
21 Patienten mit zervikaler Spondylose wurden durchschnittlich 27 ± 15 Monate nach einer unkomplizierten vorderen Fusion der Halswirbelsäule untersucht. Röntgenologisch fand sich bei 14 Patienten eine vordere Instabilität des angrenzenden Segments. Ihr Auftreten korrelierte nicht mit dem Alter und Geschlecht des Patienten, mit der Fusionsstrecke oder mit dem postoperativen Zeitraum. Anhaltende oder wiederkehrende Schmerzen konnten ebenfalls in keinen Zusammenhang mit der Instabilität gebracht werden.
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References
Brunton FJ, Wilkinson JA, Wise KSH, Simonis RB (1982) Cineradiography in cervical spondylosis as a means of determining the level for anterior fusion. J Bone Joint Surg [Br] 64:399–404
Farfan HF, Gracovetsky S (1984) The nature of instability. Spine 9:714–719
Gore DR, Sepic SB (1984) Anterior cervical fusion for degenerated or protruded discs. A review of 146 patients. Spine 9:667–671
Green PWB (1977) Anterior cervical fusion. A review of 33 patients with cervical disc degeneration. J Bone Joint Surg [Br] 59:236–240
O'Laoire SA, Thomas DGT (1983) Spinal cord compression due to prolapse of cervical intervertebral disc (herniation of nucleus pulposus) J Neurosurg 59:847–853
Rosenorn J, Hansen EB, Rosenørn M-A (1983) Anterior cervical discectomy with and without fusion. A prospective study. J Neurosurg 59:252–255
Smith GW, Robinson RA (1955) The treatment of certain cervical spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone Joint Surg [Am] 40:607–624
White AA, Panjabi MM (1978) Clinical biomechanics of the spine. Lippincott, Philadelphia. Toronto, pp 191, 224–225, 258
Wilkinson M (1971) Cervical spondylosis. Its early diagnosis and treatment, 2nd edn. Heinemann, London
Wilson DH, Campbell DD (1977) Anterior cervical discectomy without bone graft. Report of 71 cases. J Neurosurg 47:551–555
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Döhler, J.R., Kahn, M.R.H. & Hughes, S.P.F. Instability of the cervical spine after anterior interbody fusion. Arch. Orth. Traum. Surg. 104, 247–250 (1985). https://doi.org/10.1007/BF00450219
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DOI: https://doi.org/10.1007/BF00450219