作者
Garrett K Harada, Kevin Alter, Austin Q Nguyen, Youping Tao, Philip K Louie, Bryce A Basques, Fabio Galbusera, Frank Niemeyer, Hans-Joachim Wilke, Howard S An, Dino Samartzis
发表日期
2020/8/1
期刊
Spine
卷号
45
期号
15
页码范围
E917-E926
出版商
LWW
简介
Study Design.
A retrospective study with prospectively-collected data.
Objective.
To determine how type, location, and size of endplate lesions on magnetic resonance imaging (MRI) may be associated with symptoms and clinical outcomes after anterior cervical discectomy and fusion (ACDF).
Summary of Background Data.
Structural endplate abnormalities are important, yet understudied, phenomena in the cervical spine. ACDF is a common surgical treatment for degenerative disc disease; however, adjacent segment degeneration/disease (ASD) may develop.
Methods.
Assessed the imaging, symptoms and clinical outcomes of 861 patients who underwent ACDF at a single center. MRI and plain radiographs of the cervical spine were evaluated. Endplate abnormalities on MRI were identified and stratified by type (atypical, typical), location, relation to operative levels, presence at the adjacent level, and size. These …
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GK Harada, K Alter, AQ Nguyen, Y Tao, PK Louie… - Spine, 2020