Anterior cervical discectomy: is fusion necessary?
GC Dowd, FP Wirth - Journal of Neurosurgery: Spine, 1999 - thejns.org
GC Dowd, FP Wirth
Journal of Neurosurgery: Spine, 1999•thejns.orgObject. A prospective, randomized trial was performed to compare the efficacy of anterior
cervical discectomy (ACD) with ACD and fusion (ACDF) for the treatment of cervical
spondylosis in patients with neurological compromise. Methods. Forty-four patients
underwent ACD and 40 underwent ACDF. Operative time and length of hospital stay were
shorter and there was less need for analgesia in the ACD group. It was found that whereas
the incidence of fusion was greater in the ACDF group compared to the ACD group (97 …
cervical discectomy (ACD) with ACD and fusion (ACDF) for the treatment of cervical
spondylosis in patients with neurological compromise. Methods. Forty-four patients
underwent ACD and 40 underwent ACDF. Operative time and length of hospital stay were
shorter and there was less need for analgesia in the ACD group. It was found that whereas
the incidence of fusion was greater in the ACDF group compared to the ACD group (97 …
Object. A prospective, randomized trial was performed to compare the efficacy of anterior cervical discectomy (ACD) with ACD and fusion (ACDF) for the treatment of cervical spondylosis in patients with neurological compromise.
Methods. Forty-four patients underwent ACD and 40 underwent ACDF. Operative time and length of hospital stay were shorter and there was less need for analgesia in the ACD group. It was found that whereas the incidence of fusion was greater in the ACDF group compared to the ACD group (97 compared with 70%, respectively; p < 0.01), patient satisfaction and a return to preoperative activity level was similar between groups.
Conclusions. Analysis of the results suggests that the addition of a fusion procedure may be unnecessary.
thejns.org
以上显示的是最相近的搜索结果。 查看全部搜索结果