The Spine Journal
Volume 10, Issue 3 , Pages 193-199 , March 2010

Comparison of anterior cervical fusion after two-level discectomy or single-level corpectomy: sagittal alignment, cervical lordosis, graft collapse, and adjacent-level ossification

  • Yung Park, MD

      Affiliations

    • Department of Orthopedic Surgery, NHIC Ilsan Hospital, Yonsei University College of Medicine, Seoul 411-360, South Korea
    • Corresponding Author InformationCorresponding author. Department of Orthopedic Surgery, NHIC Ilsan Hospital, Yonsei University College of Medicine, 1232, Baeksok St, Ilsan, Goyang 411-360, South Korea. Tel.: (82) 31-900-0270; fax: (82) 31-900-0343.
    • ,
  • Takeshi Maeda, MD

      Affiliations

    • Department of Orthopedic Surgery, Spinal Injuries Center, Fukuoka City 820-8508, Japan
    • ,
  • Woojin Cho, MD

      Affiliations

    • Department of Orthopedic Surgery, Barnes-Jewish Hospital, Washington University School of Medicine, St Louis, MO 63110, USA
    • ,
  • K. Daniel Riew, MD

      Affiliations

    • Department of Orthopedic Surgery, Barnes-Jewish Hospital, Washington University School of Medicine, St Louis, MO 63110, USA

Received 23 July 2009 ,Revised 27 August 2009 ,Accepted 17 September 2009.

References 

  1. Hilibrand AS, Fye MA, Emery SE, et al. Increased rate of arthrodesis with strut grafting after multilevel anterior cervical decompression. Spine (Phila Pa 1976). 2002;27:146–151
  2. Nirala AP, Husain M, Vatsal DK. A retrospective study of multiple interbody grafting and long segment strut grafting following multilevel anterior cervical decompression. Br J Neurosurg. 2004;5:227–232
  3. Wang JC, McDonough PW, Endow KK, Delamarter RB. A comparison of fusion rates between single-level cervical corpectomy and two-level discectomy and fusion. J Spinal Disord. 2001;14:222–225
  4. Zdeblick TA, Ducker TB. The use of freeze-dried allograft bone for anterior cervical fusions. Spine (Phila Pa 1976). 1991;16:726–729
  5. Stewart TJ, Schlenk RP, Benzel EC. Multiple level discectomy and fusion. Neurosurgery. 2007;60(S1):143–148
  6. Bishop RC, Moore KA, Hadley MN. Anterior cervical interbody fusion using autogeneic and allogeneic bone graft substrate: a prospective comparative analysis. J Neurosurg. 1996;85:206–210
  7. Martin GJ, Haid RW, MacMillan M, et al. Anterior cervical discectomy with freeze-dried fibula allograft. Overview of 317 cases and literature review. Spine (Phila Pa 1976). 1999;24:852–859
  8. Glattes RC, Taylor BA, Riew KD. Controversies and perils: anterior corpectomy or multilevel discectomy. Tech Orthop. 2002;17:382–390
  9. Ohara A, Miyamoto K, Naganawa T, et al. Reliabilities of and correlations among five standard methods of assessing the sagittal alignment of the cervical spine. Spine (Phila Pa 1976). 2006;31:2585–2591
  10. Park JB, Cho YS, Riew KD. Development of adjacent-level ossification in patients with an anterior cervical plate. J Bone Joint Surg Am. 2005;87:558–563

 FDA device/drug status: not applicable.

 Author disclosures: WC (research support, Medtronic); KDR (royalties, Biomet, Osprey, Medtronic [$300,000--$375,000]; stock ownership, Osprey, Expanding Orthopedics, Spineology, Spine Medica, Spinal Kinetics, Nexgen Spine, Amedica, Vertiflex, Benvenue, Paradigm Spine, PSD; consulting, Spine Medica; speaking/teaching arrangements, Medtronic; scientific advisory board, Spine Medica; grants, Medtronic; consultant [NASS Annual Meeting], Medtronic).

PII: S1529-9430(09)00961-9

doi: 10.1016/j.spinee.2009.09.006

The Spine Journal
Volume 10, Issue 3 , Pages 193-199 , March 2010

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