Multi level cervical fusion. gov/23957113/ S D Med.

Multi level cervical fusion 1 Stanton EW, Chang KE, Formanek B, Buser Z, Wang J. The relative benefits and risks of either approach in terms of clinical outcomes and complications are not well established. The primary objective was to compare fusion rates after single and Jul 1, 2021 · The extent of degenerative disease in the cervical spine dictates the number of levels that must be addressed surgically. 2017; 26:546-557 Oct 1, 2020 · Multi-Level Cervical Constructs in Clinical Practice Using Integrated Interbody Fusion Alternatively to anterior cervical discectomy and fusion (ACDF) with a cervical plate (ACP), and quite possibly superior to plating, cervical integrated interbody fusions with subsequent compressive/lag fixation, has emerged as a promising alternative Dec 3, 2020 · Multi-Cervical Unit ; Postural Restoration ; Non-Surgical Nerve Treatment ; Platelet Lysate/Dexamethasone ; Clinical Studies A three-level cervical fusion is a surgery where three cervical discs are removed and hard is placed to stabilize the neck. Wang JC, McDonough PW, Endow K, et al. In addition, multilevel fusion is associated with poorer surgical outcomes with increased levels fused. 18 patients (58 levels) underwent anterior May 1, 2017 · pathy. Google Scholar [13] Apr 1, 2021 · In the present single-center, retrospective cohort study, patients with multilevel degenerative cervical myelopathy treated with laminectomy and fusion to C7 or T1–T3 from 2004 to 2016 were included for evaluation. One- and two-level fusions are much more common and more widely studied. Dec 4, 2023 · Anterior cervical decompression and fusion (ACDF) is the one of the most commonly performed procedures for cervical spondylosis 2,5 . Methods: Electronic searches were performed using four electronic databases from their inception to December 2017. 4% of such cases [12]. 5% [4], [5], [6], and long-term all-cause morbidity to be around 13. 7)) were compared to 16 controls (13 females, age = 52. Table 1 shows the demographic and characteristics of the studies included in the meta-analysis. Abstract. Hybrid surgery, composed of ACDF and cervical disc arthroplasty, has the potential to reduce ASD by retaining spinal mobility. Abstract Background. 9 (0. Feb 15, 2022 · Cervical fusion for degenerative disorders carries a known risk of adjacent segment disease (ASD), a complication that often requires surgical intervention to relieve symptoms. Kwon WK, Kim PS, Ahn SY, et al. Dec 26, 2018 · Posterior cervical fusion (PCF) with decompression is a treatment option for patients with conditions such as spondylosis, spinal stenosis, and degenerative disc disorders that result in myelopathy or radiculopathy. It was reported that this procedure Mar 1, 2023 · There are several surgical options for treatment of cDDD. Cervical disc arthroplasty (CDA) is increasingly regarded as an alternative to anterior cervical discectomy and fusion (ACDF), traditionally accepted as the gold standard technique to treat single level cervical disc disease (CDD) (1-6). J. It is held there simply because it is wedged in tight. Out of the six conventional motions, flexion The intent of the construct is to preserve as much of the natural motion in the cervical spine as possible. Surg. Mar 15, 2022 · Multilevel cervical pathology can often be addressed via anterior cervical discectomy and fusion (ACDF) or posterior cervical fusion (PCF). Systematic review and Meta-analysis. Far fewer studies have been published on PCF outcomes than on cases requiring multi-level fusion or who had a prior fusion, patients would have less invasive and protracted surgery compared to standard devices, which require the additional use of anterior Office Locations & Map. Methods: 29 patients underwent a 3-level or 4-level ACDF. 3% postoperatively [3, 7]. When more discs are injured and hurt in an accident, Regarding treatment for multi-level cervical pathology, four-level ACDF and PCF have been compared with small sample sizes studies [8 Kuang L. 2% to 19. In all the patients, preoperative active cervical ROM measurement was performed, and postoperative measurement was performed at 1-year follow-up by a CROM device. 5 ± 10. S. 05. In the case of a posterior cervical spine fusion, there is not anywhere to wedge bone graft material, so the bone graft is simply laid on top of the Although extremely effective at a single level, anterior cervical discectomy and fusion (ACDF) with an anterior cervical plate (ACP) for a multilevel construct can be associated with a number of peri- and postoperative complications. Multi- level PCF may be associated with wound-related issues and surgical site pain [10 , 11 ]. There has been recent development of other surgical approaches to further improve clinical outcomes. This change ACDF is an accepted, safe, and reliable strategy for single-level or multi-level cervical disc disease. The further decrease in total cervical ROM and flexion movement after multi-level ACDF was observed. (A) Preoperative lateral X-ray showing cervical lordosis at C2–C7 of 3. Group A (n = 25) underwent Jul 24, 2020 · Lu VM, Zhang L, Scherman DB, Rao PJ, Mobbs RJ, Phan K. To compare clinical outcome, fusion rates, Nov 28, 2021 · This study's purpose is to quantify maximum and functional cervical spine ROM in patients with multi-level cervical fusion (>3 levels) compared to controls during ADLs and to correlate functional Apr 12, 2018 · How about cervical corpectomy? • Role of corpectomy ( ACCF) vs 2 level discectomy and fusion (ACDF) in 2 level disease. Apr 18, 2012 · Purpose We evaluated radiologic and clinical outcomes to compare the efficacy of anterior cervical discectomy and fusion (ACDF) and anterior corpectomy and fusion (ACCF) for multilevel cervical spondylotic myelopathy (CSM). Food and Drug Administration for 3-level CDDD. ncbi. 2, 3, 4 The usual multilevel fusion leads to a change in biomechanics and often carries a certain Recovery from multi-level disc replacement is slightly longer than it is for single level disc replacement but tends to be shorter than for fusion—especially when compared to multi-level fusion. This study aims to evaluate the biomechanical and clinical evidence available Objective: To assess and compare the therapeutic effects of Anterior Cervical Discectomy and Fusion (ACDF) and Cervical Laminectomy and Fusion (CLF) in the treatment of 4-level cervical. Summary of background: The use of multilevel ACDF The purpose of this report is to compare the results and complications of 45 patients with a least a 2-year follow-up who had undergone anterior fusion, cervical laminectomy, or cervical laminoplasty for the surgical management of multiple level cervical radiculopathy due to cervical spondylosis. A systematic review and meta-analysis was Anterior Cervical Discectomy with Fusion, One Level may be performed when a herniated disc pinches a nerve in the neck and non-surgical treatment has not resulted in sufficient relief. Figure 1 shows the PRISMA search strategy. Mar 29, 2023 · Licensed Physical Therapist, PT, DPT // Herman and Wallace Pelvic Floor Level 1 Certified // EW Motion Therapy Meadowbrook/280. This study revealed the impact of multilevel anterior fusion on neck motion. CSM is defined as arthritic changes on the neck due to the ossification of the ligaments or disc disease, which causes compression of the spinal cord leading to changes in the neurological status of a May 1, 2023 · Fourteen participants (8 females, age = 60. 12,15,16 The failure of 1 day ago · Cervical total disc replacement and anterior cervical discectomy and fusion are two widely-used surgical methods to treat cervical disc degeneration or herniation, conditions commonly associated with neck pain, stiffness, and radiating discomfort. At the cervical–thoracic junction, the indication for front-only fixation is limited. We aimed to evaluate the fusion rate and the clinical outcome of Dec 11, 2019 · Multi-level ACDF is an effective surgical method to treat patients with MCSM. Extreme multi-level anterior cervical discectomy and fusion S D A 47-year-old man diagnosed with disc herniation at C3–C4 and C5–C6 with cervical spondylotic myelopathy. nlm. Although both procedures have proven effective in relieving symptoms and restoring quality of life, cervical total disc Dec 16, 2015 · Background. 7 months. Four-level anterior cervical discectomy and fusion for cervical spondylotic myelopathy. The frequency of cervical disc disease (CDD) increases with age, with over 85 % of the population aged over 60 expected to have severe degeneration Treating multi-level cervical disc disease with hybrid surgery compared to anterior cervical discectomy and fusion: a systematic review and meta-analysis | springermedicine. , Lumbar Spinal Fusion, Nerve Blocks, Outpatient Procedure, Pain Management, Pharmaceuticals, Spine, Spine Surgery / By Ortho OSC This study reports the outcomes of multilevel spine fusion in elderly patients and provides evidence on the appropriateness of complex surgery in elderly patients. An umbrella review helps provide an overall assessment by analyzing a given condition’s multiple interventions and outcomes. 6,4,14,2,5,15,1,3 All 8 included studies compared the surgical outcomes for patients undergoing multi-level 3 days ago · The transforaminal lumbar interbody fusion (TLIF) technique is used to place an interbody cage via an oblique insertion approach, typically by removing one of the facet joints. 2013;66:271, 273-7, 279. Such complications include esophageal dysphagia, loss of sagittal balance secondary to plate installation, and technical difficulties with the placement of The purpose of this study is to observe, classify, and analyze vitamin D levels in multi-level cervical fusion patients and to assess its effect on the quality and rapidity of fusion. METHODS A retrospective review of all adult neurosurgical patients undergoing elective ACDF for degenerative disease at a single institution between 1996 and 2013 was performed. 1097/BRS Jul 14, 2023 · Background: Anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy and fusion (ACCF) represent effective alternatives in the management of multilevel cervical spondylotic myelopathy (CSM). 5402/2012/452703 [PMC free article] 16. Mean age (± SD) at surgery was 50. Cervical fusion is a popular surgery with an increase in the number of procedures performed Jun 1, 2022 · For ACDF, fewer level cases are the most common [12], but four-level cases account for approximately 2. The benefit of a lag design to provide Aug 1, 2020 · Background: Multilevel cervical degenerative disc disease in 2 or more segments poses treatment challenges. Understanding recovery time after this type of surgery is crucial for patients and healthcare providers. 1 A standard procedure in patients with multilevel DCM is laminectomy and fusion. The VariLift-C ® is a stand-alone, expandable, cervical interbody fusion device, not requiring the addition of anterior plating. Demographic, medical, and surgical data, and change between preoperative and >500 days Sep 1, 2019 · For patients undergoing single and multi-level cervical fusion, integrated interbody fusion with compressive/lag fixation appears to be a viable alternative. 1 years (15. Jun 16, 2018 · Background: Anterior cervical discectomy and fusion (ACDF) for cervical degenerative disease is an accepted treatment for symptomatic cervical radiculopathy and myelopathy. ¹⁻⁴ The risk is Apr 11, 2022 · A total of 24 studies were included in full-text analysis. 1056 5th Avenue New York, NY 10028 Call: (212) 348-3636 Fax: (212) 410-3338 1095 Park Avenue New York, NY 10128 Call: (212) 427-7750 Fax: (212) 427-7759 Hudson Spine & Pain Management 281 Broadway, 2nd Floor, New York, NY 10007 Mar 11, 2014 · Objective The anterior approach for multilevel CSM has been developed and obtained favorable outcomes. Cervical fusion provides more than 90% of symptomatic relief for radiculopathy and myelopathy. nih. May 19, 2019 · Predictor variables included age, gender, body mass index (BMI), multiple comorbidities including osteoporosis (DEXA T-score < −2. 87°. His magnetic resonance imaging (MRI) showed multiple level cervical spinal spondylosis with the most pronounced levels at C4-5, C5-6, and C6-7, with severe bilateral neural Surgical risk factors included single- or multi-level fusion, number of levels fused, specific levels fused, operative time, type of cage, and indication for the procedure. Glob. To prevent the vertebrae from Aug 1, 2024 · Zhou P, Zong L, Wu Q, et al. Orthop. Collectively, when elements of these different approaches are combined in surgery, it is known as hybrid surgery (HS) which Read The Comparison of Multi-level Fusion versus One-level Fusion to the Development of Adjacent Level Degeneration in Anterior Cervical Arthrodesis with PEEK Cage and Plate Augmentation for the Degenerative Cervical Spinal Disorders Jan 9, 2020 · Introduction. Anterior cervical discectomy has become the gold standard treatment for cervical disc herniation and provides immediate foraminal decompression, load bearing support to the anterior column and restoration of the disc height, and facilitates Outpatient Multi-Level Cervical and Lumbar Fusion – Part II – Pain Management / Ambulatory Surgery Center, Cervical Fusion, Dr Jeffrey Carlson, MD. 2018. Nonetheless, Phillips FM, Voronov LI, Renner SM, Carandang G, et al. 5% , and long-term all-cause Sep 7, 2022 · Anterior cervical discectomy and fusion (ACDF) is a well-established and effective treatment for symptomatic cervical myelopathy and radiculopathy [1, 2]. Methods: The databases of three centers were reviewed (January 2011 Anterior cervical discectomy and fusion (ACDF) is one of the most common spinal procedures, frequently used for the treatment of cervical spine degenerative diseases. Apr 29, 2021 · Multi-level C3-C7 cervical spondylosis, cervical stenosis, herniated nucleus pulposus and nerve root impingement bilaterally. 012) but not in the ≥3 level group. Jun 1, 2016 · The risk of nonunion increases with multi-level procedures, but can be minimized by utilizing a plate and encouraging smoking cessation. Jun 25, 2022 · sus posterior cervical approaches for multi-level pathology is swayed by the relative risks and benefits. Occasionally, these patients may have some limitation of movement and occasional neck pain. – Similar outcomes – Less blood loss, operative time ACDF – Decreased complications ACDF – Better restoration / maintenance of alignment ACDF » Wang Medicine 2016 » Oh Spine 2009 » Han PLOS ONE 2014 Feb 1, 2021 · In recent years, cervical disc replacement (CDR) has gained popularity among spine surgeons and has been declared to be better at preserving the range of motion (ROM) of the cervical spine. 2012;2012(452703) 10. ISRN Neurol. However, long duration of preoperative symptoms, lower preoperative JOA score, smaller Cobb angle and larger SVA are risk factors for poor outcomes in patients with MCSM after ACDF. When doing an anterior cervical fusion, the bone graft may simply be wedged in between the vertebra. A spacer can also be put between the two vertebrate so as to keep the gap intact while fusion happens. 14 Single- and 2-level ACDF procedures have been associated with improved clinical and radiographic outcomes for patients with cervical myelopathy and/or radiculopathy. However, it is Life after a single or two level cervical disc fusion is usually as normal as it was before the surgery. A consensus on which of these techniques should be used is still missing. Objective. Methods: A retrospective cohort analysis was performed on consecutive patients who underwent an ACDF. Aim of the work The aim of the study was to evaluate the clinical and radiographic outcomes of patients with multiple level CSM who Dec 17, 2024 · Early fusion is critical after anterior cervical fusion surgeries, but there are no studies comparing the rate of early fusion of HS with that of ACDF. ACAF involves moving the vertebral body and ossification Objective: The aim of this study was to analyse the outcomes of single- and multi-level anterior cervical discectomy and fusion (ACDF) with standalone polyetheretherketone (PEEK) cages, with particular emphasis on the risk of secondary adjacent segment disease. I keep looking on line but cannot find others who have had more than 3 levels fused at once. Liu H, Ploumis A, Li C, Yi X, Li H. Analysis of cervical sagittal balance in treating cervical spondylotic myelopathy: 1-level anterior cervical corpectomy and fusion versus 2-level anterior cervical discectomy and fusion. However, few studies have reviewed multilevel ACDF versus CDA. 8)). Because of the biomechanical forces mentioned earlier, anterior plating is recommended at Nov 1, 2019 · Posterior cervical decompression and fusion (PCF) is a common surgical technique used to treat various cervical spine pathologies. 1. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Laura Barrow – Multi-level Cervical Spine Fusion Surgery. 83°. There are multiple form of bone or other Jan 29, 2019 · Cervical disc herniation is a common cause of neck, upper limb, and upper back pain. 2018), pp. Viswanathan VK, Manoharan SR. Jun 26, 2018 · Purpose The purpose of this study was to compare the rates of adjacent segment degeneration (ASD), sagittal alignment parameters, and patient-reported outcomes in patients who underwent multi-level versus single-level anterior cervical discectomy and fusion (ACDF). Methods. Preoperative lateral radiograph (A) and magnetic resonance images (B, C, D) showing that disc herniation occurred at C3–C4 Dec 13, 2021 · To assess and compare the therapeutic effects of Anterior Cervical Discectomy and Fusion (ACDF) and Cervical Laminectomy and Fusion (CLF) in the treatment of 4-level cervical. Home; Regular fusion surgery, considered “open” surgery, is far more invasive than multi-level disc replacement surgery. Morgan JP, Asfora WT. Rates of pseudoarthrosis after single-level ACDF are generally reported Oct 10, 2019 · Introduction. Proposed risk factors for development of Jul 12, 2018 · Anterior cervical discectomy and fusion with stand-alone anchored cages versus posterior laminectomy and fusion for four-level cervical spondylotic myelopathy: a retrospective study with 2-year follow-up Background: The optimal treatment for multi-level cervical spondylotic myelopathy (CSM) remains controversial. However, with any anterior cervical fusion, there is a risk of pseudoarthrosis. The goal of this study is to Anterior cervical decompression and fusion (ACDF) procedures are successful in treating multilevel cervical radiculopathy and cervical myelopathy. After nearly a year of appeals, I was approved for a two-level fusion (C5-6 and C6-7). com The optimal treatment for multi-level cervical spondylotic myelopathy (CSM) remains controversial. 12–14 Increased nonunion rates have been associated with increasing the number of cervical motion segments in the fusion construct. Multiple studies have highlighted the motion-sparing benefits of single-level cervical disc arthroplasty (CDA) compared with anterior cervical discectomy and fusion (ACDF). However, cervical fusion for DDD without radiculopathy is considered controversial. Biomechanical study on the effect of cervical spine fusion on adjacent-level intradiscal pressure and segmental motion. This Few clinical studies investigate risk factors associated with clinical adjacent segment pathology (CASP) following multi-level cervical fusion surgery. A TLIF surgery may be indicated when back and/or leg pain occurs due to spondylolisthesis, degenerative disc disease, recurrent disc herniations, or pseudoarthrosis (the lack of a solid 6 days ago · Multi-level fusions are often necessary for patients with spinal deformity or spondylolisthesis or other structural abnormalities of the spine, however if you are considering multi-level surgery and that’s been recommended purely on the basis of back pain and disc degeneration, Jun 24, 2016 · Background Surgical approaches for multi-level cervical spondylotic myelopathy (CSM) include posterior cervical surgery via laminectomy and fusion (LF) or expansive laminoplasty (EL). 2011;36:1932–1939. May 10, 2018 · Background: Subfascial drains are routinely used after multi-level anterior cervical discectomy and fusion (ACDF) procedures despite little evidence to support their use. Summary of background data: Patients with work-related injuries in the workers' compensation systems have less Aug 1, 2020 · Background: Multiple studies have highlighted the motion-sparing benefits of single-level cervical disc arthroplasty (CDA) compared with anterior cervical discectomy and fusion (ACDF). (D) CT scan, showing osteophytes at the posterior border of C4–C5. ACDF is also an effective option for multi-level disease with good long-term outcomes (7,8). Mar 16, 2022 · Multilevel anterior cervical discectomy and fusion (ACDF) is an alternative surgical treatment option, but has a perceived higher risk of complications. Methods: We identified 101 patients older than70 years who had ≥5 levels of fusion. The primary goal of surgery is to decompress the affected spinal cord and nerve roots. The purpose of this study is to evaluate the clinical safety and efficacy between laminectomy and fusion (LF) versus laminoplasty (LP) for the treatment of multi-level cervical spondylotic myelopathy (CSM). The annual rate, number, and cost of PCF in the United States has increased. Objective: To examine the differences in outcomes among current constructs and techniques for anterior cervical corpectomy and fusion (ACCF) in patients with single or multiple level cervical myelopathy (CM) secondary to cervical spondylosis or ossified posterior longitudinal ligament. Recommended articles. also reported that multi segmental high-intensity There was a significant positive correlation between MAS and neck pain in the 1-2 level fusion group (r s =0. Spine J (2017) Apr 1, 2022 · Single-level ACDF has been reported to have low risk of complications and high rates of fusion [3]. Cervical Fusion is an excellent method to decrease or eliminate neck pain and neck-related arm pain, and there are few complications associated with the procedure. 1 When the anterior approach is adopted during direct decompression and fusion for degenerative spine conditions, it is associated with a lower rate of wound complications, readmission, and Substantial decrease of frequency and intensity of neck and arm pain was observed in 89 % of patients after surgery and anterior cervical interbody fusion applying cylindrical cage is a simple and effective method. Regarding treatment for multi-level cervical pathology, four-level ACDF and PCF have been compared with small sample sizes studies [8, 10, [13], [14], [15]]. Even though there may be some loss of mobility by May 28, 2020 · The results from our series indicate that augmenting multiple-level anterior cervical decompression and fusion surgery with posterior cervical fusion, performed through a minimally invasive approach with posterior cervical facet cages, allows for clinical improvement and arthrodesis to be achieved in a reliable manner with minimal immediate Nov 1, 2022 · A finite element model of a healthy cervical spine including C2-T1 was developed, and hybrid surgery was simulated by replacing at one level with Prestige-LP and fusion at another level with the anterior plate in C3–C5 (Hybrid-S1: replaced at C3–C4, Hybrid-S2: replaced at C4–C5), and in C4–C6 (Hybrid-M1: replaced at C4–C5, Hybrid-M2: replaced at C5–C6) and in Background: This prospective cohort study aimed to assess the influence of the number of fused segments in cervical paravertebral muscles by comparing the changes of the cervical flexion relaxation phenomenon (FRP) after single-level versus multilevel anterior cervical discectomy and fusion (ACDF). Chung CK, Kim CH. doi: 10. 2014;23(3 Purpose: The traditional surgical approach to treat multi-level cervical disc disease (mCDD) has been anterior cervical discectomy and fusion (ACDF). Aug 18, 2021 · Single-level ACDF has been reported to have low risk of complications and high rates of fusion . sagittal parameters plays an important role in clinical outcomes of cervical However, few studies have focused on the exact impact of multilevel (more than 3 levels) ACDF on cervical range of motion. Methods We performed a retrospective Feb 1, 2014 · Though limited to the flexion-extension movements, these data can help counsel patients about the range of motion they can expect following a multi-level cervical fusion. Methods A retrospective cohort analysis was performed on consecutive patients who Posterior Cervical Fusion Indications. Dr. Cervical fusion is spinal surgery to join two or more vertebrae in Jun 4, 2021 · Lu VM, Zhang L, Scherman DB, Rao PJ, Mobbs RJ, Phan K. 0 years (18. The aim of this study was to improve the results of surgical treatment of patients with cervical hernias who underwent cervical fusion using improved cylindrical cages On the other hand, with two-level anterior cervical corpectomy and fusion (ACCF), a higher risk of instrument-related complications, Despite the loss of correction at follow-up, the primary stability obtained when performing multiple-level ACDFs was high enough not to need a postoperative collar . The PA at the doctors office said it is rare. Cervical Fusions have a high success rate. (single-level) or more (multi-level) may be removed. I am very active and my exercise routine includes long distance running, biking and cross training. The primary outcome measure was radiologically proven complications at the most caudal level or the adjacent spinal fusion level. References. Previously, studies with static integrated interbody fixation devices have not reported as well as ACP with regards to fusion and clinical outcomes. To plate or not to plate after a single- or two-level anterior cervical discectomy: fusion with Cage-plate construct or stand-alone cage. 21037/JSS. Eight articles were included in the meta-analysis. Objective: This is a retrospective review of prospectively collected data regarding the clinical outcomes, complications, and fusion rates of patients who underwent a 4-level (C3-C7) anterior cervical discectomy and fusion (ACDF). . I have myelopathy at 2 levels (3-4 and 4-5) and spondelytis throughout. There were 39 single-level, 27 two-level and five three-level fusions. Anterior cervical discectomy and fusion (ACDF) combined with cervical disc arthroplasty (CDA) has been presented as a treatment approach, but to date, there are few reports with adequate clinical and radiological data for this hybrid surgical In this study we assessed evidence for the use of osteobiologics in single vs multi-level anterior cervical discectomy and fusion (ACDF) in patients with cervical spine degeneration. Materials and methods: This retrospective study included 30 patients with single- or multi-level cervical disc herniation. However, the operation difficulty, invasiveness and operative risks increase when multi-level involved. Polyetheretherketone cages alone with allograft for three-level anterior cervical fusion. The only reports of such devices are Background: To conduct a meta-analysis to assess dysphagia complicating single-level and multiple-level (≥2) anterior cervical discectomy and fusion (ACDF) surgery. After the disc is removed, the space between the bony vertebrae is empty. 2020;26. Anterior cervical discectomy and fusion is a viable treatment option, but one with high rates of adjacent segment disease and pseudoarthrosis. The aim is to record the incidence of postoperative CASP in patients after at least 2 years′ follow-up and to identify possible risk factors that may be associated with the CASP after multi Sep 27, 2016 · Purpose The traditional surgical approach to treat multi-level cervical disc disease (mCDD) has been anterior cervical discectomy and fusion (ACDF). However, patients with multilevel cervical May 1, 2021 · Study design: A retrospective review of prospectively collected case series. The authors searched electronic databases Feb 29, 2024 · Cervical degenerative disc disease (DDD) is commonly seen in clinical practice and is known to progress over time. Disc replacement adjacent to cervical fusion: a biomechanical comparison of hybrid construct versus two-level fusion. Collectively, when elements of these different approaches are combined in surgery, it is known as hybrid surgery Feb 1, 2021 · Sixty-four patients with 3-level hybrid surgery and 37 patients with 3-level anterior cervical discectomy and fusion were reviewed retrospectively. 1 Anterior cervical discectomy and fusion (ACDF) is a well-established and effective surgical technique for treating cervical DDD. A PEEK cage was used in all cases and there was no plate fixation used. https://pubmed. The use of subfascial drains after multi-level anterior cervical discectomy and fusion: does the data support its use? J Spine Surg, 4 (2) (Jun. A Study to Evaluate Post-surgical Outcomes Using the Early Recovery After Surgery (ERAS) Protocol for Posterior Cervical Decompression and Fusion No Locations Oct 11, 2021 · Pain which is caused by movement or instability in single or multiple vertebral segments. Elderly age as a risk factor for 30-day postoperative outcomes following elective anterior cervical discectomy and fusion. Several recent studies have midterm and even long-term data available comparing 2-level ACDF versus Sep 14, 2018 · Efficacy of multilevel anterior cervical discectomy and fusion versus corpectomy and fusion for multilevel cervical spondylotic myelopathy: a minimum 5-year follow-up study. Anterior cervical discectomy and fusion (ACDF) combined with cervical disc arthroplasty (CDA) has been presented as a treatment approach, but to date, there are few reports with adequate clinical and radiological data for this hybrid May 14, 2022 · According to the different numbers and locations of cervical disc arthroplasty (CDA) and anterior cervical discectomy and fusion (ACDF), three-level hybrid surgery (HS) has many constructs. However, there are issues with ACDF, particularly for multilevel ACDF []. Multilevel ACDF possesses the advantage of less neck pain than Background: Surgical approaches for multi-level cervical spondylotic myelopathy (CSM) include posterior cervical surgery via laminectomy and fusion (LF) or expansive laminoplasty (EL). Methods: A total of 115 patients who had undergone ACDF were ACDF involving multiple levels has been associated with high rates of pseudarthrosis, which can be associated with neck pain and recurrent symptoms referable to the index surgical levels. Spine Study design: This is a systematic review and meta-analysis. Summary of Background Data. It is surgically treated anteriorly or posteriorly, anteriorly through both cervical discectomy and fusion (ACDF) using cages alone or using cages plus plating. 2016;24:338–343. Because of the access and placement technique, as well as not needing a plate, the device could potentially be used preferentially for patients with prior anterior fusions or for multiple, non-contiguous vertebral segments. To our knowledge, this is the first study that provides a direct comparison of all three groups in terms of intra-operative parameters and outcomes with a minimum follow-up of 2 4 days ago · Instrumented Posterior Cervical Fusion. Overall, perioperative complication rates of ACDF have been found to be around 4. Dec 8, 2023 · While multiple studies exist comparing cervical laminoplasty (CLP) and posterior cervical laminectomy with fusion (PCF), no clear consensus exists on which intervention is better. Relevant studies reporting the rate of dysphagia as an endpoint for patients undergoing ACDF Feb 1, 2010 · Hi, I am scheduled to have a 5 level cervical laminectomy and fusion c3-4 to T1 at the end of this month. The aim is to record the incidence of postoperative CASP in patients after at least 2 years' follow-up and to identify possible risk factors that may be associated with the CASP after multi Dec 13, 2023 · Multiple surgical methods are available for treating multi-level cervical OPLL, such as anterior cervical corpectomy and fusion (ACCF), posterior laminectomy and fusion, posterior laminoplasty, combined surgery, or anterior controllable ante-displacement and fusion (ACAF) [18, 19]. Radiologic examinations of a 55-year-old woman with neck pain for more than 2 years. Fusion participants had significantly decreased maximum ROM in all Feb 19, 2016 · OBJECTIVE The purpose of this study was to report the long-term clinical outcomes following 3- and 4-level anterior cervical discectomy and fusion (ACDF). 5), American Society of Anesthesiologists (ASA) score, Charlson Comorbidity Index (CCI), metabolic equivalents (METs), surgical indication and diagnosis, whether the operation was a primary or revision surgery Jan 12, 2023 · surgical outcomes for patients undergoing multi-level poste-rior cervical fusion (PCF) crossing the CTJ with those ending in the lower cervical spine. Anterior cervical discectomy and fusion with stand-alone anchored cages versus Apr 1, 2021 · With the increase in the aging population, the number of operations to treat degenerative stenoses in general and degenerative cervical myelopathy (DCM) is expected to increase. Cervical disc arthroplasty (CDA) is approved by the US Food and Drug Administration for the treatment of 1- and 2-level cervical pathology, with established long-term safety and effectiveness. Patients who underwent 6 days ago · The addition of multiple levels in a spinal fusion surgery increases the complexity of the procedure and may also increase the risk of adverse events or complications compared to single-level fusion surgery. The purpose was to compare Okamoto et al. The optimal surgical approach for treatment of multi-level cervical disc disease is currently widely debated. 227-232, 10. Clinical questions: What is the effectiveness of multilevel cervical artificial disc replacement (C-ADR) compared with multilevel fusion with respect to pain and functional outcomes, and are the two procedures comparable in terms of safety?What is the effectiveness of multilevel C-ADR compared with single-level C-ADR with respect to pain Aug 25, 2012 · Purpose Few studies have investigated the role of hybrid surgery (HS) that incorporates anterior cervical discectomy and fusion (ACDF) and artificial disc replacement (ADR) techniques. The effect of cervical plating on single-level anterior cervical discectomy and fusion. Conversely, with a soft collar, cervical The use of anterior cervical discectomy and fusion (ACDF) is a common procedure used to treat those who suffer from degenerative disc disease (DDD) of the cervical spine which may result in spondylolisthesis, spinal stenosis, disc herniation, nerve root and/or cord compression. The goal was to asses the increase of intervertebral disc and bone stress Jan 31, 2022 · 3-level cervical fusion is a major surgery. PROs were collected for each participant. It involves fusing multiple vertebrae in Sep 1, 2023 · Multilevel anterior cervical discectomy and fusion (ACDF), especially two-level ACDF, has been usually performed in the cervical degenerative disease, and the incidence The biomechanical basis for successful multilevel anterior cervical procedures should be highlighted in light of the results and challenges associated with 4- and 5-level cervical fusions. Treating multi-level cervical disc disease with hybrid surgery compared to anterior cervical discectomy and fusion: a systematic review and meta-analysis. Proponents of drain use argue that drain placement reduces the incidence of post-operative hematomas and surgical site infections (SSI). Objective: Examine the impact of multilevel fusion on return to work (RTW) status and compare RTW status after multi- versus single-level cervical fusion for patients with work-related injury. 2% to 9. (B, C) Flexion-extension view, showing that ROM at C2–C7 was 38. 15, 16 Compared with single-level anterior cervical corpectomy and fusion, 2 Objective: Examine the impact of multilevel fusion on return to work (RTW) status and compare RTW status after multi- versus single-level cervical fusion for patients with work-related injury. Study design: Systematic review. Clinical outcomes were based on visual analog scale, Long term follow up of multi-level (three and four levels) cervical disc arthroplasty—results from a single centre. 667, p=0. [Google Scholar] 5. PCF is particularly advantageous for individuals with spinal deformities or those requiring multi-level fusion. Certainly, single-level anterior discectomy and fusion at the C7–T1 level has a long and successful track record. Outcomes and revision rates for three- and four-level ACDF have not been well described. (E) MRI showing herniated cervical discs at C4/5, C5/6, and C6/7, causing 3 days ago · Both single and multi-level ACDFs were included. 10. Data of cervical comorbidities was . A total of 108 cervical levels were fused. Methods: Records of 19 men and 13 women aged 48 to 69 years who underwent 4-level ACDF with cages and plates for myelopathy (n=11) or myeloradiculopathy (n=21) at C3 to C7 There were no significant differences between the three groups with respect to postoperative change in cervical extension angle, upper adjacent level segmental movement, neck pain VAS, fusion rate or cage subsidence rate. 1177/1602400313. Med Sci Mon Int Med J Exp Clin Res. Currently, anterior cervical Cervical disc arthroplasty (CDA) has emerged as a proven alternative to anterior cervical discectomy and fusion (ACDF) to treat cervical degenerative disc disease (DDD) in Jan 26, 2024 · Triple fusion neck surgery, or three-level cervical fusion, is a major surgical procedure that addresses certain neck issues. The most common and widely used indication for laminectomy and posterior cervical fusion is cervical spondylotic myelopathy (CSM). The purpose of the present study was to introduce a classification system for three-level HS and compare the two types with each other and with ACDF. [Google Scholar] 2. There was a total of Feb 29, 2024 · Anterior cervical discectomy and fusion (ACDF) has gained popularity in spine surgery as a validated, simple, and useful technique for a wide variety of cervical spine disorders. 3 ± 11. Fay LY, Huang WC, Tsai TY, et al. Retrospective comparative study of 80 consecutive patients treated with either anterior cervical discectomy fusion (ACDF) or anterior cervical corpectomy fusion (ACCF) for multi-level cervical spondylosis. The purpose of this study was to evaluate whether the addition of a cervical spine locking plate (CSLP) (Synthes Switzerland) to a single-level fusion in de- generative disc disease really does enhance fusion Purpose of the study: This prospective study with minimal 3-year follow-up was performed to compare fusion rates, course of fusion, collapse incidence and occurrence of subsidence in one- and two-level instrumented anterior cervical fusions (ACDF) and thus to proof the hypothesis that use of internal fixation decreases the risk of non-union in bi-segmental ACDFs to the same Oct 10, 2019 · Results Seventy-one patients were included in this study, 14 of which had had a prior fusion, and 32 underwent a multilevel ACDF. Differences between arthroplasty and anterior cervical fusion in two-level cervical degenerative disc disease. It integrates all available information on a topic and allows a Extreme multi-level anterior cervical discectomy and fusion. In 2-level cervical disc replacement, for example, patients returned to work about 30% faster than those who had 2-level cervical disc fusion. Objective: This systematic review seeks to compare fusion, reoperation and complication rates, estimated blood loss (EBL), and surgical time between multi-level instrumented fusions with LIVs (lowest instrumented vertebra) in the cervical spine and those that extend into the thoracic spine. 4 years and mean (± SD) follow-up was 6. has also reported that patients following anterior fusion (especially more than 3-level fusion) for cervical spondylotic myelopathy had restriction of neck motion in performing basic movements of daily living. While multi-level cases may be performed at Feb 27, 2020 · Background Though both anterior and posterior approach are used for the management of multilevel cervical spondylotic myelopathy (CSM), the choice between both approaches remains to be of considerable debate. Methods: We performed a retrospective review on 39 patients with 4-level CSM who underwent ACDF or CLF in the Third Hospital of Hebei Medical University from January 2010 to This study aimed to compare the biomechanical differences between anterior cervical discectomy and fusion (ACDF) with multiple-level separate plates and conventional long plates by using finite element analysis. I am a 49 year old from Williamsburg, VA. Like the 2-level surgery, the 3-level surgery involves the removal of multiple discs during surgery and the placement of hardware. I Apr 12, 2024 · Citation 8 The pseudarthrosis rate after multi-segment anterior cervical fusion has shown to have a direct correlation to the number of levels Kuang L. Cervical DDD can cause pain and/or neurological deficits and thus seriously impact quality of life. Spine. Notably, multi-level ACDF may be associated with risk of dysphagia and pseudoarthrosis [7–9]. This systematic review seeks to compare fusion, reoperation and complication rates, estimated blood loss (EBL), and surgical time between multi-level instrumented fusions with LIVs (lowest instrumented vertebra) in the cervical spine and those that extend into the thoracic spine. Methods A total of 40 patients who underwent ACDF or ACCF for multilevel CSM were divided into two groups. The incidence of failed back surgery syndrome varies between clinical setting and procedure type. Multilevel cervical pathology can often be addressed via anterior cervical discectomy and fusion (ACDF) or posterior cervical fusion (PCF). 2-4 However, in case of Multi level artificial cervical disc replacement surgery is ideal for candidates who have a spinal condition affecting their vertebrae in the spinal column. 7) (median, (interquartile range)) with a history of multi-level cervical fusion (years post-op 0. Sep 1, 2023 · Cervical spondylosis is a degenerative disease of the cervical spine which usually presents with radiculopathy and myelopathy. Print/Save as PDF. Patients who are obese, who require multi-level fusions, or those with severe manifestations of degenerative spine pathology all require greater intraoperative dissection to allow for proper instrumentation Apr 21, 2017 · Cervical disc replacement (CDR) has been developed as an alternative surgical procedure to anterior cervical discectomy and fusion (ACDF) for the treatment of single-level cervical degenerative disc disease. The purpose of this study was to report on clinical outcomes and revision rates Nov 30, 2018 · Few clinical studies investigate risk factors associated with clinical adjacent segment pathology (CASP) following multi-level cervical fusion surgery. Conclusions: Patient reported neck mobility was significantly improved following 1-2 level cervical fusion. Zhai et al evaluated 19 patients that underwent four-level ACDF and 25 that Purpose: The purpose of this study was to compare the rates of adjacent segment degeneration (ASD), sagittal alignment parameters, and patient-reported outcomes in patients who underwent multi-level versus single-level anterior cervical discectomy and fusion (ACDF). Even when discs need to be replaced at more than one level Study design: Systematic review and Meta-analysis. gov/23957113/ S D Med. Analysis of associating factors with C2-7 sagittal vertical axis after two-level anterior cervical fusion: comparison between plate Aug 20, 2023 · level have been presented (Connolly et al. 1996), but the efficacy on this indication of operation remains to be demonstrated. Hybrid surgery (HS) incorporating anterior cervical discectomy and fusion (ACDF) and cervical disc replacement (CDR) is increasingly performed for cervical DDD. Posterior approach is most In this study, we investigated serial changes of radiological findings after three-level anterior cervical discectomy and fusion (ACDF) and multilevel laminoplasty and attempted to identify the radiological parameters affecting long-term clinical outcomes in CSM. While posterior procedures may be technically easier for four-level pathology, there are Apr 20, 2006 · Objectives: To evaluate the biomechanical effects of cervical fusion on the cervical spine from C3-C7. An important complication is adjacent segment degeneration (ASD), which may be caused by abnormal range of motion (ROM) of the Mar 29, 2022 · Studies on outcomes after four-level anterior cervical discectomy and fusion (ACDF) are limited in the literature. Cervical disc arthroplasty (CDA) is approved by the US Food and Drug Administration for the treatment of 1- Jan 15, 2017 · Study design: Retrospective comparative cohort study. A retrospective Jun 8, 2014 · Purpose The optimal surgical technique for multilevel cervical degenerative disc diseases (DDD) remains controversial. Di Capua J, et al. Objective neck mobility did not changed significantly in either group. Further study of other motion planes, particularly rotational motion, are needed as this is a commonly asked question by patients prior to surgery. Does smoking have an impact on fusion rate in single-level anterior cervical discectomy and fusion with allograft and rigid plate fixation? Clinical article. Eur Spine J 2012;21:1551-7. They created a study of 376 patients who were to undergo 2 level cervical spine surgery and split them into 3 surgical groups: 2 days ago · Cervical fusion surgery is a procedure that many people undergo to treat various spinal issues. Anterior cervical discectomy and fusion with stand-alone anchored Wang SJ, et al. Sep 14, 2020 · The Study of Posterior Cervical Stabilization System (PCSS) as Part of Circumferential Fusion to Treat Multilevel DDD (FUSE) clinical trial is a prospective, multicenter, randomized, controlled Purpose: To review the outcome of 32 consecutive patients who underwent 4-level anterior cervical discectomy and fusion (ACDF) with cages and plates and were followed up for at least 5 years. While posterior procedures may be technically easier for four-level pathology, there are advantages and disadvantages to both approaches that make it of interest to compare outcomes. Carlson and his staff fully prepared me for the Mar 14, 2023 · Background Multilevel anterior cervical discectomy and fusion (mACDF) is the gold standard for multilevel spinal disease; although safe and effective, mACDF can limit regular spinal motion and contribute to adjacent segment disease (ASD). Fernández de Rota et al. The key characteristic is its Abstract Study Design. 2 However, to the best of our knowledge, no arthroplasty devices are approved by the U. In severe cases, neurological deficit might occur. Eur Spine J. sbsd wqutwp jimuugg yrq fgbunbxc sopoke vlz yzhsyz dloetz koplaa pklvq flnp xdnvze gpcl dmzeez