Cervical Degenerative

Creator:   Adam Pearson, MD, MS
Created:   3/23/2011
Contains:  16 items
This collection includes classic and important articles pertaining to degenerative conditions of the cervical spine.

Outcome of Anterior Cervical Discectomy and Fusion as Perceived by Patients Treated for Dominant Axial–Mechanical Cervical Spine Pain

Garvey, Timothy A.; Transfeldt, Ensor E.; Malcolm, James R.; More

Spine. 27(17):1887-1894, September 1st, 2002.

This article reports that 82% of patients treated with ACDF for axial neck pain had good, very good or excellent results.

On the Incidence, Cause, and Prevention of Recurrent Laryngeal Nerve Palsies During Anterior Cervical Spine Surgery

Apfelbaum, Ronald I.; Kriskovich, Mark D.; Haller, Jeffrey R.

Spine. 25(22):2906-2912, November 15th, 2000.

This study demonstrated that deflating the endotracheal tube cuff following placement of anterior cervical retractors reduced the rate of recurrent laryngeal nerve injury from 6.4 to 1.7%.

Use of Cervical Collar After Single-Level Anterior Cervical Fusion With Plate: Is it Necessary?

Campbell, Mitchell J.; Carreon, Leah Y.; Traynelis, Vincent; More

Spine. 34(1):43-48, January 1st, 2009.

This RCT demonstrated similar clinical outcomes and fusion rates between patients who wore a collar post-operatively and those who did not following single level ACDF.

Implant Complications, Fusion, Loss of Lordosis, and Outcome After Anterior Cervical Plating With Dynamic or Rigid Plates: Two-Year Results of a Multi-Centric, Randomized,...

Pitzen, Tobias R.; Chrobok, Jiri; Štulik, Jan; More

Spine. 34(7):641-646, April 1st, 2009.

This RCT reported fewer implant related complications but greater loss of lordosis in the dynamic plate group, while clinical outcomes were similar at 2 years.

Donor Site Morbidity After Anterior Iliac Crest Bone Harvest for Single-Level Anterior Cervical Discectomy and Fusion

Silber, Jeff S.; Anderson, D. Greg; Daffner, Scott D.; More

Spine. 28(2):134-139, January 15th, 2003.

This article reports 26% of patients had chronic pain at their bone graft harvest site, and over 10% had limitations in their daily activities due to pain at the harvest site.

Increased Swelling Complications Associated With Off-Label Usage of rhBMP-2 in the Anterior Cervical Spine

Smucker, Joseph D.; Rhee, John M.; Singh, Kern; More

Spine. 31(24):2813-2819, November 15th, 2006.

This study reported 27.5% of ACDF patients treated with BMP-2 developed a complication related to swelling compared to 3.6% of those who did not receive BMP-2.

Subtotal Corpectomy Versus Laminoplasty For Multilevel Cervical Spondylotic Myelopathy: A Long-Term Follow-Up Study Over 10 Years

Wada, Eiji; Suzuki, Shozo; Kanazawa, Atsunori; More

Spine. 26(13):1443-1447, July 1st, 2001.

This article reports similar long-term clinical outcomes for subtotal corpectomy compared to laminoplasty. Corpectomy was associated with more blood loss, pseudarthrosis, and adjacent segment disease. Laminoplasty was associated with more axial neck pain.

A Comparison of Anterior Cervical Fusion, Cervical Laminectomy, and Cervical Laminoplasty for the Surgical Management of Multiple Level Spondylotic Radiculopathy

HERKOWITZ, HARRY N.

Spine. 13(7):774-780, July 1988.

This classic article showed the best results for ACDF and worst results for laminectomy. Laminoplasty had results similar to ACDF but was asssociated with a large decrease in range of motion.

Laminoplasty Versus Laminectomy and Fusion for Multilevel Cervical Myelopathy: An Independent Matched Cohort Analysis

Heller, John G.; Edwards, Charles C. II; Murakami, Hideki; More

Spine. 26(12):1330-1336, June 15th, 2001.

This article reports similar neurologic outcomes for the two procedures but a much higher complication rate in the laminectomy and fusion group.

Surgical Strategy for Cervical Myelopathy due to Ossification of the Posterior Longitudinal Ligament: Part 1: Clinical Results and Limitations of Laminoplasty

Iwasaki, Motoki; Okuda, Shin’ya; Miyauchi, Akira; More

Spine. 32(6):647-653, March 15th, 2007.

This article demonstrated worse laminoplasty results when the OPLL occupied > 60% of the spinal canal or it was a hill-shaped lesion.

Surgical Strategy for Cervical Myelopathy due to Ossification of the Posterior Longitudinal Ligament: Part 2: Advantages of Anterior Decompression and Fusion Over Laminoplasty

Iwasaki, Motoki; Okuda, Shin’ya; Miyauchi, Akira; More

Spine. 32(6):654-660, March 15th, 2007.

This article reports better results with anterior decompression and fusion compared to laminoplasty for OPLL when the lesion occupies greater than 60% of the spinal canal.

C5 Palsy after Decompression Surgery for Cervical Myelopathy: Review of the Literature

Sakaura, Hironobu; Hosono, Noboru; Mukai, Yoshihiro; More

Spine. 28(21):2447-2451, November 1st, 2003.

This literature review concluded that the rate of C5 palsy was 4.6% and was not related to surgical approach or underlying diagnosis. Most patients recover, though those with a dense palsy tended to take longer to do so.

Two-Level Anterior Cervical Discectomy Versus One-Level Corpectomy in Cervical Spondylotic Myelopathy

Oh, Min Chul; Zhang, Ho Yeol; Park, Jeong Yoon; More

Spine. 34(7):692-696, April 1st, 2009.

This study demonstrated similar clinical outcomes for the two procedures, but corpectomy was associated with greater blood loss, surgical time, and loss of lordosis.