Anterior cervical discectomy and fusion: Techniques,complications, and future directives |
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| Institution: | 1. Department of Orthopaedic Surgery, Union Memorial Hospital, 201 E University Pkwy, Baltimore, MD 21218, United States;2. National Spine Health Foundation, 11800 Sunrise Valley Drive, Suite 620, Reston, VA 20191, United States;3. Virginia Spine Institute, 11800 Sunrise Valley Drive, Reston, VA 20191, United States;1. Department of Orthopaedic Surgery – Spine Surgery, Maimonides Medical Center, Maimonides Bone and Joint Center, Brooklyn, 927 49th Street, Brooklyn, NY 11219, USA;2. Department of Orthopaedic Surgery, Maimonides Medical Center, Maimonides Bone and Joint Center, Brooklyn, 927 49th Street, Brooklyn, NY 11219, USA;3. Department of Orthopaedic Surgery – Spine Surgery, University of Rochester Medical Center, Rochester, 601 Elmwood Ave, Rochester, NY, 14642, USA;1. Cedars-Sinai Spine Center, Los Angeles, CA, USA;2. Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada;1. Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, 4602 Eastpark Blvd, Madison, WI 53718, United States;2. Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States;3. Department of Neurosurgery, University of Wisconsin School of Medicine and Public Health. Madison, WI, United States |
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| Abstract: | Anterior cervical discectomy and fusion is a well-established surgical intervention for a wide range of degenerative cervical spine pathology, including myelopathy and radiculopathy. Despite the emergence of technical advances including cervical disk arthroplasty, evidence continues to support use of anterior cervical fusion given its effectiveness and safety. Research continues to advance anterior cervical fusion with the development of patient-specific implants and hybrid arthroplasty-fusion surgical approaches. This review summarizes the indications, surgical approach, outcomes, and complications of anterior cervical fusion and offers perspective on future areas of research within the context of newer motion-preserving alternatives, including cervical disk arthroplasty. |
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