Anterior cervical decompression and fusion for a single-level cervical disc herniation |
| |
| Affiliation: | 1. Department of Orthopaedics, Medstar Georgetown University Hospital, 3800 Reservoir Rd, NW, Pasquerilla Healthcare Center (PHC), Ground Floor, Washington, DC 20007;2. Georgetown University School of Medicine, Washington, DC;3. Division of Spine Surgery, Department of Orthopaedics, Medstar Georgetown University Hospital, Washington, DC;1. Department of Orthopaedics, Medstar Georgetown University Hospital, 3800 Reservoir Rd, 1 PHC, Washington, DC 20007;2. Georgetown University School of Medicine, Washington, DC;3. Spinal Surgery, Department of Orthopaedics, Medstar Georgetown University Hospital, Washington, DC;1. MacDiarmid Institute for Advanced Materials and Nanotechnology, School of Chemical and Physical Sciences, Victoria University of Wellington, PO Box 600, 6140 Wellington, New Zealand;2. Magritek Ltd., 32 Salamanca Rd., 6012 Wellington, New Zealand;1. Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA;2. TAMHSC-School of Medicine, Bryan, TX;3. Bone & Joint Clinic, Baton Rouge, LA;1. Department of Orthopaedic Surgery, Medical College of Wisconsin, 9200 W. Wisconsin Ave, Milwaukee, WI 53226;2. Department of Orthopaedics, Massachusetts General Hospital, Boston, MA |
| |
| Abstract: | Cervical radiculopathy is a clinical diagnosis consisting of sensory and/or motor symptoms in a nerve root distribution of the upper extremity. Operative management is frequently required to relieve symptoms. Anterior cervical decompression and fusion (ACDF) was originally described by Smith and Robinson and has been shown to be a relatively safe treatment approach to the cervical spine. Modern advances have helped to improve outcomes and decrease complications, including the development of bone grafting techniques, cage constructs, and augmentation of grafting with anterior plating systems. Anterior plating serves to increase fusion rates and maintain sagittal alignment. Despite advancements, complications still exist, including dysphagia, dural tear, adjacent segment disease, esophageal perforation, hardware failure, and recurrence of symptoms. We have reviewed the literature and shown that for single-level radiculopathy of a nerve root in the cervical spine, ACDF with plating is a favorable surgical treatment. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
