Cervical sagittal alignment after completely different anterior discectomy procedures for single-level cervical degenerative disc illness: randomized managed trial.
Acta Neurochir (Wien). 2017 Dec;159(12):2359-2365
Authors: Donk RD, Arnts H, Verhagen WIM, Groenewoud H, Verbeek A, Bartels RHMA
BACKGROUND: The impact of anterior cervical discectomy with out fusion (ACD), ACD with fusion by stand-alone cage (ACDF) or with arthroplasty (ACDA) on cervical sagittal alignment will not be recognized and is the topic of this research.
METHODS: A complete of 142 grownup sufferers with single-level cervical illness have been at random allotted to completely different procedures: ACD (45), ACDF (47) and ACDA (50). Upright cervical backbone radiographs have been obtained. Angles of the concerned angle and the angle between C2 and C7 have been decided.
RESULTS: After a imply follow-up of 25.four ± 18.four months, the angles of the concerned stage evaluating ACD with ACDA and ACD with ACDF have been completely different, reaching statistical significance. Nonetheless, the angle between C2 and C7 didn’t differ between teams or between preoperative values and at follow-up.
CONCLUSIONS: Regardless of the approach used for anterior cervical discectomy for single-level degenerative disc illness, the alignment of the cervical backbone is unaltered.
PMID: 28887690 [PubMed – indexed for MEDLINE]