Summary
Whether posterior osteophytes in the cervical spine resorb after anterior interbody fusion is controversial. Previous studies have only used plain films. In order to study remodelling, a retrospective study of 53 patients using high-definition CT was performed. There was no evidence of remodelling or resorption of osteophytes and persistent osteophytes continued to deform the spinal cord for up to 12 years after fusion. The importance of this in relation to cervical spinal surgery is that every effort should be made to remove posterior osteophytes during anterior interbody fusion.
Similar content being viewed by others
References
Robinson RA, Smith GW (1955) Anterolateral cervical disc removal and interbody fusion for cervical disc syndrome. Bull Johns Hopkins Hosp 96:223–224
Dereymaker A, Mulier J (1958) La fusion vertébrale par voie ventrale dans la discopthie cervicale. Rev Neurol 99:597–616
Bailey RW, Badgley CE (1960) Stabilization of the cervical spine by anterior fusion. J Bone Joint Surg [Am] 42:565–594
Robinson RA, Walker AE, Ferlic DC, Wiecking DK (1962) The results of anterior interbody fusion of the cervical spine. J Bone Joint Surg 44 A:1569–1587
Schmorl, G., Junghanns H (1971) The human spine in health and disease, 2nd edn. Grune and Stratton, New York, pp 158–198
Yang KC, Lu XS, Cai QL, Ye LX, Lu WQ (1984) Cervical spondylotic myelopathy treated by anterior multilevel decompression and fusion. A follow-up report of 214 cases. Clin Orthop Relat Res 221:161–164
Cloward RB (1958) The anterior approach for ruptured cervical discs. J Neurosurg 15:602–617
Pate D, Goobar J, Resnick D, Haghighi P, Sartoris DJ, Pathria MN (1988) Traction osteophytes of the lumbar spine: radiographic-pathologic correlation. Radiology 166:843–846
Cloward RB (1987) Spinal stenosis: treatment by posterior lumbar interbody fusion. Spine 3:457–516
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Stevens, J.M., Clifton, A.G. & Whitear, P. Appearances of posterior osteophytes after sound anterior interbody fusion in the cervical spine: a high-definition computed myelographic study. Neuroradiology 35, 227–228 (1993). https://doi.org/10.1007/BF00588502
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00588502