Skip to main content
Top
Published in: European Spine Journal 1/2012

01-05-2012 | Original Article

Single level cervical fusion by an anterior approach using autologous bone graft influences the adjacent levels degenerative changes: clinical and radiographic results at 10-year minimum follow-up

Authors: C. Faldini, M. T. Miscione, F. Acri, D. Leonetti, M. Nanni, M. Chehrassan, S. Giannini

Published in: European Spine Journal | Special Issue 1/2012

Login to get access

Abstract

Introduction

Cervical degenerative pathology can produce pain and disability and, in case of failure of conservative treatment surgery is indicated.

Materials and methods

107 patients affected by single level cervical degenerative pathology were surgically treated by Cloward procedure. On radiographs, the sagittal segmental alignment (SSA) of the affected level and sagittal alignment of the cervical spine were measured.

Results

Preoperatively, mean SSA was 0.6° and at the last follow-up 1.8°. In particular, adjacent-level degeneration occurred more frequently in Group A than in Group B.

Conclusion

Lordotic SSA angle can be considered a protective factor against adjacent-level degeneration.
Literature
3.
go back to reference Bailey RW, Badgley CE (1960) Stabilization of the cervical spine by anterior fusion. J Bone Joint Surg Am 42:565–594PubMed Bailey RW, Badgley CE (1960) Stabilization of the cervical spine by anterior fusion. J Bone Joint Surg Am 42:565–594PubMed
4.
go back to reference Lunsford DL, Bissonette DJ, Janetta PJ, Sheptak PE, Zorub DS (1980) Anterior surgery for cervical disc disease. J Neurosurg 53:1–11PubMedCrossRef Lunsford DL, Bissonette DJ, Janetta PJ, Sheptak PE, Zorub DS (1980) Anterior surgery for cervical disc disease. J Neurosurg 53:1–11PubMedCrossRef
5.
go back to reference Bohlman HH, Emery SE, Goodfellow DB, Jones PK (1993) Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. J Bone Joint Surg Am 75:1298–1307PubMed Bohlman HH, Emery SE, Goodfellow DB, Jones PK (1993) Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. J Bone Joint Surg Am 75:1298–1307PubMed
6.
go back to reference Cloward RB (1998) The anterior surgical approach to the cervical spine: the Cloward procedure: past, present and future. Spine 13:823–827CrossRef Cloward RB (1998) The anterior surgical approach to the cervical spine: the Cloward procedure: past, present and future. Spine 13:823–827CrossRef
7.
go back to reference Cloward RB (1958) The anterior approach for removal of ruptured cervical disks. J Neurosurg 15:602–617PubMedCrossRef Cloward RB (1958) The anterior approach for removal of ruptured cervical disks. J Neurosurg 15:602–617PubMedCrossRef
8.
go back to reference Lofgren H, Johannsson V, Olsson T, Ryd L, Levander B (2000) Rigid fusion after Cloward operation for cervical disc disease using autograft, allograft or xenograft: a randomized study with radiostereometric and clinical follow-up assessment. Spine 25:1908–1916PubMedCrossRef Lofgren H, Johannsson V, Olsson T, Ryd L, Levander B (2000) Rigid fusion after Cloward operation for cervical disc disease using autograft, allograft or xenograft: a randomized study with radiostereometric and clinical follow-up assessment. Spine 25:1908–1916PubMedCrossRef
9.
go back to reference Vavruch L, Hedlund R, Javid D, Leszniewski W, Shalabi A (2002) A prospective randomized comparison between the Cloward procedure and a carbon fiber cage in the cervical spine: a clinical and radiologic study. Spine 27:1694–1701PubMedCrossRef Vavruch L, Hedlund R, Javid D, Leszniewski W, Shalabi A (2002) A prospective randomized comparison between the Cloward procedure and a carbon fiber cage in the cervical spine: a clinical and radiologic study. Spine 27:1694–1701PubMedCrossRef
10.
go back to reference Faldini C, Pagkrati S, Leonetti D, Miscione MT, Giannini S (2011) Sagittal segmental alignment as predictor of adjacent-level degeneration after a Cloward procedure. Clin Orthop Relat Res 469(3):674–681PubMedCrossRef Faldini C, Pagkrati S, Leonetti D, Miscione MT, Giannini S (2011) Sagittal segmental alignment as predictor of adjacent-level degeneration after a Cloward procedure. Clin Orthop Relat Res 469(3):674–681PubMedCrossRef
11.
go back to reference Martins AN, Colonel MC (1044) Anterior cervical discectomy with and without interbody bone graft. J Neurosurg 44:290–295 Martins AN, Colonel MC (1044) Anterior cervical discectomy with and without interbody bone graft. J Neurosurg 44:290–295
12.
13.
go back to reference Herkowitz HN, Kurz LT, Overholt DP (1990) Surgical management of cervical soft disc herniation. Spine 15:1027–1031CrossRef Herkowitz HN, Kurz LT, Overholt DP (1990) Surgical management of cervical soft disc herniation. Spine 15:1027–1031CrossRef
14.
go back to reference Bartolozzi P, Salvi M (1992) Anterior surgery of the lower cervical spine. Chir Organi Mov 77:81–85PubMed Bartolozzi P, Salvi M (1992) Anterior surgery of the lower cervical spine. Chir Organi Mov 77:81–85PubMed
15.
go back to reference Palit M, Schofferman J, Goldthwaite N, Reynolds J, Kerner M, Keaney D, Lawrence-Miyasaki L (1999) Anterior discectomy and fusion for the management of neck pain. Spine 24:2224–2228PubMedCrossRef Palit M, Schofferman J, Goldthwaite N, Reynolds J, Kerner M, Keaney D, Lawrence-Miyasaki L (1999) Anterior discectomy and fusion for the management of neck pain. Spine 24:2224–2228PubMedCrossRef
16.
go back to reference Faldini C, Leonetti D, Nanni M, Di Martino A, Denaro L, Denaro V, Giannini S (2010) Cervical disc herniation and cervical spondylosis surgically treated by Cloward procedure: 10-year-minimum follow-up study. J Orthop Traumatol 11(2):99–103PubMedCrossRef Faldini C, Leonetti D, Nanni M, Di Martino A, Denaro L, Denaro V, Giannini S (2010) Cervical disc herniation and cervical spondylosis surgically treated by Cloward procedure: 10-year-minimum follow-up study. J Orthop Traumatol 11(2):99–103PubMedCrossRef
17.
go back to reference Denaro V, Papalia R, Denaro L, Di Martino A, Maffulli N (2009) Cervical spinal disc replacement. J Bone Joint Surg 91:713–719CrossRef Denaro V, Papalia R, Denaro L, Di Martino A, Maffulli N (2009) Cervical spinal disc replacement. J Bone Joint Surg 91:713–719CrossRef
Metadata
Title
Single level cervical fusion by an anterior approach using autologous bone graft influences the adjacent levels degenerative changes: clinical and radiographic results at 10-year minimum follow-up
Authors
C. Faldini
M. T. Miscione
F. Acri
D. Leonetti
M. Nanni
M. Chehrassan
S. Giannini
Publication date
01-05-2012
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue Special Issue 1/2012
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-012-2215-1

Other articles of this Special Issue 1/2012

European Spine Journal 1/2012 Go to the issue