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Current concepts of anterior cervical discectomy and fusion: a review of literature.

Song KJ, Choi BY - Asian Spine J (2014)

Bottom Line: Anterior cervical discectomy and fusion (ACDF) is a safe and effective procedure for degenerative cervical spinal disease unresponsive to conservative management and its outstanding results have been reported.To increase fusion rates and decrease complications, numerous graft materials, cage, anterior plating and total disc replacement have been developed, and better results were reported from those, but still there are areas that have not been established.Therefore, we are going to analyze the treatment outcome with the various procedure through the literature review and determine the efficacy of ACDF.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Chonbuk National University Hospital, Research Institute of Clinical Medicine, Biomedical Science Institute, Chonbuk National University Medical School, Jeonju, Korea.

ABSTRACT
Anterior cervical discectomy and fusion (ACDF) is a safe and effective procedure for degenerative cervical spinal disease unresponsive to conservative management and its outstanding results have been reported. To increase fusion rates and decrease complications, numerous graft materials, cage, anterior plating and total disc replacement have been developed, and better results were reported from those, but still there are areas that have not been established. Therefore, we are going to analyze the treatment outcome with the various procedure through the literature review and determine the efficacy of ACDF.

No MeSH data available.


Related in: MedlinePlus

Cervical artificial disc. (A) Bryan (adapted from http://www.BryanDisc.com/, with permission of Medtronic). (B) Prestige ST (adapted from http://www.PrestigeDisc.com/, with permission of Medtronic). (C) Mobi-C (adapted from http://www.ldr.com/, with permission of LDR spine). (D) Prodisc-C (adapted from http://www.synthes.com/, with permission of Depuy Synthes).
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Figure 6: Cervical artificial disc. (A) Bryan (adapted from http://www.BryanDisc.com/, with permission of Medtronic). (B) Prestige ST (adapted from http://www.PrestigeDisc.com/, with permission of Medtronic). (C) Mobi-C (adapted from http://www.ldr.com/, with permission of LDR spine). (D) Prodisc-C (adapted from http://www.synthes.com/, with permission of Depuy Synthes).

Mentions: Since it have been suggested the fused segmentation from anterior fusion increases the load at adjacent segment and it may cause the adjacent segment degeneration, total disc replacement (TDR) that can preserve index level motion was proposed as a new alternative in cervical radiculopathy treatment [53,54] (Fig. 6). The efficacy of total disk arthroplasty has been recognized in stability, clinical outcome and maintenance of index level motion [55,56,57,58], but in the recovery or maintenance of sagittal balance, it showed the similar results to ACDF [59,60]. And complication like heterotopic ossification, prosthetic migration, segmental kyphosis, device failure, wear problem are remained to be resolved in TDR [61,62]. Many studies were conducted on the occurrence of adjacent segment disease (ASD) after TDR, and there were reports that it showed better results compared to ACDF, optimistic outcomes are not guaranteed [63].


Current concepts of anterior cervical discectomy and fusion: a review of literature.

Song KJ, Choi BY - Asian Spine J (2014)

Cervical artificial disc. (A) Bryan (adapted from http://www.BryanDisc.com/, with permission of Medtronic). (B) Prestige ST (adapted from http://www.PrestigeDisc.com/, with permission of Medtronic). (C) Mobi-C (adapted from http://www.ldr.com/, with permission of LDR spine). (D) Prodisc-C (adapted from http://www.synthes.com/, with permission of Depuy Synthes).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4150000&req=5

Figure 6: Cervical artificial disc. (A) Bryan (adapted from http://www.BryanDisc.com/, with permission of Medtronic). (B) Prestige ST (adapted from http://www.PrestigeDisc.com/, with permission of Medtronic). (C) Mobi-C (adapted from http://www.ldr.com/, with permission of LDR spine). (D) Prodisc-C (adapted from http://www.synthes.com/, with permission of Depuy Synthes).
Mentions: Since it have been suggested the fused segmentation from anterior fusion increases the load at adjacent segment and it may cause the adjacent segment degeneration, total disc replacement (TDR) that can preserve index level motion was proposed as a new alternative in cervical radiculopathy treatment [53,54] (Fig. 6). The efficacy of total disk arthroplasty has been recognized in stability, clinical outcome and maintenance of index level motion [55,56,57,58], but in the recovery or maintenance of sagittal balance, it showed the similar results to ACDF [59,60]. And complication like heterotopic ossification, prosthetic migration, segmental kyphosis, device failure, wear problem are remained to be resolved in TDR [61,62]. Many studies were conducted on the occurrence of adjacent segment disease (ASD) after TDR, and there were reports that it showed better results compared to ACDF, optimistic outcomes are not guaranteed [63].

Bottom Line: Anterior cervical discectomy and fusion (ACDF) is a safe and effective procedure for degenerative cervical spinal disease unresponsive to conservative management and its outstanding results have been reported.To increase fusion rates and decrease complications, numerous graft materials, cage, anterior plating and total disc replacement have been developed, and better results were reported from those, but still there are areas that have not been established.Therefore, we are going to analyze the treatment outcome with the various procedure through the literature review and determine the efficacy of ACDF.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Chonbuk National University Hospital, Research Institute of Clinical Medicine, Biomedical Science Institute, Chonbuk National University Medical School, Jeonju, Korea.

ABSTRACT
Anterior cervical discectomy and fusion (ACDF) is a safe and effective procedure for degenerative cervical spinal disease unresponsive to conservative management and its outstanding results have been reported. To increase fusion rates and decrease complications, numerous graft materials, cage, anterior plating and total disc replacement have been developed, and better results were reported from those, but still there are areas that have not been established. Therefore, we are going to analyze the treatment outcome with the various procedure through the literature review and determine the efficacy of ACDF.

No MeSH data available.


Related in: MedlinePlus