Ventral fusion versus dorsal fusion: determining the optimal treatment for cervical spondylotic myelopathy.

Abstract:

:Cervical spondylotic myelopathy (CSM) often can be surgically treated by either ventral or dorsal decompression and fusion. However, there is a lack of high-level evidence on the relative advantages and disadvantages for these treatments of CSM. The authors' goal was to provide a comprehensive review of the relative benefits of ventral versus dorsal fusion in terms of quality of life (QOL) outcomes, complications, and costs. They reviewed 7 studies on CSM published between 2003 and 2013 and summarized the findings for each category. Both procedures have been shown to lead to statistically significant improvement in clinical outcomes for patients. Ventral fusion surgery has been shown to yield better QOL outcomes than dorsal fusion surgery. Complication rates for ventral fusion surgery range from 11% to 13.6%, whereas those for dorsal fusion surgery range from 16.4% to 19%. Larger randomized controlled trials are needed, with particular emphasis on QOL and minimum clinically important differences.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Alvin MD,Lubelski D,Benzel EC,Mroz TE

doi

10.3171/2013.4.FOCUS13103

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

E5

issue

1

issn

1092-0684

journal_volume

35

pub_type

杂志文章,评审
  • Interrupted time-series analysis: studying trends in neurosurgery.

    abstract::OBJECT Neurosurgery studies traditionally have evaluated the effects of interventions on health care outcomes by studying overall changes in measured outcomes over time. Yet, this type of linear analysis is limited due to lack of consideration of the trend's effects both pre- and postintervention and the potential for...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2015.9.FOCUS15374

    authors: Wong RH,Smieliauskas F,Pan IW,Lam SK

    更新日期:2015-12-01 00:00:00

  • Indications for fusion following decompression for lumbar spinal stenosis.

    abstract::Degenerative lumbar spinal stenosis is a common condition affecting middle-aged and elderly people. Significant controversy exists concerning the appropriate indications for fusion following decompressive surgery. The purpose of this report is to compare the clinical outcomes of patients who were and were not treated ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.1997.3.2.5

    authors: Fox MW,Onofrio BM

    更新日期:1997-08-15 00:00:00

  • Harvey Cushing's experience with cranial deformity.

    abstract::Surgery for cranial deformity was associated with significant surgical morbidity during the early part of the 20th century. For this reason, Harvey Cushing was initially not in favor of surgical treatment of craniosynostosis. Later in his career, Cushing began to operate on these children, although it never became a m...

    journal_title:Neurosurgical focus

    pub_type: 传,历史文章,杂志文章

    doi:10.3171/2010.9.FOCUS10191

    authors: Maher CO,Buchman SR,O'Hara E,Cohen-Gadol AA

    更新日期:2010-12-01 00:00:00

  • Complications of decompressive craniectomy for traumatic brain injury.

    abstract::Decompressive craniectomy is widely used to treat intracranial hypertension following traumatic brain injury (TBI). Two randomized trials are currently underway to further evaluate the effectiveness of decompressive craniectomy for TBI. Complications of this procedure have major ramifications on the risk-benefit balan...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2009.4.FOCUS0965

    authors: Stiver SI

    更新日期:2009-06-01 00:00:00

  • Standard and cardiac-gated phase-contrast magnetic resonance imaging in the clinical course of patients with Chiari malformation Type I.

    abstract:OBJECT:The causal treatment of Chiari malformation Type I (CM-I) consists of removing the obstruction of CSF flow at the level of the foramen magnum. Cerebrospinal fluid flow can be visualized using dynamic phase-contrast MR imaging. Because there is only a paucity of studies evaluating CSF dynamics in the region of th...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2011.7.FOCUS11105

    authors: Mauer UM,Gottschalk A,Mueller C,Weselek L,Kunz U,Schulz C

    更新日期:2011-09-01 00:00:00

  • Evaluating the cognitive consequences of mild traumatic brain injury and concussion by using electrophysiology.

    abstract:OBJECT:Mild traumatic brain injury (MTBI), often referred to as concussion when it occurs in sports, produces persistent cognitive problems in at least 15% of patients. Unfortunately, conventional neuropsychological tests usually yield results within normal limits in this population. The main objective of this event-re...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2012.10.FOCUS12253

    authors: Gosselin N,Bottari C,Chen JK,Huntgeburth SC,De Beaumont L,Petrides M,Cheung B,Ptito A

    更新日期:2012-12-01 00:00:00

  • A review of ocular manifestations in intracranial hypotension.

    abstract:OBJECT:Intracranial hypotension (ICH) can present with a wide variety of visual symptoms and findings. Deficits in visual acuity and visual fields as well as ophthalmoplegia due to cranial nerve dysfunction have been frequently described. The aim of this review was to identify the most commonly reported ocular manifest...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/FOC-07/11/E8

    authors: Zada G,Solomon TC,Giannotta SL

    更新日期:2007-01-01 00:00:00

  • Extracranial-intracranial bypass approach to cerebral revascularization: a historical perspective.

    abstract::While the majority of cerebral revascularization advancements were made in the last century, it is worth noting the humble beginnings of vascular surgery throughout history to appreciate its progression and application to neurovascular pathology in the modern era. Nearly 5000 years of basic human inquiry into the vasc...

    journal_title:Neurosurgical focus

    pub_type: 历史文章,杂志文章

    doi:10.3171/2018.11.FOCUS18527

    authors: Soldozy S,Costello JS,Norat P,Sokolowski JD,Soldozy K,Park MS,Tvrdik P,Kalani MYS

    更新日期:2019-02-01 00:00:00

  • Use of osteogenic protein-1 in spinal fusion: literature review and preliminary results in a prospective series of high-risk cases.

    abstract:OBJECT:The safety and effectiveness of osteogenic protein (OP)-1 putty (recombinant human bone morphogenetic protein-7) in promoting fusion in complex spinal cases was studied in nine cases. METHODS:The authors prospectively evaluated nine patients requiring spinal fusion in whom there were medical risk factors that w...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2002.13.6.5

    authors: Govender PV,Rampersaud YR,Rickards L,Fehlings MG

    更新日期:2002-12-15 00:00:00

  • Medical management of cerebral edema.

    abstract::Cerebral edema is frequently encountered in clinical practice in critically ill patients with acute brain injury from diverse origins and is a major cause of increased morbidity and death in this subset of patients. The consequences of cerebral edema can be lethal and include cerebral ischemia from compromised regiona...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2007.22.5.13

    authors: Raslan A,Bhardwaj A

    更新日期:2007-05-15 00:00:00

  • Robotic versus fluoroscopy-guided pedicle screw insertion for metastatic spinal disease: a matched-cohort comparison.

    abstract::OBJECTIVE Robot-guided pedicle screw placement is an established technique for the placement of pedicle screws. However, most studies have focused on degenerative disease. In this paper, the authors focus on metastatic spinal disease, which is associated with osteolysis. The associated lack of dense bone may potential...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2017.3.FOCUS1710

    authors: Solomiichuk V,Fleischhammer J,Molliqaj G,Warda J,Alaid A,von Eckardstein K,Schaller K,Tessitore E,Rohde V,Schatlo B

    更新日期:2017-05-01 00:00:00

  • Effect of intraarterial papaverine and/or angioplasty on the cerebral veins in patients with vasospasm after subarachnoid hemorrhage due to ruptured intracranial aneurysms.

    abstract:OBJECT:The goal in this study was to determine if there was a change in intracranial venous diameters after endovascular treatment of carotid distribution vasospasm caused by subarachnoid hemorrhage. METHODS:The venous diameters were measured in all patients who received intraarterial papaverine and/or balloon angiopl...

    journal_title:Neurosurgical focus

    pub_type: 临床试验,杂志文章

    doi:10.3171/foc.2006.21.3.16

    authors: Elsayed AA,Moran CJ,Cross DT 3rd,Derdeyn CP,Pilgram TK,Milburn JM,Dacey RG Jr,Diringer MN Jr

    更新日期:2006-09-15 00:00:00

  • Contralateral C-7 transfer: is direct repair really superior to grafting?

    abstract::It is not uncommon for a severe traumatic brachial plexus injury to involve all 5 roots, resulting in a flail upper limb. In such cases, surgical reconstruction is often palliative, providing only rudimentary function. Nerve transfers are the mainstay of reconstructive strategies due to the predominance of root avulsi...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2017.4.FOCUS1794

    authors: Bhatia A,Doshi P,Koul A,Shah V,Brown JM,Salama M

    更新日期:2017-07-01 00:00:00

  • Outcomes after a purely endoscopic transsphenoidal resection of growth hormone-secreting pituitary adenomas.

    abstract:OBJECT:Using strict biochemical remission criteria, the authors assessed surgical outcomes after endoscopic transsphenoidal resection of growth hormone (GH)-secreting pituitary adenomas and identified preoperative factors that significantly influence the rate of remission. METHODS:A retrospective review of a prospecti...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2010.7.FOCUS10153

    authors: Campbell PG,Kenning E,Andrews DW,Yadla S,Rosen M,Evans JJ

    更新日期:2010-10-01 00:00:00

  • Diagnostic approach to Cushing disease.

    abstract::In Cushing disease, a pituitary corticotroph neoplasm causes secondary adrenal hypercortisolism. This condition has known morbidity and mortality, underscoring the need for an efficient and accurate diagnostic approach. An 11 p.m. salivary cortisol level is a modern, simple initial screening tool for the diagnosis of ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2007.23.3.2

    authors: Gross BA,Mindea SA,Pick AJ,Chandler JP,Batjer HH

    更新日期:2007-01-01 00:00:00

  • The history of craniotomy for headache treatment.

    abstract::Both the history of headache and the practice of craniotomy can be traced to antiquity. From ancient times through the present day, numerous civilizations and scholars have performed craniotomy in attempts to treat headache. Today, surgical intervention for headache management is becoming increasingly more common due ...

    journal_title:Neurosurgical focus

    pub_type: 历史文章,杂志文章

    doi:10.3171/2014.1.FOCUS13549

    authors: Assina R,Sarris CE,Mammis A

    更新日期:2014-04-01 00:00:00

  • Endovascular strategies for carotid cavernous and intracerebral dural arteriovenous fistulas.

    abstract::Interventional neuroradiology is a less invasive modality than open neurosurgery for the treatment of a wide range of neurovascular disorders. Refinements in technique and improvements in the design of microcatheters, guide wires, and embolic materials have yielded superior clinical outcomes and provided an impetus to...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2003.15.4.7

    authors: Ng PP,Higashida RT,Cullen S,Malek R,Halbach VV,Dowd CF

    更新日期:2003-10-15 00:00:00

  • Update on therapies for acute ischemic stroke.

    abstract::Acute ischemic stroke is now considered a neurological emergency for which there are new therapies. Neurosurgeons and neurologists need to remain apprised of advances in this field. The authors discuss approved and emerging therapies for patients suffering from acute ischemic stroke, based on a review of recent public...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2000.8.5.2

    authors: Kindler DD,Lopez GA,Worrall BB,Johnston KC

    更新日期:2000-05-15 00:00:00

  • Endoscopic supraorbital eyebrow approach for the surgical treatment of extraaxialand intraaxial tumors.

    abstract:OBJECT:The supraorbital eyebrow approach is a minimally invasive technique that offers wide access to the anterior skull base region and parasellar area through asubfrontal corridor. The use of neuroendoscopy allows one to extend the approach further to the pituitary fossa, the anterior third ventricle, the interpedunc...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.7.FOCUS14203

    authors: Gazzeri R,Nishiyama Y,Teo C

    更新日期:2014-01-01 00:00:00

  • Circumferential fusion for spondylolisthesis in the lumbar spine.

    abstract::There are many options for the surgical treatment of lumbar spondylolisthesis, including anterior and posterior techniques. Among the most versatile is a 360 degrees fusion. In consideration of the added risk of morbidity of two procedures, circumferential fusion leads to the highest fusion rates. This is particularly...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:

    authors: Heary RF,Bono CM

    更新日期:2002-07-15 00:00:00

  • Incidence and management of subdural hematoma/hygroma with variable- and fixed-pressure differential valves: a randomized, controlled study of programmable compared with conventional valves.

    abstract::Shunt systems with differential pressure valves are prone to the complications of overdrainage. A programmable valve permits adjustment of the opening pressure of the valve. In this paper the authors report the incidence of subdural fluid collections in a randomized trial of programmable compared with conventional val...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.1999.7.4.2

    authors: Carmel PW,Albright AL,Adelson PD,Canady A,Black P,Boydston W,Kneirim D,Kaufman B,Walker M,Luciano M,Pollack IF,Manwaring K,Heilbrun MP,Abbott IR,Rekate H

    更新日期:1999-10-15 00:00:00

  • Facial paralysis caused by malignant skull base neoplasms.

    abstract:OBJECT:Bell palsy remains the most common cause of facial paralysis. Unfortunately, this term is often erroneously applied to all cases of facial paralysis. METHODS:The authors performed a retrospective review of data obtained in 11 patients who were treated at a university-based referral practice between July 1988 an...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2002.12.5.3

    authors: Marzo SJ,Leonetti JP,Petruzzelli G

    更新日期:2002-05-15 00:00:00

  • Effects of convection-enhanced delivery of bevacizumab on survival of glioma-bearing animals.

    abstract::OBJECT Bevacizumab (Avastin), an antibody to vascular endothelial growth factor (VEGF), alone or in combination with irinotecan (Camptosar [CPT-11]), is a promising treatment for recurrent glioblastoma. However, the intravenous (IV) administration of bevacizumab produces a number of systemic side effects, and the incr...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2015.1.FOCUS14743

    authors: Wang W,Sivakumar W,Torres S,Jhaveri N,Vaikari VP,Gong A,Howard A,Golden EB,Louie SG,Schönthal AH,Hofman FM,Chen TC

    更新日期:2015-03-01 00:00:00

  • Comparison of minimally invasive transspinous and open approaches for thoracolumbar intradural-extramedullary spinal tumors.

    abstract::OBJECT Spinal tumor resection has historically been performed via open approaches, although minimally invasive approaches have recently been found to be effective in small cohort series. The authors compare surgical characteristics and clinical outcomes of surgery in patients undergoing mini-open and open approaches f...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2015.5.FOCUS15187

    authors: Raygor KP,Than KD,Chou D,Mummaneni PV

    更新日期:2015-08-01 00:00:00

  • Stereotactic radiosurgery boost to the resection bed for oligometastatic brain disease: challenging the tradition of adjuvant whole-brain radiotherapy.

    abstract:OBJECT:Whole-brain radiation therapy (WBRT) has been the traditional approach to minimize the risk of intracranial recurrence following resection of brain metastases, despite its potential for late neurotoxicity. In 2007, the authors demonstrated an equivalent local recurrence rate to WBRT by using stereotactic radiosu...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2009.9.FOCUS09191

    authors: Karlovits BJ,Quigley MR,Karlovits SM,Miller L,Johnson M,Gayou O,Fuhrer R

    更新日期:2009-12-01 00:00:00

  • Pokemon expression in malignant glioma: an application of bioinformatics methods.

    abstract:OBJECT:In this report the authors review the role of bioinformatics in the design of a research project in which the molecular genetics of malignant glioma were studied. A project to characterize Pokemon expression in malignant glioma was developed, refined, and implemented using bioinformatics methods. METHODS:Using ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2005.19.4.9

    authors: Rovin RA,Winn R

    更新日期:2005-10-15 00:00:00

  • Ultrastructure protection and attenuation of lipid peroxidation after blockade of presynaptic release of glutamate by lamotrigine in experimental spinal cord injury.

    abstract:OBJECT:Lamotrigine is an antiepileptic drug that inhibits presynaptic voltage-gated sodium channels and reduces the presynaptic release of glutamate in pathological states. Neuroprotective effects of this drug have already been demonstrated in cerebral ischemia models. The aim of the present study was to determine the ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/FOC.2008.25.11.E6

    authors: Tufan K,Oztanir N,Ofluoglu E,Ozogul C,Uzum N,Dursun A,Pasaoglu H,Pasaoglu A

    更新日期:2008-01-01 00:00:00

  • Resection of a cervical dumbbell schwannoma with stabilization through a single stage extended posterior approach.

    abstract::Dumbbell tumors of the cervical spine can present considerable management challenges related to adequate exposure of both intraspinal and paraspinal tumor components, potential injury to the vertebral artery, and spinal stability. This video demonstrates the microsurgical removal of a large cervical dumbbell schwannom...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.V3.FOCUS14257

    authors: McCormick PC

    更新日期:2014-09-01 00:00:00

  • Ultrasound-guided percutaneous injection of methylene blue to identify nerve pathology and guide surgery.

    abstract::OBJECT The objective of this study was to provide a technique that could be used in the preoperative period to facilitate the surgical exploration of peripheral nerve pathology. METHODS The authors describe a technique in which 1) ultrasonography is used in the immediate preoperative period to identify target peripher...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2015.6.FOCUS15220

    authors: Osorio JA,Breshears JD,Arnaout O,Simon NG,Hastings-Robinson AM,Aleshi P,Kliot M

    更新日期:2015-09-01 00:00:00

  • Spinal dural arteriovenous fistulas: outcome and prognostic factors.

    abstract::The aim of this study is to review the clinical outcome of patients treated for spinal dural arteriovenous malformations and investigate the presence of pretreatment indicators of outcome after short- and midterm follow-up. The authors retrospectively reviewed the records of 65 consecutive patients treated either surg...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2012.2.FOCUS1218

    authors: Cenzato M,Debernardi A,Stefini R,D'Aliberti G,Piparo M,Talamonti G,Coppini M,Versari P

    更新日期:2012-05-01 00:00:00