Cervical sagittal alignment after different anterior discectomy procedures for single-level cervical degenerative disc disease: randomized controlled trial.

Abstract:

BACKGROUND:The effect of anterior cervical discectomy without fusion (ACD), ACD with fusion by stand-alone cage (ACDF) or with arthroplasty (ACDA) on cervical sagittal alignment is not known and is the subject of this study. METHODS:A total of 142 adult patients with single-level cervical disease were at random allocated to different procedures: ACD (45), ACDF (47) and ACDA (50). Upright cervical spine radiographs were obtained. Angles of the involved angle and the angle between C2 and C7 were determined. RESULTS:After a mean follow-up of 25.4 ± 18.4 months, the angles of the involved level comparing ACD with ACDA and ACD with ACDF were different, reaching statistical significance. However, the angle between C2 and C7 did not differ between groups or between preoperative values and at follow-up. CONCLUSIONS:Irrespective of the technique used for anterior cervical discectomy for single-level degenerative disc disease, the alignment of the cervical spine is unaltered.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Donk RD,Arnts H,Verhagen WIM,Groenewoud H,Verbeek A,Bartels RHMA

doi

10.1007/s00701-017-3312-z

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

2359-2365

issue

12

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-017-3312-z

journal_volume

159

pub_type

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