Article
Orthopedics
Zhonghai Li, Hui Liu, Ming Yang, Wentao Zhang
Summary: By analyzing the biomechanical characteristics of various anterior cervical reconstructive techniques, it was found that mACDF-CA had the least impact on adjacent disc stress, potentially reducing the occurrence of adjacent segment degeneration after fusion.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Orthopedics
Yanyan Ma, Zhijun Xin, Weijun Kong, Longsheng Zhang, Qian Du, Wenbo Liao
Summary: This study investigated the clinical application of anterior percutaneous full-endoscopic transcorporeal decompression of the spinal cord (APFETDSC) in patients with single-segment cervical spondylotic myelopathy (CSM). The surgical procedure determined the diameter and direction of the bony passage based on the size and position of the disc-osteophyte complex. The results showed improved pain and function postoperatively, complete decompression of the spinal cord, and no cervical instability.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Medicine, General & Internal
Ryan Wing-Yuk Chan, Yung-Hsiao Chiang, Hsiu-Chen Lin, Chih-Yau Chang, Yi-Syue Tsou
Summary: Although several large-scale studies have investigated the surgical interventions for cervical spondylotic myelopathy (CSM), specifically multilevel anterior cervical discectomy and fusion (ACDF) and laminoplasty (LAMP), the optimal approach remains controversial. This study compared the postoperative complications of these two procedures and found that LAMP resulted in a higher frequency of surgical wound infections, longer hospital stays, and higher rates of unplanned reoperation. However, there were no significant differences in systemic complications and perioperative mortality between the two approaches.
Article
Multidisciplinary Sciences
Xiaoming Tian, Samuel Rudd, Dalong Yang, Wenyuan Ding, Sidong Yang
Summary: Cervical spondylotic myelopathy (CSM) is a common disease caused by spinal cord compression due to intervertebral disc herniation, ossification of the posterior longitudinal ligament, and other pathological changes. Conservative treatments are often ineffective, and surgery, such as anterior cervical discectomy and fusion (ACDF) or anterior cervical corpectomy and fusion (ACCF), is the best option. A hybrid procedure combining ACDF with ACCF has also shown satisfying results for some CSM cases. This study aims to introduce and advocate for this hybrid surgical technique based on patient success.
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2023)
Article
Clinical Neurology
Harsh Wadhwa, Jigyasa Sharma, Kunal Varshneya, Parastou Fatemi, Jay Nathan, Zachary A. Medress, Martin N. Stienen, John K. Ratliff, Anand Veeravagu
Summary: This retrospective study reviewed readmission and reoperation rates for patients who had undergone ACDF or laminoplasty for multilevel CSM from a national administrative claims database. Results showed higher postoperative complication rates, longer length of stay, and higher readmission rates in the laminoplasty group, as well as higher hospital and total payments.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Wylie Y. Lopez, Brian C. Goh, Shivam Upadhyaya, Chason Ziino, Peter J. Georgakas, Anmol Gupta, Daniel G. Tobert, Harold A. Fogel, Thomas D. Cha, Joseph H. Schwab, Christopher M. Bono, Stuart H. Hershman
Summary: A retrospective study found that 91.2% of patients with CSM were radiographically candidates for LP, indicating that LP may be an underutilized procedure for the treatment of CSM.
Article
Orthopedics
Zheng Wang, Zhi-Wei Wang, Xi-Wen Fan, Zhen Liu, Jia-Yuan Sun, Wen-Yuan Ding, Da-Long Yang
Summary: The study investigated the relationship between changes in spino-cranial angle (SCA) and sagittal alignment, as well as its impact on Neck Disability Index (NDI) scores after laminoplasty (LP). Results showed that patients with higher SCA had worse NDI scores, indicating that SCA may be a good predictor for evaluating sagittal balance and surgical planning.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Multidisciplinary Sciences
Wei Du, Hai-Xu Wang, Jie Lv, Shuai Wang, Yong Shen, Xu Zhang, Rong Chen, Li Zhang
Summary: This study aimed to compare the surgical efficacy of anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy and fusion (ACCF) for the treatment of local kyphotic cervical spondylotic myelopathy (LKCSM), and analyze the cervical sagittal alignment parameters and axial symptoms severity after cervical local kyphosis (CLK) correction. The results showed that both ACDF and ACCF can effectively improve LKCSM, and ACDF is more favorable in cervical correction.
Article
Orthopedics
Xiang-Yu Li, Yu Wang, Wei-Guo Zhu, Cheng-Xin Liu, Chao Kong, Shi-Bao Lu
Summary: This study compared the effectiveness of anterior cervical discectomy and fusion (ACDF), laminectomy with fusion (LCF), and laminoplasty (LP) in the treatment of multisegmental cervical spondylotic myelopathy (CSM). The patients were divided into four groups based on the C2-C7 Cobb angle, and the results showed that ACDF, LCF, and LP had similar outcomes, with ACDF having better surgical correction improvement and LP showing an increase in cervical lordosis angle postoperatively. Therefore, preoperative cervical alignment should be considered when choosing the surgical treatment method.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Clinical Neurology
Andrew B. Koo, Aladine A. Elsamadicy, Margot Sarkozy, Wyatt B. David, Benjamin C. Reeves, Christopher S. Hong, Arianne Boylan, Maxwell Laurans, Luis Kolb
Summary: Obesity is shown to impact hospital management, cost, and discharge disposition following elective ACDF for adult CSM. Patients with obesity have more comorbidities, higher complication rates, increased total cost of admission, and a greater proportion of nonroutine discharges.
WORLD NEUROSURGERY
(2021)
Article
Medicine, General & Internal
Shingo Morishita, Toshitaka Yoshii, Hiroyuki Inose, Takashi Hirai, Yu Matsukura, Takahisa Ogawa, Kiyohide Fushimi, Junya Katayanagi, Tetsuya Jinno, Atsushi Okawa
Summary: This study investigated the perioperative complication rates of patients with OPLL and CSM undergoing ADF. It found that OPLL had more perioperative complications, such as CSFL and SSI, compared to CSM. Medical costs were also higher in patients with complications in both OPLL and CSM.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Orthopedics
Wei Li, Bishui Zhan, Xuesheng Jiang, Guoshun Zhou, Junjie Li, Yongli Wang
Summary: Comparing the efficacy of ACDHF and ACDF for MCSM, the study found that ACDHF had a shorter operation time, less blood loss and drainage, and better outcomes in terms of postoperative dysphagia.
JOURNAL OF ORTHOPAEDIC SURGERY
(2022)
Article
Neurosciences
Wei Du, Hai-Xu Wang, Jing-Tao Zhang, Feng Wang, Xu Zhang, Yong Shen, Rong Chen, Li Zhang
Summary: This study compared the surgical efficacy of anterior decompression with fusion (ADF) vs. posterior decompression with fixation (PDF) for treating kyphotic cervical spondylotic myelopathy (KCSM). The results showed significant differences in cervical spinal alignment parameters and axial symptoms severity between the two surgical approaches, with better outcomes observed in the ADF group. Surgeons should carefully weigh the pros and cons of each approach when deciding on a surgical plan for KCSM patients.
FRONTIERS IN NEUROSCIENCE
(2022)
Article
Orthopedics
Shuangjun He, Zhangzhe Zhou, Xiaofeng Shao, Lijian Zhou, Changhao Zhang, Xinfeng Zhou, Shuhua Wu, Kangwu Chen, Yaowei Wang, Zhonglai Qian
Summary: This study compared the clinical efficacy and radioactivity of ROI-C and ACDF for the treatment of CSM. The results showed that both treatments were effective, but ROI-C had the advantage of reducing operative time and postoperative complications.
ORTHOPAEDIC SURGERY
(2022)
Article
Orthopedics
Lei Guo, Jiaqi Li, Fei Zhang, Yapeng Sun, Wei Zhang
Summary: This study retrospectively analyzed the surgical treatment outcomes of 38 patients with multilevel cervical spondylotic myelopathy (MCSM) and compared the clinical efficacy between the hybrid procedure of posterior endoscopic decompression (PED) combined with anterior cervical discectomy fusion (ACDF) and posterior cervical laminectomy and fusion (PCLF). The results showed that the hybrid procedure had less intraoperative blood loss and shorter length of hospitalization compared to PCLF. Additionally, the hybrid procedure resulted in better cervical lordosis and lower post-operative neck pain. This study concludes that the hybrid procedure is an effective surgical treatment for MCSM.
BMC MUSCULOSKELETAL DISORDERS
(2023)