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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2007 October;58(5):343-6
Anterior cervical discectomy with interbody fusion: analysis and considerations of a series of 100 cases
Ulivieri S., Petrini C., Palma L., Oliveri G.
Department of Neurosurgery Santa Maria alle Scotte Hospital, Siena, Italy
Aim. The aim of this paper is to report the results obtained in a study of a group of patients with degenerative cervical disc disease treated by anterior cervical disectomy with interbody fusion.
Methods. A total of 100 cases of anterior microsurgical discectomy with interbody fusion for the treatment of degenerative cervical disc disease have been performed between March 2003 and January 2005 at the Department of Neuro-surgery, “Santa Maria alle Scotte” Hospital, Siena, Italy. Clinical long-term results are analyzed and the relevant literature is reviewed. Different operative procedures for the treatment of cervical disc disease have been described and during the last decades the anterior microsurgical discectomy with interbody fusion has gained importance and wider acceptance; nevertheless, very excellent results were achieved with each technique. In the present paper we tried to evidentiate any prognostic factor related to clinical parameters.
Results. There was no implant-related complications or additional surgery and mean hospital stay was 2.44 days. Cervical radiographic examinations during the follow-up period demonstrated no evidence of breakage, collapse, subsidence, pseudoarthrosis or protrusion at the level of the implants.
Conclusion. Based on our experience, and in accordance with published data, the interbody titanium cage appears to be a very good device for anterior cervical fusion because it provides immediate stability, improves cervical lordosis and is associated with a low rate of failure.