Assessment of fusion after anterior cervical discectomy
There is no established method to assess fusion in patients following anterior cervical discectomy. In this study we have made a series of measurements to detect movement between vertebrae adjacent to an operated space. The absence of movement implies structural union between adjacent vertebrae. Mea...
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| Veröffentlicht in: | British journal of neurosurgery 2003-02, Vol.17 (1), p.54-59 |
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| creator | SUDHAKAR, N LAING, R. J. C REDFERN, R. M |
| description | There is no established method to assess fusion in patients following anterior cervical discectomy. In this study we have made a series of measurements to detect movement between vertebrae adjacent to an operated space. The absence of movement implies structural union between adjacent vertebrae. Measurements have been made in two distinct surgical groups. Group A patients had anterior cervical discectomy with insertion of a BOP graft into the disc space. Group B patients underwent simple anterior cervical discectomy with no spacer or graft material inserted, the disc space being left empty. Details of the measurements and interpretation of results are described. In the absence of a 'gold standard' to assess bony union we propose that these measurement methods provide an objective and scientific method to assess fusion at the operated level after anterior cervical discectomy. Objective measurement of fusion will allow comparison between different surgical techniques that claim fusion as an end point. It will also become possible to study the influence of fusion on clinical outcome in different surgical populations. |
| doi_str_mv | 10.1080/0268869031000093744 |
| format | Article |
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In the absence of a 'gold standard' to assess bony union we propose that these measurement methods provide an objective and scientific method to assess fusion at the operated level after anterior cervical discectomy. Objective measurement of fusion will allow comparison between different surgical techniques that claim fusion as an end point. It will also become possible to study the influence of fusion on clinical outcome in different surgical populations.</description><identifier>ISSN: 0268-8697</identifier><identifier>EISSN: 1360-046X</identifier><identifier>DOI: 10.1080/0268869031000093744</identifier><identifier>PMID: 12779202</identifier><language>eng</language><publisher>Abingdon: Taylor & Francis</publisher><subject>Biological and medical sciences ; Bone Transplantation - methods ; Cervical Vertebrae - pathology ; Cervical Vertebrae - physiopathology ; Clinical outcomes ; Diskectomy - methods ; Humans ; Intervertebral Disc - pathology ; Intervertebral Disc - physiopathology ; Medical sciences ; Medical treatment ; Movement - physiology ; Orthopedic surgery ; Predictive Value of Tests ; Radiculopathy - pathology ; Radiculopathy - physiopathology ; Radiculopathy - surgery ; Sensitivity and Specificity ; Spinal Cord Diseases - pathology ; Spinal Cord Diseases - physiopathology ; Spinal Cord Diseases - surgery ; Spinal Fusion ; Spine ; Surgery ; Surgery (general aspects). 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C</creatorcontrib><creatorcontrib>REDFERN, R. M</creatorcontrib><title>Assessment of fusion after anterior cervical discectomy</title><title>British journal of neurosurgery</title><addtitle>Br J Neurosurg</addtitle><description>There is no established method to assess fusion in patients following anterior cervical discectomy. In this study we have made a series of measurements to detect movement between vertebrae adjacent to an operated space. The absence of movement implies structural union between adjacent vertebrae. Measurements have been made in two distinct surgical groups. Group A patients had anterior cervical discectomy with insertion of a BOP graft into the disc space. Group B patients underwent simple anterior cervical discectomy with no spacer or graft material inserted, the disc space being left empty. Details of the measurements and interpretation of results are described. In the absence of a 'gold standard' to assess bony union we propose that these measurement methods provide an objective and scientific method to assess fusion at the operated level after anterior cervical discectomy. Objective measurement of fusion will allow comparison between different surgical techniques that claim fusion as an end point. It will also become possible to study the influence of fusion on clinical outcome in different surgical populations.</description><subject>Biological and medical sciences</subject><subject>Bone Transplantation - methods</subject><subject>Cervical Vertebrae - pathology</subject><subject>Cervical Vertebrae - physiopathology</subject><subject>Clinical outcomes</subject><subject>Diskectomy - methods</subject><subject>Humans</subject><subject>Intervertebral Disc - pathology</subject><subject>Intervertebral Disc - physiopathology</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Movement - physiology</subject><subject>Orthopedic surgery</subject><subject>Predictive Value of Tests</subject><subject>Radiculopathy - pathology</subject><subject>Radiculopathy - physiopathology</subject><subject>Radiculopathy - surgery</subject><subject>Sensitivity and Specificity</subject><subject>Spinal Cord Diseases - pathology</subject><subject>Spinal Cord Diseases - physiopathology</subject><subject>Spinal Cord Diseases - surgery</subject><subject>Spinal Fusion</subject><subject>Spine</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Transplantation, Autologous</subject><subject>Treatment Outcome</subject><issn>0268-8697</issn><issn>1360-046X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0F1LwzAUBuAgipvTXyBIEfSuevLRpL0cwy8YeLML70qaJtDRNjOnFfbvTdlgIOYiuXnek8NLyC2FJwo5PAOTeS4L4BTiKbgS4ozMKZeQgpBf52Q-iTQSNSNXiFsAyjJQl2RGmVIFAzYnaoloETvbD4l3iRux8X2i3WBDovt4Nz4kxoafxug2qRs01gy-21-TC6dbtDfHd0E2ry-b1Xu6_nz7WC3XqeGQD9PnNq8rAFFVNa-BGalA16pyhdW5pM6CAQFcOZc5IaByGVNGGWorUcfEgjwexu6C_x4tDmU3rdC2urd-xFJxznMmZYT3f-DWj6GPq5UMMsELyVlE_IBM8IjBunIXmk6HfUmhnDot_-k0pu6Oo8eqs_Upcywxgocj0BhbckH3psGTE4pngir-C59tfeY</recordid><startdate>200302</startdate><enddate>200302</enddate><creator>SUDHAKAR, N</creator><creator>LAING, R. J. C</creator><creator>REDFERN, R. 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M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c308t-869e8db004bbd3d02c670ad7bf9ea861fe0c04037ff5f440bf527c7c1eb4dbd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Biological and medical sciences</topic><topic>Bone Transplantation - methods</topic><topic>Cervical Vertebrae - pathology</topic><topic>Cervical Vertebrae - physiopathology</topic><topic>Clinical outcomes</topic><topic>Diskectomy - methods</topic><topic>Humans</topic><topic>Intervertebral Disc - pathology</topic><topic>Intervertebral Disc - physiopathology</topic><topic>Medical sciences</topic><topic>Medical treatment</topic><topic>Movement - physiology</topic><topic>Orthopedic surgery</topic><topic>Predictive Value of Tests</topic><topic>Radiculopathy - pathology</topic><topic>Radiculopathy - physiopathology</topic><topic>Radiculopathy - surgery</topic><topic>Sensitivity and Specificity</topic><topic>Spinal Cord Diseases - pathology</topic><topic>Spinal Cord Diseases - physiopathology</topic><topic>Spinal Cord Diseases - surgery</topic><topic>Spinal Fusion</topic><topic>Spine</topic><topic>Surgery</topic><topic>Surgery (general aspects). 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M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of fusion after anterior cervical discectomy</atitle><jtitle>British journal of neurosurgery</jtitle><addtitle>Br J Neurosurg</addtitle><date>2003-02</date><risdate>2003</risdate><volume>17</volume><issue>1</issue><spage>54</spage><epage>59</epage><pages>54-59</pages><issn>0268-8697</issn><eissn>1360-046X</eissn><abstract>There is no established method to assess fusion in patients following anterior cervical discectomy. In this study we have made a series of measurements to detect movement between vertebrae adjacent to an operated space. The absence of movement implies structural union between adjacent vertebrae. Measurements have been made in two distinct surgical groups. Group A patients had anterior cervical discectomy with insertion of a BOP graft into the disc space. Group B patients underwent simple anterior cervical discectomy with no spacer or graft material inserted, the disc space being left empty. Details of the measurements and interpretation of results are described. In the absence of a 'gold standard' to assess bony union we propose that these measurement methods provide an objective and scientific method to assess fusion at the operated level after anterior cervical discectomy. Objective measurement of fusion will allow comparison between different surgical techniques that claim fusion as an end point. It will also become possible to study the influence of fusion on clinical outcome in different surgical populations.</abstract><cop>Abingdon</cop><pub>Taylor & Francis</pub><pmid>12779202</pmid><doi>10.1080/0268869031000093744</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete |
| subjects | Biological and medical sciences Bone Transplantation - methods Cervical Vertebrae - pathology Cervical Vertebrae - physiopathology Clinical outcomes Diskectomy - methods Humans Intervertebral Disc - pathology Intervertebral Disc - physiopathology Medical sciences Medical treatment Movement - physiology Orthopedic surgery Predictive Value of Tests Radiculopathy - pathology Radiculopathy - physiopathology Radiculopathy - surgery Sensitivity and Specificity Spinal Cord Diseases - pathology Spinal Cord Diseases - physiopathology Spinal Cord Diseases - surgery Spinal Fusion Spine Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Transplantation, Autologous Treatment Outcome |
| title | Assessment of fusion after anterior cervical discectomy |
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