REPAIR OF SYMPTOMATIC PSEUDOARTHROSIS OF ANTERIOR CERVICAL FUSION - POSTERIOR VERSUS ANTERIOR REPAIR

被引:65
作者
BRODSKY, AE [1 ]
KHALIL, MA [1 ]
SASSARD, WR [1 ]
NEWMAN, BP [1 ]
机构
[1] ST LUKES EPISCOPAL HOSP,ORTHOPAED RES CTR,POB 20269 4-183,HOUSTON,TX 77225
关键词
Anterior cervical fusion; Posterior cervical fusion; Pseudarthrosis;
D O I
10.1097/00007632-199210000-00002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Thirty-four patients with symptomatic pseudarthrosis of anterior cervical fusion were treated. There were 16 men and 18 women. Eighteen patients had pseudarthrosis at 1 level; 14 at 2 levels; and 2 at 3 levels, with C5-6 and C6-7 levels most commonly involved. Anterior repair of pseudarthrosis was done in 17 patients, which resulted in 76% radiologic fusion. Of 17 patients repaired posteriorly, 94% achieved radiologic fusion. Average follow-up was 60 months, with a minimum of 24 months. "Excellent" or "Good" results were achieved in 59% of anterior repair and 88% of posterior fusion group. This study demonstrates that posterior cervical fusion is the more effective method for repairing symptomatic pseudarthrosis of anterior cervical fusion.
引用
收藏
页码:1137 / 1143
页数:7
相关论文
共 28 条
[1]  
Aebi M., Mohler J., Zach G.A., Morscher E., Indication, surgical technique, and results of 100 surgically-treated fractures and fracture dislocations of the cervical spine, Clin Orthop, 203, pp. 244-257, (1986)
[2]  
Bailey R.W., Badgley C.E., Stabilization of the cervical spine by anterior fusion, J Bone Joint Surg, 42A, pp. 565-594, (1960)
[3]  
Bohlman H.H., Cervical spondylosis with moderate to severe myelopathy: A report of seventeen cases treated by Robinson anterior cervical discectomy and fusion, Spine, 2, pp. 152-162, (1977)
[4]  
Bohlman H.H., Eismont F.J., Surgical techniques of anterior decompression and fusion for spinal cord injuries, Clin Orthop, 154, pp. 57-67, (1981)
[5]  
Bohlman H.H., Sachs B.L., Carter J.R., Riley L., Robinson R.A., Primary neoplasms of the cervical spine: Diagnosis and treatment of twenty-three patients, J Bone Joint Surg, 68A, 4, pp. 483-494, (1986)
[6]  
Brown C.W., Orme T.J., Richardson H.D., The rate of pseu-darthrosis (Surgical nonunion) in patients who are smokers and patients who are nonsmokers: A comparison study, Spine, 11, 9, pp. 942-943, (1986)
[7]  
Brown M.D., Malinin T.I., Davis P.B., A roentgenographic evaluation of frozen allografts versus autografts in anterior cervical spine fusions, Clin Orthop, 119, pp. 231-236, (1976)
[8]  
Capen D.A., Garland D.E., Waters R.L., Surgical stabilization of the cervical spine. A comparative analysis of anterior and posterior spine fusions, Clin Orthop, 196, pp. 229-237, (1985)
[9]  
Cloward R.B., Gas-sterilized cadaver bone grafts for spinal fusion operations. A simplified bone bank, Spine, 5, 1, pp. 4-10, (1980)
[10]  
Cloward R.B., The anterior approach for ruptured cervical disc, J Neurosurg, 15, pp. 612-617, (1958)