Cervical disc herniation and cervical spondylosis surgically treated by Cloward procedure: A 10-year-minimum follow-up study

被引：57

作者：

Faldini C. ^{[1
]}

Leonetti D. ^{[1
]}

Nanni M. ^{[1
]}

Martino A.D. ^{[2
]}

Denaro L. ^{[3
]}

Denaro V. ^{[2
]}

Giannini S. ^{[1
]}

机构：

[1] Department of Orthopaedic Surgery, Istituto Ortopedico Rizzoli, University of Bologna, 40136 Bologna

[2] Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Rome

[3] Dipartimento di Neuroscienze, Cattedra di Neurochirurgia, Università di Padova, Padua

来源：

Journal of Orthopaedics and Traumatology | 2010年 / 11卷 / 2期

关键词：

Cervical disc herniation; Cervical spondylosis; Cloward procedure; Long-term follow-up; Single level; Surgical treatment;

D O I：

10.1007/s10195-010-0093-z

中图分类号：

学科分类号：

摘要：

Background Cervical degenerative pathology produces pain and disability, and if conservative treatment fails, surgery is indicated. The aim of this study was to determined whether anterior decompression and interbody fusion according to Cloward is effective for treating segmental cervical degenerative pathology and whether the results are durable after a 10-year-minimum follow-up. Materials and methods Fifty-one patients affected by single-level cervical degenerative pathology between C4 and C7 were surgically treated by the Cloward procedure. Clinical evaluation was rated using the Neck Disability Index (NDI) and the visual analog scale (VAS). At last follow-up, the outcomes were rated according to Odom's criteria. On radiographs, the sagittal segmental alignment (SSA) of the affected level and the sagittal alignment of the cervical spine (SACS) were measured. Results Average NDI was 34 preoperatively and 11 at last follow-up. Average VAS was 7 preoperatively and 1 at last follow-up. According to Odom's criteria, the outcome was considered excellent in 18 cases, good in 22, and fair in 11. Average SSA was 0.5 ± 2.1 preoperatively, 1.8 ± 3.8 at 6 months, and 1.8 ± 5.7 at last follow-up. Average SACS was 16.5 ± 4.0 preoperatively, 20.9 ± 5.8 at 6 months, and 19.9 ± 6.4 at last follow-up. Degenerative changes at the adjacent levels were observed in 18 patients (35.3%). Conclusions The Cloward procedure proved to be a suitable and effective technique for treating segmental cervical degenerative pathology, allowing good clinical and radiographic outcomes even at a long-term follow-up. © The Author(s) 2010.

引用

页码：99 / 103

页数：4

共 34 条

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