Abstract
Anterior cervical discectomy and fusion (ACDF) is often used as a surgical treatment for cervical degenerative disorders. Numerous long-term follow-up studies have shown that is effective in case of cervical myelopathy, relieving anterior compression on the spinal cord, or radiculopathy, decompressing nerve roots. This technique allows direct decompression of neural structures, restoration of disc height, and stabilization of the affected motion segments. The success of the procedure relies on achieving a solid fusion (Figs. 6.1 and 6.2).
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References
Harms J, Melcher RP (2001) Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine (Phila Pa 1976) 26(22):2467–2471
Melcher RP, Puttlitz CM, Kleinstueck FS, Lotz JC, Harms J, Bradford DS (2002) Biomechanical testing of posterior atlantoaxial fixation techniques. Spine (Phila Pa 1976) 27(22):2435–2440
Puttlitz CM, Melcher RP, Kleinstueck FS, Harms J, Bradford DS, Lotz JC (2004) Stability analysis of craniovertebral junction fixation techniques. J Bone Joint Surg Am 86-A(3):561–568
Robinson RA, Smith G (1955) A nterolateral cervical disc removal and interbody fusion for cervical disc syndrome. Bull Johns Hopkins Hosp 96:223–224
Cloward RB (1958) The anterior approach for removal of ruptured cervical disks. J Neurosurg 15(6):602–617
Lowery GL, McDonough RF (1998) The significance of hardware failure in anterior cervical plate fixation. Patients with 2- to 7-year follow-up. Spine (Phila Pa 1976) 23(2):181–186. discussion 186–7
Malloy KM, Hilibrand AS (2002) Autograft versus allograft in degenerative cervical disease. Clin Orthop Relat Res 394:27–38
Bolesta MJ, Rechtine GR 2nd, Chrin AM (2000) Three- and four-level anterior cervical discectomy and fusion with plate fixation: a prospective study. Spine (Phila Pa 1976) 25(16):2040–2044. discussion 2045–6
Chou YC et al (2008) Efficacy of anterior cervical fusion: comparison of titanium cages, polyetheretherketone (PEEK) cages and autogenous bone grafts. J Clin Neurosci 15(11):1240–1245
Fransen P (2010) A simplified technique for anterior cervical discectomy and fusion using a screw-plate implanted over the Caspar distractor pins. Acta Orthop Belg 76(4):546–548
Hauerberg J et al (2008) Anterior cervical discectomy with or without fusion with ray titanium cage: a prospective randomized clinical study. Spine (Phila Pa 1976) 33(5):458–464
Emery SE, Fisher JR, Bohlman HH (1997) Three-level anterior cervical discectomy and fusion: radiographic and clinical results. Spine (Phila Pa 1976) 22(22):2622–2624. discussion 2625
Song KJ, Lee KB (2006) A preliminary study of the use of cage and plating for single-segment fusion in degenerative cervical spine disease. J Clin Neurosci 13(2):181–187
Beutler WJ, Sweeney CA, Connolly PJ (2001) Recurrent laryngeal nerve injury with anterior cervical spine surgery risk with laterality of surgical approach. Spine (Phila Pa 1976) 26(12):1337–1342
Jung A, Schramm J (2010) How to reduce recurrent laryngeal nerve palsy in anterior cervical spine surgery: a prospective observational study. Neurosurgery 67(1):10–15. discussion 15
Palit M et al (1999) Anterior discectomy and fusion for the management of neck pain. Spine (Phila Pa 1976) 24(21):2224–2228
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Girolami, M., Ghermandi, R., Gasbarrini, A., Akman, Y.E., Boriani, S. (2017). Cervical Spine Instrumentation. In: Boriani, S., Presutti, L., Gasbarrini, A., Mattioli, F. (eds) Atlas of Craniocervical Junction and Cervical Spine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-42737-9_6
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DOI: https://doi.org/10.1007/978-3-319-42737-9_6
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