Limiting fusion levels by combining anterior cervical decompression and fusion with posterior laminectomy: Technical note.

J Orthop 2018 Jun 19;15(2):412-415. Epub 2018 Mar 19.

Less Exposure Surgery (LES) Society, 350 Main St., Malden, MA 02148.

Background: Authors aim to report on the outcomes of combining selective anterior cervical decompression and fusion (ACDF) with laminectomy in patients with cervical spondylotic radiculomyelopathy (CSR).

Methods: 10 patients with ACDF and posterior laminectomy reviewed.

Results: 60% female population, mean age 61 ± 3 years, mean BMI 24.7 ± 3.4 kg/m. VAS and NDI showed significant improvement, p < 0.001, p = 0.02 respectively. Mean PCS 31.9 ± 2.7, MCS 38.9 ± 3.4 improved to mean PCS 42.2 ± 5.1, MCS 51.0 ± 4.7, p = 0.09 and 0.06 respectively. At final follow up fusion rate was 90% and all patients had Nurick Grade 0.

Conclusion: In this pilot study, procedure shown to be safe with improved symptoms.

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Source
http://dx.doi.org/10.1016/j.jor.2018.03.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990210PMC
June 2018
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