Context: Cervical spondylotic myelopathy (CSM) is a progressive disease that can result in significant disability. Single-level stenosis can be effectively decompressed through either anterior or posterior techniques. However, multilevel pathology can be challenging, especially in the presence of significant...
Introduction: The gold standard in the treatment of lumbar degenerative spinal diseases is the posterolateral fusion with rod and screws. Semi-rigid systems were first designed to stabilize the abnormal segment and to unload degenerated discs and facet joints. One commonly observed consequence of ...
BACKGROUND CONTEXT Anterior cervical discectomy and fusion (ACDF) has been the gold standard surgical treatment for degenerative conditions of the cervical spine, including degenerative disc disease, cervical spondylotic myelopathy, and cervical disc prolapse. This procedure remains the preferred treatment ...
However, coverage for multilevel disease, which is more common, is usually restricted to fusion surgery. Multilevel conditions are more challenging as some levels have soft disc conditions favoring TDR and other levels have bony stenosis and facet overgrowth favoring fusion (ACDF). The purpose of ...
METHODS: 371 patients with a diagnosis of disc herniation, degenerative disc disease and/or facet arthritis resulting in severe neck pain and/or radiculopathy were followed prospectively for 6, 12, 24, 52 weeks and 2-years. Radiographic and clinical assessments were completed using AP and Lateral...