It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Spinal Cord Disorders Message Board

  • Fusion Rates For ACDF

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 10-20-2004, 02:43 PM   #1
    dennisgb
    Inactive
     
    Join Date: May 2004
    Posts: 555
    dennisgb HB User
    Fusion Rates For ACDF

    Below is a study showing fusion rates in a published study:

    ACDF With Allograft & Anterior Plating: A Report on 134 Patients/272 levels with 2 yr follow up

    David F Antezana, MD Baltimore MD
    Randy F Davis, MD Glen Burnie MD (e - Medtronic)
    Arthur W Poetscher, MD Baltimore MD
    John Yingling, MD Baltimore MD
    John Awad, MD Baltimore MD
    Michael Schlosser, MD Baltimore MD
    Donlin M Long, MD Baltimore MD

    INTRODUCTION: Although anterior cervical discectomy and fusion is a well established technique for arthrodesis of the cervical spine, there are limited data on the use of allograft with plate in a large series with minimum 2 year follow-up. There are even fewer such studies that incorporate 3 and 4 level fusions. We report our experience with 134 patients (272 levels).

    METHODS: One hundred thirty-four patients underwent anterior cervical discetomy and fusion (ACDF) with plate and allograft (56-one level, 31-two levels, 30-three levels, 16-four levels; 272 total levels: 37 C3-4, 74 C4-5, 94 C5-6, 65 C6-7, 1 C7-T1) via a modified Smith-Robinson technique. All surgeries were performed by the primary senior author (RFD). Key elements of the surgical technique emphasis precise fit and fill of the interspace in conjunction with construct compression. Radiographic fusion was determined with plain X-rays at predetermined intervals. Fusion was defined as no lucent line and no hardware failure. Hardware failure was defined as any screw loosening or shifting of the plate. Average follow-up is 37.1 months. Minimum follow up is 24 months. Average age is 50. Co-morbidities included 16 smokers, 4 diabetics, 6 previous surgeries, and 1 trauma. Patients wore an external orthosis for 6 weeks.

    RESULTS: There was 1 reoperation for junctional disease. Six patient developed junctional disease. Eight patients had residual radiographic lucent lines and/or hardware failure at most recent followup for a fusion rate of 94% (126/134) of patients and 97.8% (266/272 of levels). There were 6 instances of hardware failure and/or pseudoarthrosis, 4 of which occurred in the 3 and 4 level group. Complications occurred in 12 patients (8.9%), and included dysphagia (4), vocal cord paralysis (1), fibrositis (1), respiratory distress (1), wound infection (1).

    CONCLUSION/DISCUSSION: Extremely high fusion rates with only one re-operation were recorded in this series, including 3 and 4 level constructs, with an acceptable complication rate. We believe that outstanding results are obtainable with allograft and plate, even at 3 or 4 levels, when the principles of precise fit and fill of the interspace with a contoured graft and fixation which facilitates compression. We believe this series to be the largest reported ACDF series with 2-year follow-up that includes 3 and 4 levels.

    Last edited by dennisgb; 10-20-2004 at 02:45 PM.

     
    Sponsors Lightbulb
       
    Old 10-20-2004, 06:33 PM   #2
    wdmoor
    Senior Member
    (male)
     
    Join Date: Sep 2004
    Posts: 121
    wdmoor HB User
    Re: Fusion Rates For ACDF

    Thanks dennisgb,

    I appreciate the article, it makes me feel better.

     
    Old 10-21-2004, 06:42 AM   #3
    Mollyt61
    Member
     
    Join Date: Sep 2004
    Posts: 90
    Mollyt61 HB User
    Re: Fusion Rates For ACDF

    Thanks Dennisegb for the article, very interesting, Thanks Martina

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    I'm back.. Recap of my Cervical fusion experience.. mehappy2 Back Problems 1 06-12-2011 06:18 PM
    what are the statistics of surgical fusion of the c-5 and c-6 disks working debbie5719 Spinal Cord Disorders 2 03-29-2009 11:00 PM
    ACDF with fusion C5-C7 amI doing the right thing? SCUBAMIKE Spinal Cord Disorders 8 10-28-2008 05:42 PM
    8 weeks post op L4-5 fusion, aches all over Backtobasics Back Problems 32 09-20-2008 06:45 AM
    before you have fusion surgery! bw67 Spinal Cord Disorders 12 03-19-2008 01:06 PM
    Fusion c5,c6,c7 ....questions.... Ronn9 Spinal Cord Disorders 80 02-25-2006 08:53 PM
    ?'s to ask Dr. about Fusion mlachowicz Back Problems 4 04-04-2005 11:11 AM
    What exactly is a fusion and who does it help? kellyp Back Problems 8 09-04-2004 06:45 PM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 01:14 PM.





    2019 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!