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Journal of Bone and Joint Surgery, 1973;55:525-534.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Relief of Pain by Anterior Cervical-Spine Fusion for Spondylosis

A REPORT OF SIXTY-FIVE PATIENTS

AUGUSTUS A. WHITE III M.D., DR. MED. SC.1, WAYNE O. SOUTHWICK M.D.1, RALPH J. DEPONTE M.D.1, JOHN W. GAINOR M.D.1, and ROBERT HARDY PH.D.1

1 From the Section of Orthopaedic Surgery, Yale University School of Medicine, New Haven

An extensive evaluation of the results of anterior spine fusion in sixty-five patients with cervical spondylosis showed that good results with respect to relief of pain were Obtained in 90 per cent. The factors predisposing to more favorable results were: presence of radicular symptoms preoperatively, presence of positive roentgenographic findings at only one vertebral level, presence of myelographic defects which correlated with the levels operated on, and achievement of a solid union without interspace collapse. None of these factors, however, were indispensable to a good result. Those factors which were associated with a bad result were: the presence preoperatively of long tract signs and the preoperative presence of subluxation of a vertebra. Psychological testing (Cornell Index) did not differentiate whether the results would be favorable or unfavorable.


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