The Journal of Bone and Joint Surgery, Vol 72, Issue 8 1171-1177, Copyright © 1990 by Journal of Bone and Joint Surgery, Inc
Pseudarthrosis of the cervical spine after anterior arthrodesis. Treatment by posterior nerve-root decompression, stabilization, and arthrodesis
ID Farey, PC McAfee, RF Davis and DM Long
Department of Orthopedic Surgery, Johns Hopkins Hospital University School of Medicine, Baltimore, Maryland 21205.
Nineteen consecutive patients who had a symptomatic pseudarthrosis after a
failed anterior cervical arthrodesis were treated by a posterior nerve-root
decompression and arthrodesis. The indications for the operation were
radiculopathy in the absence of myelopathy and evidence of a pseudarthrosis
on lateral flexion and extension radiographs. The average duration of
follow-up was forty-four months (range, twenty-four to fifty-four months).
A solid fusion was achieved in all patients, and the radiculopathy was
relieved in all but one. The motor weakness that had been present in four
patients preoperatively resolved completely.