The Journal of Bone and Joint Surgery (American). 2005;87:1892-1901.
doi:10.2106/JBJS.E.00444
© 2005 The Journal of Bone and Joint Surgery, Inc.
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What's New in Spine Surgery

Keith H. Bridwell, MD1, Paul A. Anderson, MD2, Scott D. Boden, MD3, Alexander R. Vaccaro, MD4 and Jeffrey C. Wang, MD5

1 Department of Orthopaedic Surgery, Washington University School of Medicine, One Barnes-Jewish Hospital Plaza, Suite 11300 West Pavilion, St. Louis, MO 63110. E-mail address: bridwellk@msnotes.wustl.edu
2 Department of Orthopedics and Rehabilitation, University of Wisconsin Hospital, 600 Highland Avenue, Suite K4-738 CSC, Madison, WI 53792-0001. E-mail address: anderson@surgery.wisc.edu
3 The Emory Spine Center, Emory University School of Medicine, 2165 North Decatur Road, Decatur, GA 30033. E-mail address: scott_boden@emoryhealthcare.org
4 Rothman Institute at Jefferson, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107-4216. E-mail address: alexvaccaro3@aol.com
5 UCLA Department of Orthopaedic Surgery and Neurosurgery, UCLA School of Medicine, 1250 16th Street, 7th Floor Tower, Room 715, Santa Monica, CA 90404. E-mail address: jwang@mednet.ucla.edu

Specialty Update has been developed in collaboration with the Council of Musculoskeletal Specialty Societies (COMSS) of the American Academy of Orthopaedic Surgeons.

The first 150 words of the full text of this article appear below.


    What's New in the Treatment of the Cervical Spine
 
An increasing number of prospective studies have established the efficacy of many cervical spine procedures. At the same time, complications and morbidity have been critically analyzed. Several of these studies regarding anterior fusion and laminoplasty will be reviewed.

Outcomes
Long-term follow-up with use of validated instruments and strict radiographic criteria are effective for evaluating surgical results. The Cervical Spine Research Society prospectively followed 181 patients for two years to assess the influence of plates on outcomes. In patients with single-level fusions, the use of a plate was associated with a significantly higher rate of successful fusion (94% compared with 73%). Rigid and translational plates were associated with better results than plates that only allowed the toggle of screw heads. Other studies of intervertebral fusion devices have demonstrated conflicting results. Carbon fiber-reinforced spacers used as stand-alone devices had results similar to allografts, whereas tantalum mesh implants had poor results that necessitated the . . . [Full Text of this Article]


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