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.
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.
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What's New in the Treatment of the Cervical Spine
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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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