The Journal of Bone and Joint Surgery (American). 2009;91:1822-1834.
doi:10.2106/JBJS.I.00488
© 2009 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, Campus Box 8233, St. Louis, MO 63110. E-mail address: bridwellk@wudosis.wustl.edu
2 Department of Orthopedic Surgery and Rehabilitation, University of Wisconsin Hospital, 600 Highland Avenue, Suite K4-736, Madison, WI 53792-0001. E-mail address: anderson@orthorehab.wisc.edu
3 The Emory Spine Center, Emory University School of Medicine, 59 Executive Park South—Suite 3000, Atlanta, GA 30329. 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 University of California at Los Angeles Department of Orthopaedic Surgery and Neurosurgery, University of California at Los Angeles School of Medicine, 1250 16th Street, 7th Floor Tower, Room 715, Santa Monica, CA 90404. E-mail address: jwang@mednet.ucla.edu

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


   What's New in the Treatment of the Cervical Spine
 
Many controversies still exist with regard to the surgical treatment of cervical spine pathology. The role of allograft, autograft, plate fixation, and bone morphogenetic protein is not entirely clear. There is still debate about the surgical treatment of myelopathy anteriorly as opposed to posteriorly. Clearly, there is substantial anatomic variation in the location of the vertebral artery. Disc arthroplasty for the cervical spine continues to appear to be a viable option for patients with single-level pathology.

Anterior Cervical Fusion
Despite interest in motion preservation, cervical fusion remains a common and highly successful surgical approach for the treatment of radiculopathy and myelopathy. Recently reported clinical outcomes following single-level fusion have shown that a substantial reduction in pain and disability occurs in about 90% of cases. Improvement in overall health-related quality of life, as measured with the Short Form-36 (SF-36), was substantial compared with that occurring after total hip or total knee arthroplasty. Multivariable analysis . . . [Full Text of this Article]


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