Anterior Cervical Fusion after Traumatic Dislocation of the Cervical Spine in Childhood and Adolescence

1978 ◽  
Vol 4 (2) ◽  
pp. 120-128
Author(s):  
Jürgen Wickboldt ◽  
Niels Sörensen
Keyword(s):  
Cervical Spine ◽  
Anterior Cervical Fusion ◽  
Childhood And Adolescence ◽  
Cervical Fusion ◽  
Traumatic Dislocation

scholarly journals PARTICULARITIES IN TREATMENT OF ESOPHAGEAL PERFORATION AFTER CERVICAL SPINE FUSION EXPERIENCE OF TREATMENT OF 24 PATIENTS

2017 ◽  
Vol 8 (2) ◽  
pp. 61-71
Author(s):  
A N Pogodina ◽  
A A Green ◽  
D S Kasatkin ◽  
A K Kaikov ◽  
A S Lvov ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Anterior Cervical Fusion ◽  
Cervical Fusion ◽  
Double Row ◽  
Golden Standard ◽  
Repeated Surgery ◽  
Clinically Significant ◽  
Cervical Spine Fusion ◽  
Access Surgery ◽  
Adequate Decompression

The aim of the study is to specify the causes, peculiarities of the damage and the tactics of treating patients with clinically significant damages to the esophagus after the anterior cervical fusion or in combination with it.Material and methods: medical treatment of 24 patients in Sklifosovsky Emergency Research Institute with the damage to the esophagus after the front access surgery of the cervical spine during the period of 2003-2016 was analyzed.Results: we succeeded to restore or save the support ability of the spine for all patients and at the same time to take away the infected transplants, and, if necessary, to make adequate decompression of neurovascular entities of the spine column and fixation of the verbal-motor segment. 21 patients underwent conserving surgery in the cervical esophagus with its suturing with the double-row suture. 2 patients had failure of seams in the esophagus and they underwent a repeated surgery of suturing its defect. 2 patients underwent organodetrital surgeries. One patient died. Conclusion: damages to the esophagus after anterior cervical fusion or in combination with it are rare complications. That is why it is impossible to gain much experience in treating of such patients in only one clinic. In this case all publications on this topic are of great interest. Due to unsatisfactory results of the conservative therapy we should consider surgical treatment in general hospitals with the participation of a multidisciplinary brigade the golden standard.

Monitoring of blood parameters following anterior cervical fusion

2000 ◽  
Vol 92 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Steffen K. Rosahl ◽  
Alireza Gharabaghi ◽  
Peter-Michael Zink ◽  
Madjid Samii
Keyword(s):  
Cervical Spine ◽  
Cell Count ◽  
Postoperative Period ◽  
White Cell Count ◽  
Anterior Cervical Fusion ◽  
Anterior Fusion ◽  
Cervical Fusion ◽  
Content Type ◽  
Cervical Spine Surgery ◽  
Fine Print

Object. Both C-reactive protein (CRP) level and erythrocyte sedimentation rate (ESR) were measured prospectively in 51 cases in which uncomplicated cervical anterior fusion was performed. The object of the authors was to quantify the differences in the responses of these parameters recorded in the immediate postoperative period and to determine factors influencing their course. Methods. Nineteen one-level, 23 two-level, and nine three-level procedures for disc herniation and degenerative disease of the cervical spine were performed in 22 female and 29 male patients (mean age 49.2 years). Blood samples were obtained 1 day before as well as on 10 consecutive days and 3 months following anterior cervical fusion. Serum CRP level was measured using a fluorescence polarization immunoassay and ESR was determined from the same samples. Operative time, the number of blood transfusions, and drugs administered in the postoperative period were recorded. In addition, hemoglobin, hematocrit, red blood cell count, platelet count, white cell count, and axillary body temperature were checked daily. Conclusions. Monitoring of CRP level is superior to that of ESR for early detection of infections after cervical spine surgery. Although CRP was not related to any of the factors that have been proposed to explain its peak value variance in previous studies, individual acute-phase protein metabolism response to tissue affection appears to be a more decisive element in this respect.

Effect of lower two-level anterior cervical fusion on the superior adjacent level

2007 ◽  
Vol 7 (3) ◽  
pp. 336-340 ◽  
Author(s):  
Dong-Hyuk Park ◽  
Prem Ramakrishnan ◽  
Tai-Hyoung Cho ◽  
Eric Lorenz ◽  
Jason C. Eck ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Intradiscal Pressure ◽  
T Test ◽  
Anterior Cervical Fusion ◽  
Segmental Motion ◽  
Cervical Fusion ◽  
Lateral Bending ◽  
Before And After ◽  
The Mean ◽  
Pressure Changes

Object Symptomatic multisegment disease is most common at the C5–6 and C6–7 levels, and two-level anterior cervical discectomy and fusion (ACDF) is performed most often at these levels. Therefore, it may be clinically important to know whether a C5–7 fusion affects the superior C4–5 segment. A biomechanical study was carried out using cadaveric cervical spine specimens to determine the effect of lower two-level anterior cervical fusion on intradiscal pressure and segmental motion at the superior adjacent vertebral level. Methods Five cadaveric cervical spine specimens were used in this study. The specimens were stabilized at T-1 and loaded at C-3 to 15° flexion, 10° extension, and 10° lateral bending before and after simulated two-level ACDF with plate placement at C5–7. Intradiscal pressure was recorded at the C4–5 level, and segmental motion was recorded from C-4 through C-7. Differences in mean intradiscal pressures were calculated and analyzed using a paired Student t-test. When the maximum calibrated intradiscal pressures were exceeded (“overshot”) during measurements, data from the specimens involved were analyzed using the motion data with a Student t-test. Values for pressure and motion obtained before and after simulated ACDF were compared. Results During flexion, the mean intradiscal pressure changes (± standard deviations) in the pre- and post-ACDF measurements were 1275 (± 225) mm Hg and 2475 (± 75) mm Hg, respectively (p < 0.05). When the results of pre-ACDF testing were compared with post-ACDF results, no significant difference was found in the mean changes in the intradiscal pressure during extension and lateral bending. The maximum calibrated intradiscal pressures were exceeded during the post-ACDF testing in four specimens in extension, three in flexion, and two in lateral bending. Comparison of pre- and post-ACDF data for all five specimens revealed significant differences in motion and intradiscal pressure (p < 0.05) during flexion, significant differences in motion (p < 0.05) but not in intradiscal pressure during extension, and significant differences in intradiscal pressure changes (p < 0.05) but not in motion during lateral bending. Conclusions Simulated C5–7 ACDF caused a significant increase in intradiscal pressure and segmental motion in the superior adjacent C4–5 level during physiological motion. The increased pressure and hypermobility might accelerate normal degenerative changes in the vertebral levels adjacent to the anterior cervical fusion.

The Synthes Cervical Spine Locking Plate and Screw System in Anterior Cervical Fusion

1994 ◽  
Vol 9 (1) ◽  
pp. 86-91 ◽  
Author(s):  
Glenn R. Rechtine ◽  
David W. Cahill ◽  
Marcelo Gruenberg ◽  
Ann Marie Chrin
Keyword(s):  
Cervical Spine ◽  
Locking Plate ◽  
Anterior Cervical Fusion ◽  
Cervical Fusion
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