Anterior Cervical Discectomy and Fusion Pseudarthrosis: Posterior Versus “Redo” Anterior

POSTERIOR CERVICAL APPROACH SHOULD BE USED TO ADDRESS CERVICAL PSEUDARTHROSIS In the setting of a symptomatic pseudarthrosis, the main goal of additional surgery is to obtain a solid bony fusion. Either posterior or revision anterior approaches can be utilized and are supported in the literature. Although patient-specific factors should be a main driving factor in surgical choice, the posterior approach has clear benefits over revision anterior surgery mainly due to its significantly higher fusion rates, which consistently approach 100%.

[1]  Jun S. Kim,et al.  A Meta-Analysis of the Clinical and Fusion Results following Treatment of Symptomatic Cervical Pseudarthrosis , 2015, Global spine journal.

[2]  James D. Schwender,et al.  Posterior Cervical Lateral Mass Screw Fixation and Fusion to Treat Pseudarthrosis of Anterior Cervical Fusion , 2012, Journal of spinal disorders & techniques.

[3]  Y. Matsuyama,et al.  C5 palsy after cervical laminoplasty: a multicentre study. , 2010, The Journal of bone and joint surgery. British volume.

[4]  T. Ryken,et al.  Management of anterior cervical pseudarthrosis. , 2009, Journal of neurosurgery. Spine.

[5]  Michael J Lee,et al.  Risk factors for dysphagia after anterior cervical spine surgery: a two-year prospective cohort study. , 2007, The spine journal : official journal of the North American Spine Society.

[6]  S. Glassman,et al.  Treatment of anterior cervical pseudoarthrosis: posterior fusion versus anterior revision. , 2006, The spine journal : official journal of the North American Spine Society.

[7]  Jeffrey C. Wang,et al.  An Outcomes Analysis of the Treatment of Cervical Pseudarthrosis With Posterior Fusion , 2005, Spine.

[8]  W. Caspar,et al.  Anterior cervical fusion and trapezoidal plate stabilization for re-do surgery. , 1999, Surgical neurology.

[9]  T. Zdeblick,et al.  The efficacy of anterior cervical plating in the management of symptomatic pseudoarthrosis of the cervical spine. , 1999, Spine.

[10]  S. Emery,et al.  Anterior Cervical Pseudarthrosis: Natural History and Treatment , 1997, Spine.

[11]  C. Branch,et al.  Revision of anterior cervical pseudoarthrosis with anterior allograft fusion and plating. , 1997, Journal of neurosurgery.

[12]  S. S. Hughes,et al.  Failed Anterior Cervical Discectomy and Arthrodesis. Analysis and Treatment of Thirty-five Patients* , 1997, The Journal of bone and joint surgery. American volume.

[13]  K. Yonenobu,et al.  Neck and Shoulder Pain After Laminoplasty: A Noticeable Complication , 1996, Spine.

[14]  M. Swank,et al.  Surgical Revision for Failed Anterior Cervical Fusions: Articular Pillar Plating or Anterior Revision? , 1995, Spine.

[15]  M. Newman.  The outcome of pseudarthrosis after cervical anterior fusion. , 1993, Spine.

[16]  H. A. Peterson,et al.  Incidence of spinal column deformity after multilevel laminectomy in children and adults. , 1982, Journal of neurosurgery.

[17]  A. Neidre,et al.  Treatment of cervical pseudarthrosis after Smith-Robinson procedure with Halifax clamp fixation. , 2006, Journal of surgical orthopaedic advances.

[18]  D. Gore,et al.  Treatment of nonunions following anterior cervical discectomy and fusion with interspinous wiring and bone grafting. , 2003, Journal of surgical orthopaedic advances.