1997 Cervical radiculopathy: pain, muscle weak-ness and sensory loss in patients with cervical radiculopathy treated with surgery, phys-iotherapy or cervical collar.. Eur Spine J 6:256–
Trang 1Persson LC, Moritz U, Brandt L, et al ( 1997) Cervical radiculopathy: pain, muscle
weak-ness and sensory loss in patients with cervical radiculopathy treated with surgery,
phys-iotherapy or cervical collar A prospective, controlled study Eur Spine J 6:256–66
In this prospective study on 81 patients with cervical spondylotic radiculopathy, the
authors found that a cervical collar, physiotherapy, or surgery were equally effective in
the long term However, better short-term pain relief was noted for the surgically treated
patients
Robinson RA, Smith GW ( 1955) Anterolateral cervical disc removal and interbody
fusion for cervical disc syndrome Bull Johns Hopkins Hosp 96:223
Smith GW, Robinson RA ( 1958) The treatment of certain cervical-spine disorders by
anterior removal of the intervertebral disc and interbody fusion J Bone Joint Surg Am
40-A:607–24
Cloward RB ( 1958) The anterior approach for removal of ruptured cervical disks J
Neu-rosurg 15:602–17
Classic articles on the technique of anterior cervical discectomy and fusion
Frykholm R ( 1951) Cervical nerve root compression resulting from disc degeneration
and root-sleeve fibrosis A clinical investigation Acta Orthop Scand (Suppl) 160:1–149
Classic article on the techniques of posterior foraminotomy
Bohlman HH, Emery SE, Goodfellow DB, Jones PK ( 1993) Robinson anterior cervical
discectomy and arthrodesis for cervical radiculopathy Long-term follow-up of one
hun-dred and twenty-two patients J Bone Joint Surg (Am) 75-A:1298–1307
In this classic case series, Bohlman et al demonstrated that the fusion results of ACDF are
critically dependent on the amount of levels fused The fusion rates for one, two and
mul-tilevel fusions were 89 %, 73 % and 67 %, respectively
Savolainen S, Rinne J, Hernesniemi J ( 1998) A prospective randomized study of anterior
single-level cervical disc operations with long-term follow-up: surgical fusion is
unnec-essary Neurosurgery 43:51–5
In this RCT, the authors demonstrated that the radiological results indicated that
com-plete bony union was achieved in almost all cases at 4 years of follow-up A slight kyphosis
developed in 62.5 % of the patients who had undergone discectomy, 40 % of the patients
who had undergone fusion, and 44 % of the patients who had undergone fusion plus
plat-ing The clinical outcomes were good for 76 % of the patients who had undergone
discec-tomy, 82 % who had undergone fusion, and 73 % who had undergone fusion plus plating
The authors concluded that satisfactory results can be achieved by performing simple
discectomy to treat single-level cervical root compressive disease
Grob D, Peyer JV, Dvorak J ( 2001) The use of plate fixation in anterior surgery of the
degenerative cervical spine: a comparative prospective clinical study Eur Spine J 10:
408–13
In this small RCT, the authors demonstrated that outcome and fusion rates of one- and
two-level fusion were independent of anterior plating
Wang JC, McDonough PW, Endow KK, Delamarter RB ( 2000) Increased fusion rates with
cervical plating for two-level anterior cervical discectomy and fusion Spine 25:41–5
This study demonstrates the benefits of anterior plating for three-level fusions on the
radiological outcome However, the study also indicated that a three-level procedure is
still associated with a high non-union rate and additional posterior fusion may be
indi-cated in these cases
Kadanka Z, Bednarik J, Vohanka S, Vlach O, Stejskal L, Chaloupka R, Filipovicova D,
Surelova D, Adamova B, Novotny O, Nemec M, Smrcka V, Urbanek I ( 2000) Conservative
treatment versus surgery in spondylotic cervical myelopathy: a prospective randomised
study Eur Spine J 9:538–44
In a prospective randomized study, the authors compared the conservative and operative
treatment of 48 patients with mild and moderate forms of cervical spondylotic
myelopa-thy (CSM) The authors concluded that surgical treatment of mild to moderate forms of
CSM in the present study design, comprising patients with no or very slow, insidious
pro-gression and a relatively long duration of symptoms, did not show better results than
con-servative treatment at 2-year follow-up
Trang 2Hirabayashi K, Miyakawa J, Satomi K, Maruyama T, Wakano K ( 1981) Operative results and postoperative progression of ossification among patients with ossification of cervi-cal posterior longitudinal ligament Spine 6:354–64
Classic article on the technique of laminoplasty
Edwards CC, 2nd, Heller JG, Murakami H (2002) Corpectomy versus laminoplasty for multilevel cervical myelopathy: an independent matched-cohort analysis Spine 27:1168–75
In this matched cohort study, the authors demonstrated that both multilevel corpectomy and laminoplasty reliably arrest myelopathic progression in multilevel cervical myelopa-thy Significant neurological recovery and pain reduction can be expected in a majority of patients The authors suggested that laminoplasty may be the preferred method of treat-ment for multilevel cervical myelopathy in the absence of preoperative kyphosis
Ratliff JK, Cooper PR ( 2003) Cervical laminoplasty: a critical review J Neurosurg 98: 230–8
The authors conducted a metaanalysis on laminoplasty including more than 2 000 patients from 71 studies Twenty-three papers provided data on the percentage of patients improving (mean approximately 80 %) The recovery was independent of the technique
A postoperative deterioration of cervical alignment was found in approximately 35 %, and 10 % developed postoperative kyphosis in the long term In the long-term follow-up, progressive loss of cervical ROM was observed Final ROM appears to be similar to that seen in patients who had undergone laminectomy and fusion In only seven articles were the rates of postoperative axial neck pain quantified, noting an incidence between 6 % and 60 % In approximately 8 % of patients, C5 nerve root dysfunction was reported (in 12 articles)
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