One-stage anterior cervical decompression and posterior stabilization: A study of one hundred patients with a minimum of two years of follow-up

P. C. McAfee, H. H. Bohlman, T. B. Ducker, S. M. Zeidman, J. A. Goldstein

Research output: Contribution to journalArticle

Abstract

One hundred patients were managed with one-stage anterior decompression and posterior stabilization of the cervical spine. The underlying indication for the operation was cervical trauma in thirty-one patients; a neoplasm with a pathological fracture or an incomplete neurological deficit in fifty-five; and a miscellaneous condition, such as infection, rheumatoid arthritis, or cervical spondylotic myelopathy, in fourteen. The duration of follow-up ranged from twenty-four to 108 months (mean, thirty-two months) for the living patients. Sixteen patients had the procedure after the failure of an operation that had been performed elsewhere. The development of more biomechanically rigid cervical instrumentation did not obviate the need for a combined anterior and posterior approach. Twenty-six patients (26 per cent) had supplemental cervical instrumentation as part of the circumferential arthrodesis: seventeen had insertion of an anterior cervical plate and nine had insertion of a posterior facet plate. There were no iatrogenic neurological deficits. Of the seventy-five patients who had had a neurological deficit preoperatively, fifty-one improved one grade and six improved two grades according to the system of Frankel et al. Of the thirty- five patients who had not been able to walk preoperatively, twenty-one regained enough motor strength to walk postoperatively. Because the anterior and posterior procedures were performed during one session of general anesthesia, the prevalence of perioperative complications related to the airway was lower than that previously reported in the literature. No patient had an obstruction of the airway.

Original languageEnglish (US)
Pages (from-to)1791-1800
Number of pages10
JournalThe Journal of bone and joint surgery. American volume
Volume77
Issue number12
StatePublished - 1995
Externally publishedYes

Fingerprint

Decompression
Spontaneous Fractures
Arthrodesis
Spinal Cord Diseases
Airway Obstruction
General Anesthesia
Rheumatoid Arthritis
Spine
Wounds and Injuries
Infection
Neoplasms

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

One-stage anterior cervical decompression and posterior stabilization : A study of one hundred patients with a minimum of two years of follow-up. / McAfee, P. C.; Bohlman, H. H.; Ducker, T. B.; Zeidman, S. M.; Goldstein, J. A.

In: The Journal of bone and joint surgery. American volume, Vol. 77, No. 12, 1995, p. 1791-1800.

Research output: Contribution to journalArticle

@article{4acacda5639c4a6eb33b375dd3a0de00,
title = "One-stage anterior cervical decompression and posterior stabilization: A study of one hundred patients with a minimum of two years of follow-up",
abstract = "One hundred patients were managed with one-stage anterior decompression and posterior stabilization of the cervical spine. The underlying indication for the operation was cervical trauma in thirty-one patients; a neoplasm with a pathological fracture or an incomplete neurological deficit in fifty-five; and a miscellaneous condition, such as infection, rheumatoid arthritis, or cervical spondylotic myelopathy, in fourteen. The duration of follow-up ranged from twenty-four to 108 months (mean, thirty-two months) for the living patients. Sixteen patients had the procedure after the failure of an operation that had been performed elsewhere. The development of more biomechanically rigid cervical instrumentation did not obviate the need for a combined anterior and posterior approach. Twenty-six patients (26 per cent) had supplemental cervical instrumentation as part of the circumferential arthrodesis: seventeen had insertion of an anterior cervical plate and nine had insertion of a posterior facet plate. There were no iatrogenic neurological deficits. Of the seventy-five patients who had had a neurological deficit preoperatively, fifty-one improved one grade and six improved two grades according to the system of Frankel et al. Of the thirty- five patients who had not been able to walk preoperatively, twenty-one regained enough motor strength to walk postoperatively. Because the anterior and posterior procedures were performed during one session of general anesthesia, the prevalence of perioperative complications related to the airway was lower than that previously reported in the literature. No patient had an obstruction of the airway.",
author = "McAfee, {P. C.} and Bohlman, {H. H.} and Ducker, {T. B.} and Zeidman, {S. M.} and Goldstein, {J. A.}",
year = "1995",
language = "English (US)",
volume = "77",
pages = "1791--1800",
journal = "Journal of Bone and Joint Surgery - Series A",
issn = "0021-9355",
publisher = "Journal of Bone and Joint Surgery Inc.",
number = "12",

}

TY - JOUR

T1 - One-stage anterior cervical decompression and posterior stabilization

T2 - A study of one hundred patients with a minimum of two years of follow-up

AU - McAfee, P. C.

AU - Bohlman, H. H.

AU - Ducker, T. B.

AU - Zeidman, S. M.

AU - Goldstein, J. A.

PY - 1995

Y1 - 1995

N2 - One hundred patients were managed with one-stage anterior decompression and posterior stabilization of the cervical spine. The underlying indication for the operation was cervical trauma in thirty-one patients; a neoplasm with a pathological fracture or an incomplete neurological deficit in fifty-five; and a miscellaneous condition, such as infection, rheumatoid arthritis, or cervical spondylotic myelopathy, in fourteen. The duration of follow-up ranged from twenty-four to 108 months (mean, thirty-two months) for the living patients. Sixteen patients had the procedure after the failure of an operation that had been performed elsewhere. The development of more biomechanically rigid cervical instrumentation did not obviate the need for a combined anterior and posterior approach. Twenty-six patients (26 per cent) had supplemental cervical instrumentation as part of the circumferential arthrodesis: seventeen had insertion of an anterior cervical plate and nine had insertion of a posterior facet plate. There were no iatrogenic neurological deficits. Of the seventy-five patients who had had a neurological deficit preoperatively, fifty-one improved one grade and six improved two grades according to the system of Frankel et al. Of the thirty- five patients who had not been able to walk preoperatively, twenty-one regained enough motor strength to walk postoperatively. Because the anterior and posterior procedures were performed during one session of general anesthesia, the prevalence of perioperative complications related to the airway was lower than that previously reported in the literature. No patient had an obstruction of the airway.

AB - One hundred patients were managed with one-stage anterior decompression and posterior stabilization of the cervical spine. The underlying indication for the operation was cervical trauma in thirty-one patients; a neoplasm with a pathological fracture or an incomplete neurological deficit in fifty-five; and a miscellaneous condition, such as infection, rheumatoid arthritis, or cervical spondylotic myelopathy, in fourteen. The duration of follow-up ranged from twenty-four to 108 months (mean, thirty-two months) for the living patients. Sixteen patients had the procedure after the failure of an operation that had been performed elsewhere. The development of more biomechanically rigid cervical instrumentation did not obviate the need for a combined anterior and posterior approach. Twenty-six patients (26 per cent) had supplemental cervical instrumentation as part of the circumferential arthrodesis: seventeen had insertion of an anterior cervical plate and nine had insertion of a posterior facet plate. There were no iatrogenic neurological deficits. Of the seventy-five patients who had had a neurological deficit preoperatively, fifty-one improved one grade and six improved two grades according to the system of Frankel et al. Of the thirty- five patients who had not been able to walk preoperatively, twenty-one regained enough motor strength to walk postoperatively. Because the anterior and posterior procedures were performed during one session of general anesthesia, the prevalence of perioperative complications related to the airway was lower than that previously reported in the literature. No patient had an obstruction of the airway.

UR - http://www.scopus.com/inward/record.url?scp=0029614779&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029614779&partnerID=8YFLogxK

M3 - Article

C2 - 8550645

AN - SCOPUS:0029614779

VL - 77

SP - 1791

EP - 1800

JO - Journal of Bone and Joint Surgery - Series A

JF - Journal of Bone and Joint Surgery - Series A

SN - 0021-9355

IS - 12

ER -