Abstract
Purpose: Aim of this study is to compare late degenerative MRI changes in a subset of patients operated on with ACDF to a second subset of patients presenting indication to ACDF but never operated on. Methods: Patients from both subgroups received surgical indication according to the same criteria. Both subgroups underwent a cervical spine MRI in 2004–2005 and 10 years later in 2015. These MRI scans were retrospectively evaluated with a cervical spine ageing scale. Results: Comparing the two subset of patients both suffering from clinically relevant single-level disease returns no statistically significant difference in the degenerative condition of posterior ligaments, presence of degenerative spondylolisthesis, foraminal stenosis, diameter of the spinal canal, Modic alteration, and intervertebral discs degeneration at 10-year follow-up. Conclusions: The adjacent segment degeneration represents, in the present cohort, a result of the natural history of cervical spondylosis rather than a consequence of fusion.
| Original language | English |
|---|---|
| Pages (from-to) | 503-511 |
| Number of pages | 9 |
| Journal | European Journal of Orthopaedic Surgery and Traumatology |
| Volume | 27 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - May 1 2017 |
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Keywords
- ACDF
- Adjacent segment pathology
- Ageing spine
- Cervical arthroplasty
- Cervical spondylosis
- MRI
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Adjacent segment pathology : natural history or effect of anterior cervical discectomy and fusion? A 10-year follow-up radiological multicenter study using an evaluation scale of the ageing spine. / Pesce, Alessandro; Wierzbicki, Venceslao; Piccione, Emanuele; Frati, Alessandro; Raco, Antonino; Caruso, Riccardo.
In: European Journal of Orthopaedic Surgery and Traumatology, Vol. 27, No. 4, 01.05.2017, p. 503-511.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Adjacent segment pathology
T2 - natural history or effect of anterior cervical discectomy and fusion? A 10-year follow-up radiological multicenter study using an evaluation scale of the ageing spine
AU - Pesce, Alessandro
AU - Wierzbicki, Venceslao
AU - Piccione, Emanuele
AU - Frati, Alessandro
AU - Raco, Antonino
AU - Caruso, Riccardo
PY - 2017/5/1
Y1 - 2017/5/1
N2 - Purpose: Aim of this study is to compare late degenerative MRI changes in a subset of patients operated on with ACDF to a second subset of patients presenting indication to ACDF but never operated on. Methods: Patients from both subgroups received surgical indication according to the same criteria. Both subgroups underwent a cervical spine MRI in 2004–2005 and 10 years later in 2015. These MRI scans were retrospectively evaluated with a cervical spine ageing scale. Results: Comparing the two subset of patients both suffering from clinically relevant single-level disease returns no statistically significant difference in the degenerative condition of posterior ligaments, presence of degenerative spondylolisthesis, foraminal stenosis, diameter of the spinal canal, Modic alteration, and intervertebral discs degeneration at 10-year follow-up. Conclusions: The adjacent segment degeneration represents, in the present cohort, a result of the natural history of cervical spondylosis rather than a consequence of fusion.
AB - Purpose: Aim of this study is to compare late degenerative MRI changes in a subset of patients operated on with ACDF to a second subset of patients presenting indication to ACDF but never operated on. Methods: Patients from both subgroups received surgical indication according to the same criteria. Both subgroups underwent a cervical spine MRI in 2004–2005 and 10 years later in 2015. These MRI scans were retrospectively evaluated with a cervical spine ageing scale. Results: Comparing the two subset of patients both suffering from clinically relevant single-level disease returns no statistically significant difference in the degenerative condition of posterior ligaments, presence of degenerative spondylolisthesis, foraminal stenosis, diameter of the spinal canal, Modic alteration, and intervertebral discs degeneration at 10-year follow-up. Conclusions: The adjacent segment degeneration represents, in the present cohort, a result of the natural history of cervical spondylosis rather than a consequence of fusion.
KW - ACDF
KW - Adjacent segment pathology
KW - Ageing spine
KW - Cervical arthroplasty
KW - Cervical spondylosis
KW - MRI
UR - http://www.scopus.com/inward/record.url?scp=85018792081&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85018792081&partnerID=8YFLogxK
U2 - 10.1007/s00590-017-1936-6
DO - 10.1007/s00590-017-1936-6
M3 - Article
AN - SCOPUS:85018792081
VL - 27
SP - 503
EP - 511
JO - European Journal of Orthopaedic Surgery and Traumatology
JF - European Journal of Orthopaedic Surgery and Traumatology
SN - 1633-8065
IS - 4
ER -