Limiting fusion levels by combining anterior cervical decompression and fusion with posterior laminectomy: Technical note.

Chin, Kingsley R; Pencle, Fabio J R; Valdivia, Juan M; Seale, Jason A; Gabriel, Josue P · J Orthop · 2018

case_series · Level IV

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Abstract

Authors aim to report on the outcomes of combining selective anterior cervical decompression and fusion (ACDF) with laminectomy in patients with cervical spondylotic radiculomyelopathy (CSR). 10 patients with ACDF and posterior laminectomy reviewed. 60% female population, mean age 61 ± 3 years, mean BMI 24.7 ± 3.4 kg/m<sup>2</sup>. VAS and NDI showed significant improvement, p < 0.001, p = 0.02 respectively. Mean PCS 31.9 ± 2.7, MCS 38.9 ± 3.4 improved to mean PCS 42.2 ± 5.1, MCS 51.0 ± 4.7, p = 0.09 and 0.06 respectively. At final follow up fusion rate was 90% and all patients had Nurick Grade 0. In this pilot study, procedure shown to be safe with improved symptoms.

Anatomy