A comparison of fusion rates between single-level cervical corpectomy and two-level discectomy and fusion

Citation
Jc. Wang et al., A comparison of fusion rates between single-level cervical corpectomy and two-level discectomy and fusion, J SPINAL D, 14(3), 2001, pp. 222-225
Citations number
20
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Neurology
Journal title
JOURNAL OF SPINAL DISORDERS
ISSN journal
0895-0385 → ACNP
Volume
14
Issue
3
Year of publication
2001
Pages
222 - 225
Database
ISI
SICI code
0895-0385(200106)14:3<222:ACOFRB>2.0.ZU;2-Q
Abstract
A single corpectomy and strut grafting has been proposed as an alternative to performing two-level adjacent discectomies with multiple grafts to produ ce superior fusion rates. The purpose of this study was to compare the clin ical and radiographic success of two-level discectomy and fusion with anter ior cervical plate fixation compared with a single-level corpectomy. Fifty- two patients were treated with either a two-level adjacent anterior cervica l discectomy and fusion with cervical plating, or by a single-level corpect omy and plate. Thirty-two patients had two-level discectomies, whereas 20 h ad a single corpectomy and a strut graft (average follow-up was 3.6 years). One patient had a pseudarthrosis from a single-level corpectomy and requir ed subsequent surgery to obtain an osseous union. The fusion rates between the two groups was not statistically significant (p = 0.385). The clinical results of the surgeries were similar between the groups based on Odom's cr iteria. The addition of cervical plates to either two-level discectomies or single-level corpectomies yielded similar fusion and complication rates.