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Does Preoperative Cervical Sagittal Alignment And Range of Motion Affect Adjacent Segment Degeneration After Anterior Arthrodesis In Degenerative Cervical Spinal Disorders? – Midterm Follow up Study -

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2014, 21(1), pp.1-7
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

송경진 1 이광복 1 임종한 1

1전북대학교

Accredited

ABSTRACT

Study Design: Retrospective study. Objectives: The purpose of this study was to investigate whether preoperative sagittal alignment and range of motion (ROM) affectadjacent segment degeneration (ASD) and disease after anterior arthrodesis in degenerative cervical spinal disorders. Summary of Literature Review:There is no study about the relationship between preoperative ROM and sagittal alignment and thedevelopment of ASD yet. Materials and Methods: We took a retrospective approach to study 136 patients who underwent an anterior arthodesis for less than 2segments with PEEK cage and plate construct method for degenerative cervical diseases and who have a minimum of 3 years of followup. We analyzed ASD and cervical ROM, such as less than 40°(group A) and more than 40°(group B) and sagittal alignment, such aslordosis or kyphosis with less than 10°(group a), 10°~30°(group b) and more than 30°(group c). Adjacent segment degeneration wasgraded according to Park’s classification and Hillibrand method. Results: There was no statistically significant difference between group A(1.35±0.48) and group B (1.44±0.50) in the correlation betweenthe cervical ROM and the variation of disc height(p=0.07). Concerning the relationship between the ROM and osteophyte formation onadjacent segment, no statistically significant difference has been found between group A(1.64±0.88) and group B(1.43±0.67) (p=0.06). The disc height change at the final follow up after cervical sagittal alignment showed no statistically significant difference among thegroups: Group A presented with 1.53±0.50, group B with 1.30±0.46 and group C with 1.40±0.50.(p=0.08) Regarding sagittal alignment andosteophyte change, there was no statistically significant difference among the groups as group A showed an average of 1.33±0.48, groupBan average of 1.56±0.88 and group Can average of 1.60±0.82(p=0.07). Conclusion: Although the preoperative sagittal alignment and ROM did not significantly affect adjacent segment degeneration anddiseases in a mid-term follow-up evaluation after anterior arthrodesis with PEEK cage and plate in degenerative cervical spinal disorders,we think a future study is required with a sufficient number of patients and a long term follow-up because there were borderlinestatistical significances shown in the present study.

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