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Cervical Spondylosis With Radiculopathy: Title and subTitle BreakResults of Anterior Diskectomy and Interbody Fusion FREE

Bernard Jacobs, MD; Erich G. Krueger, MD; David M. Leivy, MD
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JAMA. 1970;211(13):2135-2139. doi:10.1001/jama.1970.03170130031006
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We have analyzed the results of 90 anterior cervical diskectomies combined with fusion of the spine in 62 patients with cervical spondylosis. Good to excellent results were obtained in 82% (51) of patients who returned for follow-up examinations. The results were superior in the presence of single-level disk disease, and were better following multilevel rather than limited surgical eradication in the presence of multilevel disk disease. Myelography was found to be a useful adjunct to preoperative clinical assessment of the symptomatic disk levels. The low incidence of complications encountered in this series further confirms the ease and efficacy of the anterior approach in the surgical treatment of cervical spondylotic radiculopathy.

REFERENCES

Odom GL, Fiuney W, Woodhall B:  Cervical disk lesions . JAMA 166:23-28, 1958;.
Friedenberg ZB, Broder HA, Edeiken JE, et al:  Degenerative disk disease of cervical spine: Clinical and roentgenographic study . JAMA 174:375-380, 1960;.
Cleveland DA:  Management of cervical disk and cervical arthritis syndromes . Postgrad Med 10:99-105, 1955;.
Cloward RB:  The anterior aproach for removal of ruptured cervical disks . J Neurosurg 15:602-614, 1958;.
Smith GW, Robinson RA:  The treatment of certain cervical spine disorders by anterior removal of the intervertebral disk and intervertebral fusion . J Bone Joint Surg 40A:607-623, 1958;.
Robinson RA, Walker AE, Ferlic DC, et al:  The results of anterior interbody fusion of the cervical spine . J Bone Joint Surg 44A:1569-1587, 1962;.
Dohn DF:  Anterior interbody fusion for treatment of cervical-disk conditions . JAMA 197:897-900, 1966;.
Rosomoff HL, Rossman F:  Treatment of cervical spondylosis by anterior cervical diskectomy and fusion . Arch Neurol 14: 392-398, 1966;.
Cloward RB:  Lesions of the intervertebral disks and their treatment by intervertebral fusion methods: The painful disk . Clin Orthop 27:51-57, 1963;.
DePalma AF, Subin DK:  Study of the cervical syndrome . Clin Orthop 38:135-142, 1965;.
Williams JL, Allen MB, Harkess JW:  Late results of cervical discectomy and interbody fusion: Some factors influencing the results . J Bone Joint Surg 50A:277-286, 1968;.
Bailey RW, Badgley MD:  Stabilization of the cervical spine by anterior fusion . J Bone Joint Surg 42A:565-594, 1960;.
Holt EP:  Fallacy of cervical discography . JAMA 188:799-801, 1964;.
Klafta LA, Collis JS:  An analysis of cervical discography with surgical verification . J Neurosurg 30:38-41, 1969;.

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Odom GL, Fiuney W, Woodhall B:  Cervical disk lesions . JAMA 166:23-28, 1958;.
Friedenberg ZB, Broder HA, Edeiken JE, et al:  Degenerative disk disease of cervical spine: Clinical and roentgenographic study . JAMA 174:375-380, 1960;.
Cleveland DA:  Management of cervical disk and cervical arthritis syndromes . Postgrad Med 10:99-105, 1955;.
Cloward RB:  The anterior aproach for removal of ruptured cervical disks . J Neurosurg 15:602-614, 1958;.
Smith GW, Robinson RA:  The treatment of certain cervical spine disorders by anterior removal of the intervertebral disk and intervertebral fusion . J Bone Joint Surg 40A:607-623, 1958;.
Robinson RA, Walker AE, Ferlic DC, et al:  The results of anterior interbody fusion of the cervical spine . J Bone Joint Surg 44A:1569-1587, 1962;.
Dohn DF:  Anterior interbody fusion for treatment of cervical-disk conditions . JAMA 197:897-900, 1966;.
Rosomoff HL, Rossman F:  Treatment of cervical spondylosis by anterior cervical diskectomy and fusion . Arch Neurol 14: 392-398, 1966;.
Cloward RB:  Lesions of the intervertebral disks and their treatment by intervertebral fusion methods: The painful disk . Clin Orthop 27:51-57, 1963;.
DePalma AF, Subin DK:  Study of the cervical syndrome . Clin Orthop 38:135-142, 1965;.
Williams JL, Allen MB, Harkess JW:  Late results of cervical discectomy and interbody fusion: Some factors influencing the results . J Bone Joint Surg 50A:277-286, 1968;.
Bailey RW, Badgley MD:  Stabilization of the cervical spine by anterior fusion . J Bone Joint Surg 42A:565-594, 1960;.
Holt EP:  Fallacy of cervical discography . JAMA 188:799-801, 1964;.
Klafta LA, Collis JS:  An analysis of cervical discography with surgical verification . J Neurosurg 30:38-41, 1969;.
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