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Seminars in Neurosurgery 2003; 14(1): 061-066
DOI: 10.1055/s-2003-41151
DOI: 10.1055/s-2003-41151
Treatment Options for Failure of Anterior Cervical Discectomy and Fusion
Further Information
Publication History
Publication Date:
06 August 2003 (online)
ABSTRACT
Anterior cervical discectomy and fusion (ACDF) procedures have been performed for over 50 years. While complications are minimal and results are generally good, the most common complication is nonunion. Various approaches to repair these nonunions have been suggested. Anterior revision surgery results in a fusion in up to 97% of patients with minimal to no complications. Posterior revision surgery produces up to 100% fusion rates with a similar minimal complication occurrence. Some support exists for combined anterior/posterior approach with 100% fusion rate and no complications. No large multicenter randomized prospective study provides definitive evidence to support one approach over another.
KEYWORDS
Anterior cervical discectomy - revision - failure
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