Alessandro Pesce1, Venceslao Wierzbicki2, Emanuele Piccione2,3, Alessandro Frati4, Antonino Raco5, Riccardo Caruso2. 1. Neurosurgery Division, NESMOS Department, A.O. "Sant'Andrea", Sapienza University of Rome, Via di Grottarossa, 1035-1039, 00189, Rome, Italy. ale_pesce83@yahoo.it. 2. Neurosurgery Division, Dipartimento Scienze Neurosensoriali, Rome Army Hospital "Celio", Sapienza University of Rome, Piazza Celimontana, 50, 00184, Rome, Italy. 3. Radiology Division, Dipartimento Scienze Scienze Radiologiche, Rome Army Hospital "Celio", Sapienza University of Rome, Piazza Celimontana, 50, 00184, Rome, Italy. 4. Neurosurgery Division, IRCCS "Neuromed", Sapienza University of Rome, Via Atinense 18, Pozzilli, IS, Italy. 5. Neurosurgery Division, NESMOS Department, A.O. "Sant'Andrea", Sapienza University of Rome, Via di Grottarossa, 1035-1039, 00189, Rome, Italy.
Abstract
PURPOSE: Aim of this study is to compare late degenerative MRI changes in a subset of patients operated on with ACDF to a second subset of patients presenting indication to ACDF but never operated on. METHODS: Patients from both subgroups received surgical indication according to the same criteria. Both subgroups underwent a cervical spine MRI in 2004-2005 and 10 years later in 2015. These MRI scans were retrospectively evaluated with a cervical spine ageing scale. RESULTS: Comparing the two subset of patients both suffering from clinically relevant single-level disease returns no statistically significant difference in the degenerative condition of posterior ligaments, presence of degenerative spondylolisthesis, foraminal stenosis, diameter of the spinal canal, Modic alteration, and intervertebral discs degeneration at 10-year follow-up. CONCLUSIONS: The adjacent segment degeneration represents, in the present cohort, a result of the natural history of cervical spondylosis rather than a consequence of fusion.
PURPOSE: Aim of this study is to compare late degenerative MRI changes in a subset of patients operated on with ACDF to a second subset of patients presenting indication to ACDF but never operated on. METHODS:Patients from both subgroups received surgical indication according to the same criteria. Both subgroups underwent a cervical spine MRI in 2004-2005 and 10 years later in 2015. These MRI scans were retrospectively evaluated with a cervical spine ageing scale. RESULTS: Comparing the two subset of patients both suffering from clinically relevant single-level disease returns no statistically significant difference in the degenerative condition of posterior ligaments, presence of degenerative spondylolisthesis, foraminal stenosis, diameter of the spinal canal, Modic alteration, and intervertebral discs degeneration at 10-year follow-up. CONCLUSIONS: The adjacent segment degeneration represents, in the present cohort, a result of the natural history of cervical spondylosis rather than a consequence of fusion.
Authors: D C Noriega; A Kreuger; M Brotat; F Ardura; R Hernandez; M F Muñoz; C Barrios Journal: Acta Neurochir (Wien) Date: 2013-10-10 Impact factor: 2.216
Authors: Pierce D Nunley; Ajay Jawahar; Eubulus J Kerr; Charles J Gordon; David A Cavanaugh; Elisa M Birdsong; Marolyn Stocks; Guy Danielson Journal: Spine (Phila Pa 1976) Date: 2012-03-15 Impact factor: 3.468
Authors: Ahmad Nassr; Joon Y Lee; Rubin S Bashir; Jeffrey A Rihn; Jason C Eck; James D Kang; Moe R Lim Journal: Spine (Phila Pa 1976) Date: 2009-01-15 Impact factor: 3.468