• Cervical Total Disc Replacement and Anterior Cervical Discectomy and Fusion have Similar Short-Term Complication Rates

    Introduction: Anterior cervical discectomy and fusion (ACDF) is currently the standard of care for treating many cervical spine pathologies, and has had high clinical success.  Cervical total disc replacement (CTDR) is a newer technology that is considered for similar indications as ACDF, with the potential benefit of maintaining motion while allowing decompression. While several studies have compared outcomes between these two interventions, this research has generally been limited by sample sizes. There is a need to compare short-term outcomes between these two procedures using a national cohort of patients in order to evaluate the safety of CTDR.
  • PROMIS Physical Function: A Better Patient Reported Outcome Measure in Cervical Spine Patients

    Introduction: High quality patient reported outcome (PRO) measures are needed for better understanding patient response to treatment of cervical disorders and for comparative effectiveness studies. There are significant concerns about the Neck Disability Index (NDI) regarding its validity, as currently used, and its psychometric properties (coverage in particular). Better measures are required. The NIH funded PROMIS Physical Function domain, delivered by Computerized Adaptive Testing (PF CAT) has been shown to outperform other disease specific measures in the spine patient population, though assessment specifically in patients with cervical spine disorders and direct comparisons with legacy measures have not been performed.
  • Dens Fractures Displacement is Dependent on The Sagittal Alignment of the Subaxial Cervical Spine Rather than the Force of Injury

    Introduction: The treatment of dens fractures is often determined by the fracture angulation and displacement. It is generally believed that the magnitude of fracture displacement is proportional to the magnitude of the force applied to the cervical spine at the time of injury. However, there is no literature to support this belief. We examine in this abstract, the causes of displacement in dens fracture. Materials/Methods: Fifty-seven trauma patients who sustained a dens fracture between 2008 and 2011 were included in the study.
  • Cervical Spinal Cord Injury Modifies Distal Lumbar Locomotor Central Pattern Generator (CPG)

    Introduction: Cervical spinal cord injury (SCI) has a devastating impact on quality of life and presently there are no effective treatment options for the motor dysfunctions that ensue.  The neural network responsible for the generation of walking (locomotor CPG) is located within the lumbar enlargement. It is presumed that this neural network remains intact but dormant after trauma, making the locomotor CPG the main target for restoring walking in SCI patients.
  • Complications of Iliac Crest Bone Graft in Cervical Spine Surgery

    Background: There is wide variation in the reported prevalence and severity of morbidity associated with iliac crest bone grafts (ICBG) for spine fusions. As these data have often been derived from lumbar fusion patients, the possibility that residual symptoms from the low back and donor site may have co-mingled casts doubt on the accuracy of such assessments. Methods: Patients who had a posterior cervical fusion with ICBG from 2002-2012 were evaluated with an ICBG specific questionnaire and the Oswestry Disability Index.  A matched group of cervical laminoplasty patients were given the ODI.
  • Clinical Outcome of Cervical Laminoplasty and Postoperative Radiological Change for Cervical Myelopathy with Degenerative Spondylolisthesis

    Introduction: The presence of spondylolisthesis often represents segmental instability in cervical spine as well as lumbar spine, and fusion surgery is sometimes performed for cervical lesion with spondylolisthesis. Cervical laminoplasty is a common decompression surgery for cervical myelopathy, but its clinical result for cervical spondylolisthesis has not been well studied. The purpose of this study was to investigate the clinical outcome of cervical laminoplasty for cervical myelopathy with degenerative spondylolisthesis and to examine the postoperative radiological change of spondylolisthesis.
  • Effect of Inclusion of Asymptomatic Spondylotic Levels on Adjacent Segment Disease following ACDF

    Introduction: This study examined the incidence of symptomatic adjacent segment disease with new radiculopathy or myelopathy referable to a motion segment adjacent the site of a previous anterior arthrodesis of the cervical spine. Materials/Methods: A consecutive series of 570 patients, who had a total of 603 anterior cervical arthrodesis for the treatment of cervical spondylosis with radiculopathy, myelopathy or both, were followed for a maximum of thirteen years after the index operation.
  • Stability of Clinical Outcome Measures following Anterior Cervical Spine Surgery

    Introduction: Two-year follow-up is often thought of as the minimum required term for evaluating clinical outcomes, although the rationale for such is not obvious. The purpose of this study was to investigate the stability of outcome measures over time following anterior cervical surgery, and secondly, to investigate the stability of individual patient scores over time.