Please use this identifier to cite or link to this item: doi:10.22028/D291-39836
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Title: Adjacent segment disease following anterior cervical fusion and the presence of surgery for lumbar disc herniation and surgery at the musculoskeletal joints: are they related?
Author(s): Burkhardt, Benedikt W
Simgen, Andreas
Wagenpfeil, Gudrun
Hendrix, Philipp
Reith, Wolfgang
Oertel, Joachim M
Language: English
Title: The spine journal : official journal of the North American Spine Society
Volume: 20
Issue: 12
Pages: 1925-1933
Publisher/Platform: Elsevier
Year of Publication: 2020
Free key words: Cervical Vertebrae
Follow-Up Studies
Retrospective Studies
Treatment Outcome
Intervertebral Disc Degeneration
Spinal Fusion
DDC notations: 610 Medicine and health
Publikation type: Journal Article
Abstract: PURPOSE To assess the rate of sASD following anterior cervical discectomy and fusion (ACDF), the rate of lumbar discectomy (LD), and rate of surgery performed for osteoarthritis at the joints of the musculoskeletal in a long term follow-up. STUDY DESIGN/SETTING Cohort study OUTCOME MEASURES Repeat procedure for sASD, microsurgical LD (MSD), and/or the musculoskeletal joints (shoulder, knee, hip). PATIENT SAMPLE Retrospectively, a total of 833 consecutive patients who underwent ACDF for degenerative disorders ≥20 years ago were identified. Charts were reviewed for preoperative neurological status, smoking status, physical labor, and repeat procedures. Missing data lead to exclusion from follow-up assessment. METHODS At final follow-up the need for pain medication, Neck disability index (NDI), and Odoms criteria were evaluated. An MRI was performed to assess the grade of degeneration of the cervical spine via the segmental degeneration index (SDI). Patients without (group 1) and with (group 2) repeat procedure for sASD were compared. RESULTS Collectively, 313 patients met inclusion criteria and 136 patients were evaluated. The mean follow-up was 26 years. Clinical success rate according to Odoms was 85.3%, mean NDI was 14.4%, the rate of regular intake of pain medication was 14.7%, the rate of repeated procedure for sASD was 10.3%. MSD was performed in 23.5%, surgery for osteoarthritis of the shoulder, the hip, and the knee were performed in 11.8%, 6.9%, and 27.7%, respectively. The rate of MSD (p=.018) was significantly higher in group 2 compared to group 1. Gender, smoking status, surgery of the musculoskeletal joints, and the grade of degeneration of the cranial and caudal adjacent segments were similar between group 1 and group 2. CONCLUSION The overall clinical success following ACDF was 85.3%. The rate of repeat procedure for sASD was 10.3% within 26 years. Patients with sASD had a significantly higher rate of MSD and poorer clinical outcome compared to patients without sASD.
DOI of the first publication: 10.1016/j.spinee.2020.07.008
URL of the first publication:
Link to this record: urn:nbn:de:bsz:291--ds-398366
ISSN: 1529-9430
Date of registration: 23-May-2023
Faculty: M - Medizinische Fakultät
Department: M - Medizinische Biometrie, Epidemiologie und medizinische Informatik
M - Neurochirurgie
Professorship: M - Prof. Dr. Wolfgang Reith
M - Keiner Professur zugeordnet
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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