ArticleJournal of craniovertebral junction & spine
Only spinal fixation as treatment of prolapsed cervical intervertebral disc in patients presenting with myelopathy.
Article in Journal of craniovertebral junction & spine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 24 citations in OpenAlex.
- Spinal arthrodesis via lumbar interbody fusion without direct decompression as a treatment for recurrent radicular pain due to epidural fibrosis: patient series.Journal of neurosurgery. Case lessons · 2021Article
- Biomechanical Analysis of an Anterior Cervical Discectomy and Fusion Pseudarthrosis Model Revised With Machined Interfacet Allograft Spacers.Global spine journal · 2020Article
- From "only decompression" to "only fixation:" A century-long journey of surgical treatment for spinal spondylosis.Journal of craniovertebral junction & spineArticle
- Is cervical instability the cause of lumbar canal stenosis?Journal of craniovertebral junction & spineArticle
- "Only fixation": Can it be the single remedy for all?Journal of craniovertebral junction & spineArticle
- Lumbar radiculopathy: Outcome analysis following treatment by only fixation - A report of an early experience of 44 cases.Journal of craniovertebral junction & spineArticle
- Like anterior transoral decompression, will anterior cervical spine surgery find space in history books?Journal of craniovertebral junction & spineArticle
- When is inclusion of C2 vertebra in the fixation construct necessary in cases with multi-level spinal degeneration?Journal of craniovertebral junction & spineArticle
- Is disc herniation "secondary" to spinal instability? Is it a protective natural response?Journal of craniovertebral junction & spineArticle
- Artificial atlantoaxial and subaxial facetal joint - Proposal of models.Journal of craniovertebral junction & spineArticle
- Comparative outcome analysis of lateral mass fixation and trans-facet fixation with posterior decompression in the management of cervical spondylotic myelopathy: An institutional experience.Journal of craniovertebral junction & spineArticle
- Can spinal instability by itself result in neurological symptoms and neurological deficits? An analysis.Journal of craniovertebral junction & spineArticle
- Defining role of atlantoaxial and subaxial spinal instability in the pathogenesis of cervical spinal degeneration: Experience with "only-fixation" without any decompression as treatment in 374 cases over 10 years.Journal of craniovertebral junction & spineArticle
- In spine surgery, compression is not an issue and decompression is not the treatment.Journal of craniovertebral junction & spineArticle
- Is the symptom of cervical or lumbar radiculopathy an evidence of spinal instability?Journal of craniovertebral junction & spineArticle
- "Minor" trauma to cervical spine with "major" neurological deficits in elderly-analyzing the role of spinal stabilization.Journal of craniovertebral junction & spineArticle
- Prolapsed, herniated, or extruded intervertebral disc-treatment by only stabilization.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimAn alternative form of surgical treatment of prolapsed cervical intervertebral disc in patients presenting with symptoms related to myelopathy is discussed. The treatment involved fixation of the affected spinal segments and aimed at arthrodesis. No direct manipulation or handling of the disc was done. MATERIALS AND
methodsDuring the period August 2010 to June 2017, 16 patients presenting with symptoms attributed to myelopathy and diagnosed to have prolapsed cervical intervertebral disc were surgically treated by spinal stabilization. There were 11 males and 5 females and their ages ranged from 20 to 66 years (average: 40.6 years). Apart from clinical and radiological indicators, the number of spinal segments that were stabilized depended on direct observation of facetal morphology, alignment, and stability. Surgery involved distraction-fixation of facets using Goel facet spacer (8 patients), transarticular facetal fixation (5 patients) using screws or a combination of both facetal spacer, and transarticular screws (3 patients).
resultsAll patients had "remarkable" clinical improvement in the immediate postoperative period as assessed by visual analog scale, Goel's clinical grading, and Japanese Orthopedic Association scores. Follow-up ranged from 3 to 84 months (average: 50 months). The herniated disc regressed or disappeared at follow-up radiological assessment that ranged from 24 h to 3 months after surgery.
conclusionsSpinal segmental fixation aiming at arthrodesis with or without distraction of facets and without any direct surgical manipulation in the disc space or removal of the prolapsed portion of the disc can be considered in the armamentarium of the surgeon.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.