Limiting fusion levels by combining anterior cervical decompression and fusion with posterior laminectomy: Technical note

Kingsley R Chin; Fabio J R Pencle; Juan M Valdivia; Jason A Seale; Josue P Gabriel

doi:10.1016/j.jor.2018.03.019

Limiting fusion levels by combining anterior cervical decompression and fusion with posterior laminectomy: Technical note

J Orthop. 2018 Mar 19;15(2):412-415. doi: 10.1016/j.jor.2018.03.019. eCollection 2018 Jun.

Authors

Kingsley R Chin^{1

2

3

4}, Fabio J R Pencle^{5

3}, Juan M Valdivia^{5

6}, Jason A Seale^{5

3}, Josue P Gabriel^{5

7}

Affiliations

¹ Herbert Wertheim College of Medicine at Florida International University.
² Charles E. Schmidt College of Medicine at Florida Atlantic University.
³ Less Exposure Surgical Specialists Institute (LESS Institute), 3816 Hollywood Blvd. Ste #102, Hollywood, FL 33021.
⁴ Univerity of Technology, Jamaica, WI.
⁵ Less Exposure Surgery (LES) Society, 350 Main St., Malden, MA 02148.
⁶ BayCare Medical Group, 2727 West Dr. Martin Luther King Jr. Blvd. Suite 460, Tampa, FL 33607.
⁷ Spine Institute of Ohio, 3535 Fishinger Blvd, Suite 280, Hilliard, OH 43026.

Abstract

Background: Authors aim to report on the outcomes of combining selective anterior cervical decompression and fusion (ACDF) with laminectomy in patients with cervical spondylotic radiculomyelopathy (CSR).

Methods: 10 patients with ACDF and posterior laminectomy reviewed.

Results: 60% female population, mean age 61 ± 3 years, mean BMI 24.7 ± 3.4 kg/m². VAS and NDI showed significant improvement, p < 0.001, p = 0.02 respectively. Mean PCS 31.9 ± 2.7, MCS 38.9 ± 3.4 improved to mean PCS 42.2 ± 5.1, MCS 51.0 ± 4.7, p = 0.09 and 0.06 respectively. At final follow up fusion rate was 90% and all patients had Nurick Grade 0.

Conclusion: In this pilot study, procedure shown to be safe with improved symptoms.

Keywords: Anterior cervical decompression (discectomy) and fusion (ACDF); Cervical myeloradiculopathy; Multi-level spinal stenosis; Posterior laminectomy.