Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis.
We studied the incidence, prevalence, and radiographic progression of symptomatic adjacent-segment disease, which we defined as the development of new radiculopathy or myelopathy referable to a motion segment adjacent to the site of a previous anterior arthrodesis of the cervical spine.
A consecutive series of 374 patients who had a total of 409 anterior cervical arthrodeses for the treatment of cervical spondylosis with radiculopathy or myelopathy, or both, were followed for a maximum of twenty-one years after the operation.
The annual incidence of symptomatic adjacent-segment disease was defined as the percentage of patients who had been disease-free at the start of a given year of follow-up in whom new disease developed during that year.
The prevalence was defined as the percentage of all patients in whom symptomatic adjacent-segment disease developed within a given period of follow-up.
The natural history of the disease was predicted with use of a Kaplan-Meier survivorship analysis.
The hypothesis that new disease at an adjacent level is more likely to develop following a multilevel arthrodesis than it is following a single-level arthrodesis was tested with logistic regression.
Symptomatic adjacent-segment disease occurred at a relatively constant incidence of 2.9 percent per year (range, 0.0 to 4.8 percent per year) during the ten years after the operation.
Survivorship analysis predicted that 25. (...)
Mots-clés Pascal : Arthrose, Rachis cervical, Association, Radiculaire syndrome, Myélopathie, Traitement, Arthrodèse, Pronostic, Long terme, Epidémiologie, Incidence, Prévalence, Symptomatologie, Postopératoire, Segmentaire, Homme, Système ostéoarticulaire pathologie, Arthropathie, Maladie dégénérative, Rachis pathologie, Système nerveux pathologie, Chirurgie orthopédique, Spondylose
Mots-clés Pascal anglais : Osteoarthritis, Cervical spine, Association, Radicular syndrome, Myelopathy, Treatment, Arthrodesis, Prognosis, Long term, Epidemiology, Incidence, Prevalence, Symptomatology, Postoperative, Segmental, Human, Diseases of the osteoarticular system, Arthropathy, Degenerative disease, Spine disease, Nervous system diseases, Orthopedic surgery
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0263965
Code Inist : 002B25I. Création : 16/11/1999.