Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Feb 2012
Meta Analysis Comparative StudyCervical disc arthroplasty versus fusion for single-level symptomatic cervical disc disease: a meta-analysis of randomized controlled trials.
To evaluate the safety and effectiveness of cervical disc arthroplasty (CDA) versus anterior cervical discectomy and fusion (ACDF) for single-level symptomatic cervical disc disease. ⋯ Compared with ACDF, CDA carry a lower incidence of dysphagia complications and reoperation related to adjacent-segment degeneration, and a higher prevalence of neurological and overall success at 2 years postoperatively. As the poor quality of the included studies, it is still uncertain whether CDR is more effective and safer than ACDF treating single-level symptomatic cervical disc disease. Future large-scale RCTs with long-term follow-up are needed to provide clear evidence.
-
Arch Orthop Trauma Surg · Feb 2012
ReviewAnterior cervical discectomy and fusion versus anterior cervical corpectomy and fusion for multilevel cervical spondylosis: a systematic review.
There is considerable controversy as to which technique is best option for reconstruction after multilevel anterior decompression for cervical spondylosis. The aim of this study was to compare the clinical and radiographic results and complications of anterior cervical discectomy fusion (ACDF) and anterior cervical corpectomy fusion (ACCF) in the treatment of multi-level cervical spondylosis. ⋯ Nonunion rates of ACDF are higher than those of ACCF for multilevel cervical spondylosis. Sometimes, clinical outcome of ACCF was better than ACDF for multilevel cervical spondylosis.
-
Arch Orthop Trauma Surg · Feb 2012
Comparative StudyDeterminants of outcome in operatively and non-operatively treated Weber-B ankle fractures.
Treatment of ankle fractures is often based on fracture type and surgeon's individual judgment. Literature concerning the treatment options and outcome are dated and frequently contradicting. The aim of this study was to determine the clinical and functional outcome after AO-Weber B-type ankle fractures in operatively and conservatively treated patients and to determine which factors influenced outcome. ⋯ Treatment selection based upon stability and surgeon's judgment led to overall good clinical outcome in both treatment groups. Reducing the cast immobilization period may further improve outcome.
-
Arch Orthop Trauma Surg · Feb 2012
Multicenter StudyPredictors of functional outcome following femoral neck fractures treated with an arthroplasty: limitations of the Harris hip score.
To study the association between potential prognostic factors and functional outcome at 1 and 5 year follow-up in patients with femoral neck fractures treated with an arthroplasty. To analyze the reliability of the Harris hip score (HHS). ⋯ After using the HHS in a modification, age and the existence of pre-operative co-morbidities appeared to be predictors of the functional outcome after 1 and 5 years. The HHS, omitting pain, is a more reliable score to estimate the functional outcome, than HHS analyzing pain and function in one scoring system.
-
Arch Orthop Trauma Surg · Feb 2012
Extensive laminectomy for the treatment of ossification of the posterior longitudinal ligament in the cervical spine.
To introduce the surgical strategy of extensive laminectomy (with inner 1/4 facet joint resection to expose the origin of the nerve root) and to discuss its benefit for the treatment of cervical ossification of the posterior longitudinal ligament (OPLL) with myelopathy. ⋯ Extensive laminectomy is effective in treating cervical OPLL, with mild cervical/shoulder pain, low rate of C5 nerve root palsy, and no recurrence of spinal cord compression symptoms.