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Is Cervical Bracing Necessary After One- and Two-Level Instrumented Anterior Cervical Discectomy and Fusion? A Prospective Randomized Study.
Overley, Samuel C; Merrill, Robert K; Baird, Evan O; Meaike, Joshua J; Cho, Samuel K; Hecht, Andrew C; Qureshi, Sheeraz A.
Afiliación
  • Overley SC; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Merrill RK; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Baird EO; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Meaike JJ; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Cho SK; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Hecht AC; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Qureshi SA; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Global Spine J ; 8(1): 40-46, 2018 Feb.
Article en En | MEDLINE | ID: mdl-29456914
STUDY DESIGN: Prospective randomized control trial. OBJECTIVE: To investigate the role of cervical collars in postoperative care following 1- and 2-level instrumented anterior cervical discectomy and fusion (ACDF). METHODS: The Cervical Spine Research Society Resident Fellow Grant funded this project. Fifty consecutive patients undergoing 1- or 2-level ACDF surgery were randomized into groups receiving either no brace or a cervical brace for 6 weeks postoperatively. Neck Disability Index scores were recorded preoperatively and at regular follow-up visits up to 1 year. Computed tomography scans were read 1 year postoperatively to determine fusion rates, and subsidence was measured as change in middle vertebral distance between initial postoperative and 6-month follow-up lateral cervical radiographs. RESULTS: Twenty-two patients were in the no-brace group, and 22 patients were in the brace group at final follow-up, with an average age of 50 and 55 years, respectively. The no-brace group had a total of 32 operative levels, whereas the brace group had 38 operative levels. There was no statistically significant difference in 1-year postoperative Neck Disability Index scores between the brace (9.30) and no-brace (6.95) groups (P = .28), in 6-month subsidence of all operative levels between the brace (0.85 mm) and no-brace (0.79 mm) groups (P = .72), or in the proportion of fused levels between the brace (89%) and no-brace (97%) groups (P = .37). CONCLUSIONS: Our results suggest no advantage in wearing a cervical brace following 1- or 2-level ACDF surgery with respect to 1-year outcome scores, 1-year fusion rates, and 6-month subsidence.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Global Spine J Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Global Spine J Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido