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Results of Anterior Diskectomy and Interbody Fusion

Bernard Jacobs, MD; Erich G. Krueger, MD; David M. Leivy, MD

JAMA. 1970;211(13):2135-2139.

Abstract
We have analyzed the results of 90 anterior cervical diskectomies combined with fusion of the spine in 62 patients with cervical spondylosis. Good to excellent results were obtained in 82% (51) of patients who returned for follow-up examinations. The results were superior in the presence of single-level disk disease, and were better following multilevel rather than limited surgical eradication in the presence of multilevel disk disease. Myelography was found to be a useful adjunct to preoperative clinical assessment of the symptomatic disk levels. The low incidence of complications encountered in this series further confirms the ease and efficacy of the anterior approach in the surgical treatment of cervical spondylotic radiculopathy.

Author Affiliations
From the sections of orthopedics and neurosurgery, Veterans Administration Hospital, Bronx, NY, Hospital for Special Surgery, Cornell University Medical School, New York, and Department of Neurological Surgery, College of Physicians and Surgeons, Columbia University, New York. Dr. Krueger is now with the Veterans Administration, Washington, DC.

Footnotes
Reprint requests to 535 E 70th St, New York 10021 (Dr. Jacobs).

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