MARC details
| 000 -LEADER |
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| fixed length control field |
03881nam a22004457a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
210628s20212021 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2211-4599 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.14444/8060 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
8060 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
33963034 |
| 245 ## - TITLE STATEMENT |
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| Title |
Comparison of Clinical and Radiographic Outcomes After Standalone Versus Cage and Plate Constructs for Anterior Cervical Discectomy and Fusion. |
| 251 ## - Source |
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| Source |
International Journal of Spine Surgery. 15(3):403-412, 2021 Jun. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Int J Spine Surg. 15(3):403-412, 2021 Jun. |
| 253 ## - Journal Name |
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| Journal name |
International journal of spine surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2021 Jun |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2021-06-28 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: Anterior cervical discectomy and fusion (ACDF) has conventionally been performed using an allograft cage with a plate-and-screw construct. Recently, standalone cages have gained popularity due to theorized decreases in operative time and postoperative dysphagia. Few studies have compared these outcomes. Here, we directly compare the outcomes of plated versus standalone ACDF constructs. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CLINICAL RELEVANCE: This study will help spine surgeons decide between using standalone or cage-and-plate constructs for ACDF. This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright (c) 2021 ISASS. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: Standalone ACDF demonstrates higher, but not statistically significant, revision rates than plate-and-screw constructs, without the hypothesized decreased incidence of dysphagia or hoarseness and without decreased procedure duration or EBL. Surgeons may consider limiting use of these constructs to cases of adjacent segment disease. Larger studies with longer follow up are necessary to make more definitive conclusions. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
LEVEL OF EVIDENCE: 4. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: A single-center retrospective review of patients undergoing ACDF after June 2011 with at least 6 months of follow up was conducted. Clinical outcomes were analyzed and compared between standalone and plated constructs. Multivariate regression analysis of the primary outcome, need for revision surgery, as well as several secondary outcomes, procedure duration, estimated blood loss (EBL), length of hospital stay, disposition, and incidence of dysphagia, hoarseness, or surgical site infection, was completed. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: A total of 321 patients underwent ACDF and met inclusion-exclusion criteria, with mean follow-up duration of 20 months. Forty-six (14.3%) patients received standalone constructs, while 275 (85.7%) received plated constructs. Fourteen (4.4%) total revisions were necessary, 4 in the standalone group and 10 in the plated group, yielding revision rates of 8.7% and 3.6%, respectively (P = .125). Mean EBL was 98 mL in the standalone group and 63 mL in the plated group (P = .001). Mean procedure duration was 147 minutes in the standalone group and 151 minutes in the plated group (P = .800). Mean hospital stay was 3.6 days in the standalone group and 2.5 days in the plated group (P = .270). There was no significant difference in incidence of dysphagia (P = .700) or hoarseness (P = .700). |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Neurosurgery |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Neurosurgery Residency |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Cobourn, Kelsey |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Conte, Anthony G |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Fayed, Islam |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Keating, Gregory |
| 790 ## - Authors |
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| All authors |
Altshuler M, Anaizi AN, Cobourn KD, Conte AG, Fayed I, Keating G, Makariou E, Nair MN, Sandhu FA, Spitz SM, Voyadzis JM |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.14444/8060">https://dx.doi.org/10.14444/8060</a> |
| Public note |
https://dx.doi.org/10.14444/8060 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
