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Wheeless' Textbook of Orthopaedics
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Pseudarthrosis of the cervical spine after anterior arthrodesis


Treatment by posterior nerve-root decompression, stabilization, and arthrodesis. Farey-ID; McAfee-PC; Davis-RF; Long-DM Dep of Orthopedic Surgery, Johns Hopkins Hospital University J-Bone-Joint-Surg-Am. 1990 Sep; 72(8): 1171-7 Nineteen consecutive patients who had a symptomatic pseudarthrosis after a failed anterior cervical arthrodesis were treated by a posterior nerve-root decompression and arthrodesis. The indications for the operation were radiculopathy in the absence of myelopathy and evidence of a pseudarthrosis on lateral flexion and extension radiographs. The average duration of follow-up was forty-four months (range, twenty-four to fifty-four months). A solid fusion was achieved in all patients, and the radiculopathy was relieved in all but one. The motor weakness that had been present in four patients preoperatively resolved completely.



Original Text by Clifford R. Wheeless, III, MD.