Summary
Among 1,106 patients with cervical disc disease in whom Cloward's operation had been performed over a fifteen-year period, 145 patients were reoperated upon with a new Cloward procedure. In the 1st year after the first operation 3/4 of the patients were operated upon on the previous level, whereas reoperations performed later mainly were done on new levels. The effect of the reoperation was poorer than the effect of the 1st operation. Early reoperations—which were due to: an initially unsatisfactory clinical course, postoperative complications or graft problems—had a poor result, but late reoperations—which were caused by relapses—showed a result corresponding to the first operation. The frequency of relapses leading to a 2nd Cloward operation was 8.8% in the first year falling to 0.2% in the following years of observation.
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References
Cloward RB (1975) Complications of anterior cervical disc operation and their treatment. Surgery 69: 175–182
Cloward RB (1958) The anterior approach for removal of ruptured cervical discs. J Neurosurg 15: 602–617
Eriksen EF, Buhl M, Fode K, Klærke A, Krøyer L, Lindeberg H, Madsen CB, Strange P, Wohlert L, Espersen JO (1984) Treatment of cervical disc disease using Cloward's technique. Prognostic value of clinical data in 1,106 patients. Acta Neurochir (Wien) 70: 181–197
Espersen JO, Buhl M, Fode K, Eriksen EF, Krøyer L, Klærke A, Lindeberg H, Madsen CB, Strange P, Wohlert L (1984) Treatment of cervical disc disease using Cloward's technique. General results, effect of different operative methods and complications in 1,106 patients. Acta Neurochir (Wien) 70: 97–114
Law JD, Lehman RAW, Kirsch WM (1978) Reoperation after lumbar intervertebral disc surgery. J Neurosurg 48: 259–263
Lunsford LD, Bissonnette PJ, Sheptak PEet al, Anterior surgery for cervical disc disease. Part I: Treatment of lateral cervical disc herniation in 253 cases. J Neurosurg 53: 1–11
Martins AN (1976) Anterior cervical disectomy with an without interbody bone graft. J Neurosurg 44: 290–295
Murphey F, Simmons JCH, Brunson B (1973) Surgical treatment of laterally ruptured cervical disc. J Neurosurg 38: 679–682
Murphy M, Gado M (1972) Anterior cervical discectomy without interbody bone graft. J Neurosurg 37: 71–74
Petersen OF, Buhl M, Eriksen EFet al (1987) The significance of preoperative radiological examinations in patients treated with Cloward's operation. Acta Neurochir (Wien) 88: 39–45
Robertson JT (1981) Anterior cervical discectomy without fusion. In: Dunsker SB (ed) Cervical spondylosis. Raven Press, New York, pp 181–190
Taheri ZE, Gueramy M (1972) Experience with calf bone in cervical interbody fusion. J Neurosurg 36: 67–71
Tew JM, Mayfield FH (1981) Surgery of the anterior cervical spine. Prevention of complications. In: Dunsker SB (ed) Cervical spondylosis. Raven Press, New York, pp 191–208
Wohlert L, Buhl M, Fode Ket al (1984) Treatment of cervical spondylotic myelopathy using Cloward's technique in 138 patients. Acta Neurochir (Wien) 71: 121–131
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Espersen, J.O., Klærke, A., Buhl, M. et al. Treatment of cervical disc disease using Cloward's technique. Acta neurochir 88, 34–38 (1987). https://doi.org/10.1007/BF01400512
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DOI: https://doi.org/10.1007/BF01400512