Our ongoing commitment to functional research explores the efficacy of the latest devices in spinal surgery, retrospectively as well as prospectively. Our goal is to identify devices that most effectively improve patient recovery time, and therefore, improve their quality of life.
Cervical spondylotic myelopathy and degenerative disc disease are common causes of spinal dysfunction, and are often treated with non-surgical methods. However, when conservative methods fail, the patient's quality of life can be drastically improved by undergoing the anterior cervical discectomy and fusion procedure. Although ACDF is the most successful spine procedure performed today with fusion rates close to 90%, complications related to the placement of the anterior plate have been reported. A stand-alone integrated interbody fusion device with no anterior profile in the cervical spine may provide clinical advantages by reducing post-operative complications and patient recovery time. Conceptually, a stand-alone cervical cage would promote improved load sharing through the graft and mechanical stability, while potentially reducing cases of dysphagia (difficulty swallowing), dysphonia (difficulty speaking), regional loss of lordosis (the normal curvature of the spine), and other soft tissue related complications observed at adjacent levels on the cervical spine. This study aims to evaluate patients who received the ACDF procedure with the stand-alone cervical device. It is our hypothesis that patients will experience comparative fusion rates and reduced post-operative complications to the ACDF literature with standard anterior plating.