Publications by authors named "Charles J Gordon"
Spine (Phila Pa 1976)
March 2012
Article Synopsis
- Prospective randomized clinical trials were conducted to evaluate and compare the clinical success rates and incidence of adjacent level disease (ALD) in patients undergoing total disc arthroplasty (TDA) versus anterior cervical fusion (ACDF) for cervical disc disease.
- Previous studies suggested that ACDF might increase stress on nonoperated segments, potentially raising the risk of degeneration, while TDA was theorized to minimize ALD risk by preserving motion, though clinical validation was lacking.
- After a median follow-up of 42 months, the incidence of adjacent segment disease was found to be similar between the two groups, with other factors like osteopenia and concurrent lumbar degenerative disease recognized as increasing risks for ASD.
