Skip to main content
SpringerLink
Log in

Treatment of cervical disc disease using Cloward's technique the prognostic value of clinical preoperative data in 1,106 patients

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

During a fifteen-year period 1,106 patients underwent Cloward's operation due to cervical disc disease. An analysis of the clinical features showed that the diseases had a very complex pattern of symptoms and signs. In young patients a syndrome of herniated disc predominated whereas a clinical picture of “cervical spondylosis” was found more often in the elderly. It was demonstrated that best results were obtained in young patients, patients with slight symptoms and patients with monoradicular symptoms. A short duration of symptoms is essential for a good outcome, and, on the basis of the data presented, operation is recommended 3 months after the onset of symptoms of cervical disc disease, if previous conservative treatment has failed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Adams, C., Cervical spondylotic radiculopathy and myelopathy. In: Handbook of Clinical Neurology (Vinken, P. J., Bruyn, G. W., eds.), Vol. 26, pp. 97–112. Amsterdam-New York: North-Holland. 1976.

    Google Scholar 

  2. Bailey, R. W., Badgley, C. E., Stabilisation of the cervical spine by anterior fusion. J. Bone Jt Surg. (Am.)42-A (1960), 565–594.

    Google Scholar 

  3. Busch, G., Anterior fusion on cervical spondylosis. J. Neurol.219 (1978), 117–126.

    PubMed  Google Scholar 

  4. Choudhury, A. R., Taylor, J. C., The cervicolumbar syndrome. Ann. Royal College of Surgeons of England62 (1980), 200–202.

    Google Scholar 

  5. Cloward, R. B., The anterior approach for removal of ruptured cervical discs. J. Neurosurg.15 (1958), 602–617.

    PubMed  Google Scholar 

  6. Dohn, D. F., Anterior interbody fusion for treatment of cervical disc conditions. JAMA197 (1966), 175–178.

    Google Scholar 

  7. Espersen, J. O., Buhl, M., Eriksen, E. F.,et al., Treatment of cervical disc disease using Cloward's technique. Part I: General results, effect of different operative methods and complications in 1106 patients. Acta Neurochir. (Wien)70 (1984), 97–114.

    Google Scholar 

  8. Hirsch, C., Wickbom, I., Lidstrøm, A.,et al., Cervical disc resetion. A followup of myelographic and surgical procedure. J. Bone Jt Surg. (Am.).46-A (1964), 1811–1821.

    Google Scholar 

  9. Krøyer, L., Buhl, M., Eriksen, E. F.,et al., Social aspects in patients with cervical disc disease. Ugeskr. Læg. (in press).

  10. Lundsford, L. D., Bissonette, D. J., Janette, P. J.,et al., Anterior surgery for cervical disc disease. Part I: Treatment of lateral cervical disc herniation in 253 cases. J. Neurosurg.53 (1980), 1–11.

    PubMed  Google Scholar 

  11. Martins, A. N., Anterior cervical discectomy with and without interbody bone graft. J. Neurosurg.44 (1976), 290–295.

    PubMed  Google Scholar 

  12. McLaurin, R. I., Diagnosis and course of cervical radiculopathy. In: Cervical Spondylosis (Dunsker, S. B., ed.), pp. 103–117. New York: Raven Press. 1981.

    Google Scholar 

  13. Murphey, F., Simmons, J. C. H., Branson, B., Surgical treatment of laterally ruptured cervical disc. Review of 648 cases, 1939 to 1972. J. Neurosurg.38 (1973), 679–683.

    PubMed  Google Scholar 

  14. Palma, A. F. D., Cooke, A. J., Results of anterior interbody fusion of the cervical spine. Clin. Orthop.60 (1968), 169–185.

    PubMed  Google Scholar 

  15. Petersen, O. F., Buhl, M., Eriksen, E. F.,et al., Treatment of cervical disc disease using Cloward's technique. Part IV: The significance of preoperative radiological investigations. Acta Neurochir. (Wien) (in preparation).

  16. Robertson, J. T., Anterior cervical discectomy without fusion. In: Cervical Spondylosis (Dunsker, S. B., ed.), pp. 181–190. New York: Raven Press. 1981.

    Google Scholar 

  17. Robinson, R. A., Walker, A. E., Ferlic, D. D.,et al., The results of anterior interbody fusion of the cervical spine. J. Bone Jt Surg. (Am.)44-A (1962), 1569–1587.

    Google Scholar 

  18. Rosomoff, H. L., Rossmann, F., Treatment of cervical spondylosis by anterior cervical discectomy and fusion. Arch. Neurol.14 (1966), 392–398.

    PubMed  Google Scholar 

  19. Saunders, R. L., Wilson, D. H., The surgery of cervical disc disease: New Perspectives. Clin. Orthop.146 (1979), 119–127.

    Google Scholar 

  20. Saunders, R. L., Wilson, D. H., The surgery of cervical disc disease: New Perspectives. Clin. Orthop.146 (1979), 119–127.

    Google Scholar 

  21. Simmons, E. H., Bhalla, S. K., Butt, W. P., Anterior cervical discectomy and fusion. A clinical and biomechanical study with eight years follow-up. J. Bone Jt Surg. (Br.)51-B (1969), 225–237.

    Google Scholar 

  22. Weber, H., Long term results in patients with herniated lumbar disc. J. Oslo City Hospital, Thesis. 1976.

  23. White, A. A., Southwick, W. O., Deponte, R. J.,et al., Relief of pain by anterior cervical spine fusion for spondylosis. A report of sixty-five patients. J. Bone Jt Surg. (Am.)50-A (1973), 525–534.

    Google Scholar 

  24. Wohlert, L., Buhl, M., Eriksen, E. F.,et al., Treatment of cervical disc disease using Cloward's technique. Part III: Evaluation of cervical spondylotic myelopathy in 138 cases. Acta Neurochir. (Wien) (in press).

Download references

Author information

Author notes

  1. J. O. Espersen

    Present address: Department of Neurosurgery, The University Hospital, Aarhus, Denmark

Authors and Affiliations

  1. Department of Neurosurgery, The University Hospital, Aarhus, Denmark

    E. F. Eriksen, M. Buhl, K. Fode, A. Klærke, L. Krøyer, H. Lindeberg, C. B. Madsen, P. Strange & L. Wohlert

  2. Radiophysical Laboratory, The University Hospital, Aarhus

    C. B. Madsen

Authors
  1. E. F. Eriksen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Buhl
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. K. Fode
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. Klærke
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. L. Krøyer
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. H. Lindeberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. C. B. Madsen
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. P. Strange
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. L. Wohlert
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. J. O. Espersen
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Eriksen, E.F., Buhl, M., Fode, K. et al. Treatment of cervical disc disease using Cloward's technique the prognostic value of clinical preoperative data in 1,106 patients. Acta neurochir 70, 181–197 (1984). https://doi.org/10.1007/BF01406648

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01406648

Keywords

Search

Navigation