{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:27:24Z","timestamp":1786728444603,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,5]]},"abstract":"\n Background and Objectives:<\/jats:title>\n Anterior cervical discectomy and fusion (ACDF), which is widely used in the treatment of cervical spondylosis, may cause complications such as adjacent segment degeneration (ASD). However, such studies on complications are limited, and quantitative evidence is still lacking. To evaluate the clinical value of cervical discometry combined with adjacent intraoperative intradiscal pressure in cervical vertebral surgery through clinical explorations.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n In this retrospective study, 100 patients who were treated with anterior decompression, reconstruction, and internal fixation, were enrolled. Among them, 50 patients received ACDF combined with perioperative pressure adjustment of the adjacent segments to ensure that the pressure difference was less than 5 mmHg. The other 50 patients who had only simple ACDF were considered as the control group. Patient information, radiographic changes, axial symptoms (AS), and the occurrence of ASD were recorded in the study.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The degree of lordosis (D values) at postoperative of all cases were positive. The D value of the two groups of patients immediately after the operation and at the last follow-up were significantly higher than that before the operation (\n P<\/jats:italic>\n < 0.05). The incidence of AS was significantly lower in the experimental group than that in the control group (\n P<\/jats:italic>\n < 0.05). Besides, there were only 10 patients in the experimental group during the five-year follow-up period, which was significantly lower than the 19 patients in the control group (\n P<\/jats:italic>\n < 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The intraoperative intervertebral disc pressure measurement could effectively monitor the vertebral body distraction strength and reduce the incidence of postoperative AS and ASD.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/0028-3886.378681","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T04:18:06Z","timestamp":1692850686000},"page":"494-499","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Cervical Discometry"],"prefix":"10.4103","volume":"71","author":[{"given":"Long","family":"Yu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Cui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Da","family":"Bao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-17-20240907","doi-asserted-by":"crossref","first-page":"1989","DOI":"10.1097\/01.brs.0000176332.67849.ea","article-title":"Cost-effectiveness of single-level anterior cervical discectomy and fusion for cervical spondylosis","volume":"30","author":"Angevine","year":"2005","journal-title":"Spine"},{"key":"R2-17-20240907","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1007\/s00586-011-1735-4","article-title":"Outcomes of three anterior decompression and fusion techniques in the treatment of three-level cervical spondylosis","volume":"20","author":"Guo","year":"2011","journal-title":"Eur Spine J"},{"key":"R3-17-20240907","doi-asserted-by":"crossref","first-page":"E509","DOI":"10.1097\/BRS.0000000000001876","article-title":"Complications and mortality following one to two-level anterior cervical fusion for cervical spondylosis in patients above 80 years of age","volume":"42","author":"Puvanesarajah","year":"2017","journal-title":"Spine"},{"key":"R4-17-20240907","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1097\/00002517-199512000-00014","article-title":"Long-term results after anterior cervical fusion and osteosynthetic stabilization for fractures and\/or dislocations of the cervical spine","volume":"8","author":"Goffin","year":"1995","journal-title":"J Spinal Disord"},{"key":"R5-17-20240907","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/S0090-3019(00)00207-X","article-title":"Preliminary experience with anterior cervical microdiscectomy and interbody titanium cage fusion (Novus CT-Ti) in patients with cervical disc disease","volume":"53","author":"Profeta","year":"2000","journal-title":"Surg Neurol"},{"key":"R6-17-20240907","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1097\/BSD.0b013e31813c0e59","article-title":"Reliability of a magnetic resonance imaging-based grading system for cervical intervertebral disc degeneration","volume":"21","author":"Miyazaki","year":"2008","journal-title":"J Spinal Disord Tech"},{"key":"R7-17-20240907","doi-asserted-by":"crossref","first-page":"635","DOI":"10.3171\/2009.12.SPINE09181","article-title":"Evaluation of neck pain by using a visual analog scale before and after laminoplasty in patients with cervical myelopathy: Relationship with clinical results","volume":"12","author":"Ara","year":"2010","journal-title":"J Neurosurg Spine"},{"key":"R8-17-20240907","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1097\/00002517-199912050-00007","article-title":"Axial symptoms after en bloc cervical laminoplasty","volume":"12","author":"Kawaguchi","year":"1999","journal-title":"J Spinal Disord"},{"key":"R9-17-20240907","doi-asserted-by":"crossref","first-page":"1969","DOI":"10.1097\/00007632-199609010-00005","article-title":"Neck and shoulder pain after laminoplasty. 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