SPORT shows surgery better than conservative management at eight years

A recent publication published in Spine (Phila Pa 1976). 2014 Jan 1;39(1):3-16 using data from SPORT (Spine Patient Outcomes Research Trial) showed surgical treatment for lumbar disc herniation is associated with significantly greater improvements than non-operative management at eight years follow-up.

Vertebral Compression Fracture Treatment (VCF)

If you have had a recent vertebral body compression fracture the clock is ticking regarding your treatment options!

For more information:

The treatment of vertebral compression fractures (VCF) includes Percutaneous Vertebroplasty (PV) and Percutaneous Vertebral Augmentation (VBA), sometimes referred to as Kyphoplasty.  These treatment options for painful VCFs are now under strict regulation by payers largely due to the failure of some providers to adequately evaluate patients with VCFs, failure to inform patients of alternative treatments and potential complications of the percutaneous procedures, and inadequate follow-up after the procedure.

Kyphoplasty is an effective treatment option for some painful VCFs.  However, prior to considering undergoing a Kyphoplasty patients need to have an appropriate evaluation including history, physical examination, and imaging of the VCF.  This is best performed by a team of specialists board certified in the treatment of spine disorders such as VCFs.

CDA Spine is a comprehensive Neurosurgery and Spine Clinic providing comprehensive spine care including minimally invasive spine surgery and the treatment of VCFs by conservative care, percutaneous VBA, or minimally invasive spine surgery when necessary.

The comprehensive Vertebral Compression Fracture evaluation and treatment program at CDA Spine ensures that patients receive timely care including a comprehensive history and physical examination including evaluation for other potential pain generators, conservative/non-operative management for a reasonable period of time,  alternative treatment options with clear explanation of the potential complications of the injections procedures.  The evaluation may include a bone density study to assess your bone health and the risk of future fractures.

Cervical Disc Arthroplasty for disc herniation with radiculopathy in workers compensation cases

Jeffrey J. Larson, M.D. (  reports results of cervical disc arthroplasty for disc herniation with radiculpathy in workers compensation cases.

Every patient showed improvement in Neck Disability Index (average 52% improvement).

Average time for return to work was 40.5 days.

These results were favorable compared to non-operative management and ACDF for this patient population.

Disc Replacement vs. Spinal Fusion: 4 Findings on Dysphagia Levels

Physician researchers conducted a prospective randomized controlled study to determine and explain differences in dysphagia between patients undergoing artificial disc replacement and anterior cervical decompression and fusion and published the results in Spine.



The study included 136 patients who received disc replacement or ACDF at one or two surgical levels and completed a questionnaire at four weeks, three months, one year and two years postoperatively.


The researchers found:


•    Dysphagia was significantly higher than baseline levels in both groups at four weeks.
•    Statistically significant difference between the groups only showed up at two years, when patients in the ACDF group showed significantly higher dysphagia levels.
•    There was a stronger association to implant type than to number of surgical levels for dysphagia.
•    The surgery duration was associated to the number of surgical levels but did not differ significantly between implant types.

Cervical Disc Arthroplasty Is Getting More Insurance Approval

Cervical disc arthoplasty (artificial cervical disc replacement surgery) is now being recognized by more health care insurance companies as standard of care for cervical disc herniation/spondylosis/stenosis with radiculopathy. Seven year data is now available showing its efficacy.