Thirty-four patients with symptomatic pseudarthrosis of anterior cervical fusion were treated. There were 16 men and 18 women. Eighteen patients had pseudarthrosis at 1 level; 14 at 2 levels; and 2 at 3 levels, with C5ndash;6 and C6ndash;7 levels most commonly involved. Anterior repair of pseudarthrosis was done in 17 patients, which resulted in 76percnt; radiologic fusion. Of 17 patients repaired posteriorly, 94percnt; achieved radiologic fusion. Average follow-up was 60 months, with a minimum of 24 months. ldquo;Excellentrdquo; or ldquo;Goodrdquo; results were achieved in 59percnt; of anterior repair and 88percnt; of posterior fusion group. This study demonstrates that posterior cervical fusion is the more effective method for repairing symptomatic pseudarthrosis of anterior cervical fusion.
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