Nonunion following two-level anterior cervical discectomy and fusion

R. W. Lindsey, K. E. Newhouse, J. Leach, M. J. Murphy

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


Nonunion is a potential complication of anterior cervical discectomy and fusion (ACDF). There are reports that cite the prevalence of nonunion for two-level ACDF with various fusion techniques, but they do not recommend treatment alternatives. Pseudarthrosis after a two-level ACDF occurred in a 69-year-old man. Posterior cervical wiring and autograft resulted in a successful fusion anteriorly and posteriorly. Posterior fusion augments stability, enhances the potential for eventual anterior fusion, avoids the risks of an additional anterior procedure, and is an excellent therapeutic alternative to a second anterior attempt at stabilization.

Original languageEnglish (US)
Pages (from-to)155-163
Number of pages9
JournalClinical orthopaedics and related research
StatePublished - 1987
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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