Chester Donnally III, MD

04/28/2024

International Society for the Advancement of Spine Surgery (ISASS) 2024 in my former hometown of Miami did not disappoint!! I can’t wait to start implementing the new and collaborations! 📈📚🤓

03/11/2024

The 2024 Skin and Spine Ski Conference is a can’t miss!

03/02/2024

We are DEEP into the spine surgery fellowship interview season! Huge decisions for so many orthopedic residents coming up! Thank you for allowing me to share! Full video on YouTube📺

10/03/2023

This should blow your mind! It’s a very slick piece of technology that helps “melt” bone spurs!

There are MANY great tools I try to use to keep incisions small and recovery fast! The best part about this tool- it doesn’t need to have a fusion with it! W...

04/07/2023

As a spine surgeon, I hope people avoid surgery, here are three ways to help avoid surgery for disc herniations! Share with those that might need to see this!


Disc herniations are the most common thing I treat. They’re also the most common thing that gets better without surgery. ✅-I think the spine surgeon 💪 shoul...

03/14/2023

Walking around in ‘s surgical backyard!

01/27/2023

It was great having incoming medical student .lawand with me this week in the operating room and office. We saw the gambit of metastatic tumors to outpatient disc replacements. This guy is 100x smarter than I was at his age. Watch out

12/26/2022

Need CD 💿 of X-Rays & MRI. On my website (in bio) top right is link to upload to my staff, FROM YOUR HOME! 🤯🥰
📧: [email protected]

www.DonnallySpine.com-I love to do Telemed📲 -Please email insurance info and THEN mail📨 or upload💿💻 MRI & X-RAYs from within 1yr. -See my bio more info!E...

11/21/2022

Jack visited today! My dad would always say “my favorite kid is whichever one is currently with me!” He’s not wrong!

11/05/2022

Laminectomy = “spinal decompression” = shaving down arthritis to take pressure off the nerves
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10/11/2022

𝐂𝐚𝐬𝐞 𝐏𝐫𝐞𝐬𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐒𝐩𝐢𝐧𝐚𝐥 𝐒𝐭𝐞𝐧𝐨𝐬𝐢𝐬 (𝘚𝘶𝘳𝘨𝘦𝘰𝘯 𝘌𝘹𝘱𝘭𝘢𝘪𝘯𝘴)

There are many causes of lumbar stenosis. Shown here is one from bone on bone and arthropathy of the joints, severely squeezing the nerves!-𝐒𝐩𝐢𝐧𝐞 𝐂𝐨𝐧...

09/20/2022

5 things I would NEVER do as a spine surgeon!

These are my top five, what did I miss? What would you add!

09/20/2022

What you need to know about pinched nerves in just 76 seconds

09/12/2022

𝐏𝐮𝐛𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧- ᴀꜱʏᴍᴘᴛᴏᴍᴀᴛɪᴄ ꜱᴀᴍᴇ-ꜱɪᴛᴇ ʀᴇᴄᴜʀʀᴇɴᴛ ᴅɪꜱᴄ ʜᴇʀɴɪᴀᴛɪᴏɴ ᴀꜰᴛᴇʀ ʟᴜᴍʙᴀʀ ᴅɪꜱᴄᴇᴄᴛᴏᴍʏ: ʀᴇꜱᴜʟᴛꜱ ᴏꜰ ᴀ ᴘʀᴏꜱᴘᴇᴄᴛɪᴠᴇ ʟᴏɴɢɪᴛᴜᴅɪɴᴀʟ ꜱᴛᴜᴅʏ ᴡɪᴛʜ 2-ʏᴇᴀʀ ꜱᴇʀɪᴀʟ ɪᴍᴀɢɪɴɢ (Spine 2011)
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𝘖𝘣𝘫𝘦𝘤𝘵𝘪𝘷𝘦: Determine the incidence of symptomatic and asymptomatic same-level recurrent disc herniation.
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METHODS:
➡️ 108 patients, 5 institutions
➡️ Single level discectomy
➡️ CT and MRI taken over 3 months to assess reherniation and disc height loss.
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Ʀᴇsᴜʟᴛs:
🔹️ No patients had a residual disc on immediate post-operative MRI.
🔹️ By 2 years after discectomy, 23.1% patients had demonstrated radiographic evidence of recurrent disc herniation at the level of prior discectomy; usually 3 months or 12 months.
🔹️ Radiographic disc herniation was asymptomatic in 13% patients and symptomatic in 10.2% patients.
🔹️ The occurrence of asymptomatic reherniation was not associated with disc height loss or any outcome measure (VAS, ODI, and SF-36) by 2 years.
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🧐 ᴄᴏɴᴄʟᴜsɪᴏɴ: Nearly one-fourth of patients undergoing lumbar discectomy demonstrated radiographic evidence of recurrent disc herniation at the level of prior surgery, the majority of which were asymptomatic.
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🤠 𝐌𝐘 𝐓𝐀𝐊𝐄: A recurrent disc herniation is common after lumbar discectomy. An MRI showing a new disc herniation should be acted on if there are correlating radicular symptoms.
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📖 PMID: 21343849
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09/11/2022

Artificial Disc Replacement

08/29/2022

When a 𝐭𝐫𝐞𝐚𝐭𝐞𝐝 patient, brings 𝒕𝒓𝒆𝒂𝒕𝒔 for my 1-year-old’s birthday!!! The coolest part of being a doctor is I get to meet so many new people every day! I might ask them- “𝘸𝘩𝘢𝘵 𝘱𝘢𝘳𝘵 𝘰𝘧 𝘵𝘰𝘸𝘯 𝘥𝘰 𝘺𝘰𝘶 𝘭𝘪𝘷𝘦 𝘪𝘯, 𝘸𝘩𝘢𝘵 𝘥𝘰 𝘺𝘰𝘶 𝘥𝘰, 𝘵𝘦𝘭𝘭 𝘮𝘦 𝘢𝘣𝘰𝘶𝘵 𝘛𝘏𝘈𝘛 𝘫𝘰𝘣!” Patients becoming your 𝙛𝙧𝙞𝙚𝙣𝙙𝙨 is the ultimate 𝒄𝒐𝒏𝒕𝒊𝒏𝒖𝒊𝒕𝒚 𝒐𝒇 𝒄𝒂𝒓𝒆!
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08/27/2022

Titanium technology allows for enhanced rates of fusion and bone growth. This cage holds open the nerve tunnels.
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It is tech that simply wasn’t around even a few years ago! Spine surgery has come a long way since your parents had it!
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Www.DonnallySpine.com

08/16/2022

𝐏𝐮𝐛𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧- ɪɴᴄʀᴇᴀꜱᴇᴅ ꜱᴜʀɢɪᴄᴀʟ ꜱɪᴛᴇ ꜱᴜʙᴄᴜᴛᴀɴᴇᴏᴜꜱ ꜰᴀᴛ ᴛʜɪᴄᴋɴᴇꜱꜱ ɪꜱ ᴀꜱꜱᴏᴄɪᴀᴛᴇᴅ ᴡɪᴛʜ ɪɴꜰᴇᴄᴛɪᴏɴ ᴀꜰᴛᴇʀ ᴘᴏꜱᴛᴇʀɪᴏʀ ᴄᴇʀᴠɪᴄᴀʟ ꜰᴜꜱɪᴏɴ. 𝘚𝘶𝘳𝘨𝘪𝘤𝘢𝘭 𝘐𝘯𝘧𝘦𝘤𝘵𝘪𝘰𝘯𝘴 (2022)
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𝘖𝘣𝘫𝘦𝘤𝘵𝘪𝘷𝘦: Few studies have examined the association between local adiposity and risk of SSI (surgical site infection), re-admission, and re-operation after PCF.
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METHODS:
➡️ Subjects undergoing PCF from 2013-2018 at a single institution were identified retrospectively.
➡️ Posterior cervical subcutaneous fat thickness, paraspinal muscle thickness, and lamina-to-skin distance measurements were obtained from CT or MRI scans.
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Ʀᴇsᴜʟᴛs:
🔹️ 250 patients were included with 20 developing SSIs.
🔹️ Subjects with SSIs had a longer fusion construct, higher Elixhauser comorbidity index, had a history of diabetes mellitus, higher subcutaneous fat thickness, and higher lamina-to-skin distance (all p>0.05).
🔹️ In multivariable analysis: Subcutaneous fat thickness (p = 0.026) and lamina-to-skin distance (p = 0.014) were associated with SSI.
🔹️ A subcutaneous fat thickness cutoff value of 23.2 mm had 90% sensitivity and 54.1% specificity for prediction of SSI.
🔹️ There was no association need for re-admission or re-operation.
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🧐 ᴄᴏɴᴄʟᴜsɪᴏɴ: Increased posterior cervical fat may increase the risk of SSI after PCF. Pre-operative advanced imaging may be a valuable tool for assisting with patient counseling, optimization, and risk stratification.
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🤠 𝐌𝐘 𝐓𝐀𝐊𝐄: This makes sense, just like in the TJA literature, a “source” of infection is from the less vascularized fat/adipose layer. This helps guide risks for patients.
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📖 PMID: 35262398
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07/06/2022

Describe how the interns are doing using 1 video… 🙃
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No one was hurt in the posting of this video.

07/04/2022

𝐁𝐨𝐚𝐫𝐝 𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧: A 58-year-old UPS driver presents with low back pain that has progressed over the last year. He reports the pain is worse with activity, especially when bending forward and lifting packages. At times the pain shoots into the buttocks. On physical he has age-appropriate motion in the lumbar spine. He is neurologically intact in the lower extremities. A histological sample of this lesion shown at L4/5 in the MRI would most likely show:
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🔹1- dense, compact concentric lamellae of fibrocollagenous tissue with occasional fibroblast-like chondrocytes
🔹2- semifluid geatinous matrix with oval chondrocytes
🔹3- ossified nidus surrounded by a radiolucent halo, in turn surrounded by dense, reactive osteosclerosis
🔹4- irregular fascicles of collagenous stroma with pleomorphic cells with foamy cytoplasm and marked atypia in a storiform pattern
🔹5- synovial cells covering a stroma with vascular granulation tissue
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Question based on American Board of Orthopaedic Surgery ABOS Part 1 examination; Answer and discussion to be posted in comments in 72 hours! Save post to see later!)🔖📚📥💾
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06/30/2022

Thank you Scott Becker and Laura Dyrda for the ʙᴇᴄᴋᴇʀ’ꜱ ʜᴇᴀʟᴛʜᴄᴀʀᴇ ᴘᴏᴅᴄᴀꜱᴛ ɪɴᴛᴇʀᴠɪᴇᴡ! I was able to get Scott so excited to talk about the next era of physician’s controlling the narrative online that he even had to apologize to Laura for all the questions!
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𝐈𝐧 𝐨𝐮𝐫 𝐝𝐢𝐬𝐜𝐮𝐬𝐬𝐢𝐨𝐧 𝐰𝐞 𝐜𝐨𝐯𝐞𝐫:
1- Motion preservation and why patients think 𝘵𝘩𝘦𝘺 𝘸𝘢𝘯𝘵 𝘵𝘩𝘪𝘴
2- How to use 𝚏𝚛𝚎𝚎 online platforms to connect to others
3- 𝙏𝙧𝙖𝙙𝙚 𝙨𝙚𝙘𝙧𝙚𝙩𝙨 of my online videos (just a few…)
4- Why spine docs need to be more specific when just citing “TLIF literature” to others- some are static, some MIS, some expand, some endoscopic. 𝘚𝘶𝘤𝘩 𝘢 𝘷𝘢𝘳𝘪𝘢𝘵𝘪𝘰𝘯.
5- Why posting an 𝗶𝗻𝘁𝗿𝗮-𝗼𝗽 𝗳𝗹𝘂𝗼𝗿𝗼 on your 4 level CDA is, interesting!
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Here are the links!
𝗦𝗽𝗼𝘁𝗶𝗳𝘆: https://open.spotify.com/episode/11IUDaVA1wBrbw1O7ivvQ5?si=_sVQ-m8nTLaizHxGaQTcoA&t=278
𝗢𝗻𝗹𝗶𝗻𝗲: https://blubrry.com/spineandorthopodspodcast/86979018/dr-chester-donnally-of-texas-spine-consultants/
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05/07/2022

What if I told you that in general 𝘮𝘢𝘯𝘺 𝘤𝘰𝘯𝘧𝘦𝘳𝘦𝘯𝘤𝘦𝘴 𝘢𝘳𝘦 𝘢 𝘣𝘪𝘵 𝘵𝘰𝘰 𝘭𝘰𝘯𝘨 𝘢𝘯𝘥 𝘣𝘰𝘳𝘪𝘯𝘨, but what if I showed you one that is a quick afternoon with some of the biggest names in spine care? (ᴀ ᴠᴀᴄᴄᴀʀᴏ, ᴀ ʜɪʟɪʙʀᴀɴᴅ, ʜᴀʀʀᴏᴘ, ʜᴇʟʟᴇʀ, ᴋ ꜱɪɴɢʜ, ꜱ Qᴜʀᴇꜱʜɪ, ʀ ꜱᴘɪᴋᴇʀ, ᴠ ʏᴀɴᴀᴍᴀᴅᴀʟᴀ, ᴘ ᴅᴇʀᴍᴀɴ, ᴊ ʙᴀʀᴀᴅ, ᴊ ꜱᴀᴠᴀɢᴇ)
On top of that, this one is not talking about the ‘XYZ ways to achieve a fusion’ but instead is talking about unique “𝐡𝐨𝐭” 𝐬𝐩𝐢𝐧𝐞 𝐭𝐨𝐩𝐢𝐜𝐬 𝐲𝐨𝐮 𝐚𝐜𝐭𝐮𝐚𝐥𝐥𝐲 𝐰𝐨𝐮𝐥𝐝 𝐰𝐚𝐧𝐭 𝐭𝐨 𝐥𝐢𝐬𝐭𝐞𝐧 𝐭𝐨!
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THEN on top of that it’s largely virtual so you could have this on in the background of your clinic, cases, or even while hitting golf balls before dinner on Friday!
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Almost too good to be true? Easy 4.5hr of CME?
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𝑴𝑨𝒀 13𝒕𝒉, 𝑭𝒓𝒊𝒅𝒂𝒚 𝒂𝒇𝒕𝒆𝒓𝒏𝒐𝒐𝒏 12𝒑𝒎-5𝒑𝒎
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Go to links-in-bio for link on NASS 20 under 40 spine expert IG page:
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05/04/2022

𝐓𝐨𝐝𝐚𝐲 𝐨𝐧 “𝑯𝒐𝒘 𝒊𝒔 𝑻𝒉𝒊𝒔 𝑬𝒗𝒆𝒏 𝑪𝒐𝒏𝒕𝒓𝒐𝒗𝒆𝒓𝒔𝒊𝒂𝒍?!”
We look at a recent collective statement put out by 9 spine based societies that highly recommended AGAINST non-spine surgeons performing spinal fusions. 🤷‍♂️
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One of the topics specifically mentioned was percutaneous sacroiliac (SI) joint fusions. 🧙
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The societies state “Neurosurgeons and orthopaedic spine surgeons are the only physicians who have undergone extensive training in the biology, biomechanics, surgical anatomy and techniques of instrumentation/stabilization of the human spine. That foundation provides them with expertise in diagnosis, decision-making, formulation of treatment plans — which may or may not involve instrumentation of the spine — and alteration of biomechanics in the treatment of spinal disorders.” 📚📚📚📚
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“Non-surgeon spine practitioners do not have the training and expertise to deal with the potential complications that may arise from percutaneous instrumentation or stabilization of the spine. The downstream consequences of such instrumentation fall outside the purview of a pain management or physiatry physician’s training curriculum”🙇‍♂️
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It also highlights 𝘀𝗽𝗶𝗻𝗼-𝗽𝗲𝗹𝘃𝗶𝗰 𝗽𝗮𝗿𝗮𝗺𝗲𝘁𝗲𝗿𝘀 but I know too many of those words are going to scare off all of my non-spine ortho followers.📏📐
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The great Dr. Mike Wang at U Miami would always say- ‘surgery is the easy part, a monkey could be trained to do it, it's the diagnosis and complication management that makes this one of the most complex specialites’. 🥹🙏
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American Academy of Orthopaedic Surgeons/ American Association Orthopaedic Surgeons American Association of Neurological Surgeons
Cervical Spine Research Society
Congress of Neurological Surgeons
AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves
International Society for the Advancement of Spine Surgery
Lumbar Spine Research Society
Scoliosis Research Society
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🤗 🤖 🤓 😍
💻 🙃 🩹 ⚡️ 🤠

05/03/2022

ACDF Surgery as Explained by a Texas Spine Surgeon (2022)

A short 1 minute video to tell you about this wry common surgery we have perfected since 1958!

https://youtu.be/lN377CDNjNQ

An ACDF is one of the most common and most studied surgeries in spine surgery.-In this video as well as others I have on the topic, I explain the indications...

04/22/2022

One of the cooler cases 🤯 I’ve done in 2022! I’m now happy to share with this patient being 3+ months post-op and doing extremely well! 👍
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(Shared with permission📝🙏)
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04/15/2022

𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗮𝗻𝗱 𝗿𝗮𝗱𝗶𝗼𝗹𝗼𝗴𝗶𝗰𝗮𝗹 𝗲𝘃𝗮𝗹𝘂𝗮𝘁𝗶𝗼𝗻 𝗼𝗳 𝗰𝗲𝗿𝘃𝗶𝗰𝗮𝗹 𝗱𝗶𝘀𝗰 𝗮𝗿𝘁𝗵𝗿𝗼𝗽𝗹𝗮𝘀𝘁𝘆 𝘄𝗶𝘁𝗵 𝟱-𝘆𝗲𝗮𝗿 𝗳𝗼𝗹𝗹𝗼𝘄-𝘂𝗽: 𝗮 𝗽𝗿𝗼𝘀𝗽𝗲𝗰𝘁𝗶𝘃𝗲 𝘀𝘁𝘂𝗱𝘆 𝗼𝗳 𝟯𝟴𝟰 𝗽𝗮𝘁𝗶𝗲𝗻𝘁𝘀 (European Spine Journal 2019)
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𝘖𝘣𝘫𝘦𝘤𝘵𝘪𝘷𝘦: 5-year follow-up results after implantation of a cervical disc prosthesis.
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METHODS:
➡️ 384 patients, all Mobi-C in a prospective multicenter study.
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Ʀᴇsᴜʟᴛs: (at 5 years)
🔹️ Distal and proximal adjacent disc degeneration occurred in 42.2% and 39.1% YET surgery rate at adjacent discs was 2.9%.
🔹️ Adjacent discs showed no significant change in average motion vs pre-op baseline.
🔹️ 72.1% of implanted segments were still mobile (ROM > 3°).
🔹️ Auto-fusion/ossification occurred in 16.4% of the implants.
🔹️ Total complication rate was 8.9%, and 1.5% of the patients had a reoperation at the index level.
🔹️ 93.3% patients were satisfied regarding the overall outcome.
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🧐 ᴄᴏɴᴄʟᴜsɪᴏɴ: In this study, favorable 5-year clinical and radiological outcomes were observed with a low rate of adjacent level surgery.
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🤠 𝐌𝐘 𝐓𝐀𝐊𝐄: 5 years is a long time highlights the need for another surgery is very small. Also 93% “satisfied” seems about right. That number is even higher in the 1st 2 years but other neck issues later arise to lessen the perceived satisfaction.
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📖 PMID: 31363916
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04/13/2022

𝐒𝐩𝐢𝐧𝐞 𝐂𝐨𝐧𝐬𝐮𝐥𝐭- 📦😩 𝕃𝕦𝕞𝕓𝕒𝕣 ℝ𝕒𝕕𝕚𝕔𝕦𝕝𝕠𝕡𝕒𝕥𝕙𝕪 😖📦
𝐇𝐢𝐬𝐭𝐨𝐫𝐲: 67 male UPS driver with years of on and off back pain managed conservatively. 5 months of increasing b/l radicular pain, specifically anterior lateral thigh and left anterior leg. 2 epidural injections helped for a few months. Has had 8 RFAs over 10 years. Unable to lift grandkids or clean his house due to the radicular pain.
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🔎 Exam:
👀 LE 5s; + SLR
👀 BMI 36
👀 Radiculopathy w flexion and leg extension
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🏥 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬:
1- Lumbar radiculopathy
2- Lumbar disc degeneration
3- Lumbar spondylolisthesis
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✅ 𝐏𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞:
1- Prone Lateral Interbody Fusion, L4/5
2- Posterior Instrumented Fusion, L4-L5
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𝐌𝐘 𝐓𝐀𝐊𝐄: One of the several spinal pathologies that should have a “home run” outcome based on the selected management! Restoration of disc height, opening the foramen (whether done directly or indirectly), and stabilization should provide immediate relief. When doing indirect, I like (allo)grafts with a cellular component or i-Factor packed into the cage since fusion HERE is a must. For me, Atech’s hip bolsters make the higher crest less of an issue vs a left side up lateral.
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04/10/2022

𝐒𝐩𝐢𝐧𝐞 𝐂𝐨𝐧𝐬𝐮𝐥𝐭- 📦😩 𝕃𝕦𝕞𝕓𝕒𝕣 ℝ𝕒𝕕𝕚𝕔𝕦𝕝𝕠𝕡𝕒𝕥𝕙𝕪 😖📦
𝐇𝐢𝐬𝐭𝐨𝐫𝐲: 67 male UPS driver with years of on-and-off back pain. 5 months of increasing b/l radicular pain, specifically anterior lateral thigh and left anterior leg. 2 epidural injections helped for a few months. Has had 8 RFAs over 10 years. Unable to lift grandkids or clean his house due to the radicular pain.
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🔎 Exam:
👀 LE 5s; + SLR
👀 BMI 36
👀 Radiculopathy w flexion and leg extension
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🏥 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬:
1- Lumbar radiculopathy
2- Lumbar disc degeneration
3- Lumbar spondylolisthesis
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𝑪𝒐𝒏𝒔𝒊𝒅𝒆𝒓𝒂𝒕𝒊𝒐𝒏𝒔: Additional Studies? Anything at L5/S1? ALIF? Lateral (Prone or lateral)? Dual portal Endoscopic? Laminectomy (open or tube or endo)? TLIF (expandable?)? TOPS? DBM or allo type used? Pain doctor placement of Coflex?
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✅ 𝐏𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞:
1- TBA
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𝐌𝐘 𝐓𝐀𝐊𝐄: TBA
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03/31/2022

𝗥𝗲𝘃𝗶𝘀𝗶𝗼𝗻 𝗦𝘂𝗿𝗴𝗲𝗿𝗶𝗲𝘀 𝗙𝗼𝗹𝗹𝗼𝘄𝗶𝗻𝗴 𝗔𝗿𝘁𝗶𝗳𝗶𝗰𝗶𝗮𝗹 𝗗𝗶𝘀𝗰 𝗥𝗲𝗽𝗹𝗮𝗰𝗲𝗺𝗲𝗻𝘁 𝗼𝗳 𝘁𝗵𝗲 𝗖𝗲𝗿𝘃𝗶𝗰𝗮𝗹 𝗦𝗽𝗶𝗻𝗲 (Acta Orthop Traumatol Turc 2016)
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𝘖𝘣𝘫𝘦𝘤𝘵𝘪𝘷𝘦: To identify causes and results of revision surgeries after an artificial cervical disc replacement (C-ADR).
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METHODS:
➡️ 21 revision cases (mean age: 52.8) with a minimum 2-year of follow-up
➡️ The mean time between the primary and revision surgeries was 21 months
➡️ During their primary surgeries, 14 patients underwent single level C-ADR, 2 two-level C-ADR, and 5 two-level hybrid surgery
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Ʀᴇsᴜʟᴛs:
🔹️ Causes for revisions were: 17 (81%) poor patient selections, 7 (33%) insufficient decompressions, 7 malpositions, 6 (29%) subsidences, 3 (14%) osteolysis, and 1 postoperative infx.
🔹️ In the 81% of poor patient selection (severe spondylosis or OPLL), 5 had persistent symptoms after initial surgery and 12 had a subsequent recurrence.
🔹️ 16 patients underwent anterior removal of C-ADR (w treatment of 1lv ACDF (11), 2lv ACDF (3), 1lv ACC (2); three pts had posterior laminoforaminotomy and fusion.
🔹️ According to Odom's criteria, 86% of the patients were satisfied and 91% achieved solid fusion all non symptomatic.
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🧐 ᴄᴏɴᴄʟᴜsɪᴏɴ: In this case series of revision surgeries, there are successful outcomes in failed C-ADR without major complications.
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🤠 𝐌𝐘 𝐓𝐀𝐊𝐄: It takes good leadership to publish complications so I commend authors that share adverse outcomes. C-ADR should be applied to strictly limited indications, such as soft disc herniation or mild spondylosis. C-ADR devices should be ideally placed into the rectangular disc space complying with three conditions: midline centering, lordotic sagittal alignment, and use of maximum size.
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📖 PMID: 27939974
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