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Specialty Update   |    
What's New in Spine Surgery
Keith H. Bridwell, MD1; Paul A. Anderson, MD2; Scott D. Boden, MD3; Alexander R. Vaccaro, MD4; Jeffrey C. Wang, MD5
1 Department of Orthopaedic Surgery, Washington University School of Medicine, One Barnes-Jewish Hospital Plaza, Suite 11300 West Pavilion, Campus Box 8233, St. Louis, MO 63110. E-mail address: bridwellk@wudosis.wustl.edu
2 Department of Orthopedic Surgery and Rehabilitation, University of Wisconsin Hospital, 600 Highland Avenue, Suite K4-736, Madison, WI 53792-0001. E-mail address: anderson@orthorehab.wisc.edu
3 The Emory Spine Center, Emory University School of Medicine, 59 Executive Park South—Suite 3000, Atlanta, GA 30329. E-mail address: Scott_boden@emoryhealthcare.org
4 Rothman Institute at Jefferson, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107-4216. E-mail address: alexvaccaro3@aol.com
5 University of California at Los Angeles Department of Orthopaedic Surgery and Neurosurgery, University of California at Los Angeles School of Medicine, 1250 16th Street, 7th Floor Tower, Room 715, Santa Monica, CA 90404. E-mail address: jwang@mednet.ucla.edu
The Journal of Bone & Joint Surgery.  2009; 91:1822-1834  doi:10.2106/JBJS.I.00488
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Extract

Many controversies still exist with regard to the surgical treatment of cervical spine pathology. The role of allograft, autograft, plate fixation, and bone morphogenetic protein is not entirely clear. There is still debate about the surgical treatment of myelopathy anteriorly as opposed to posteriorly. Clearly, there is substantial anatomic variation in the location of the vertebral artery. Disc arthroplasty for the cervical spine continues to appear to be a viable option for patients with single-level pathology.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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