Clinical presentation and outcome after anterior cervical discectomy and fusion for degenerative cervical disc disease.

Authors:
Professor (Dr.) Ranabir Pal, MD, PhD, MBBS, DCH, MBA, FAIMER FELLOW
Professor (Dr.) Ranabir Pal, MD, PhD, MBBS, DCH, MBA, FAIMER FELLOW
MGM Medical College and LSK Hospital
Professor of Community Medicine and Epidemiology
Commuinity Medicine
Kishanganj, West bengal | India
Dr. Luis Rafael Moscote-Salazar, MD
Dr. Luis Rafael Moscote-Salazar, MD
University of Cartagena
Neurosurgery-Critical Care
Bogota | Colombia

J Craniovertebr Junction Spine 2019 Jan-Mar;10(1):28-32

Department of Neurosurgery, Narayana Medical College Hospital, Nellore, Andhra Pradesh, India.

Background: Anterior cervical discectomy and fusion (ACDF) is a well-described surgical approach for symptomatic degenerative cervical disc disease which does not respond to conservative management. In the present study, we assessed clinical presentation and outcomes of ACDF.

Materials And Methods: The present study was conducted from October 1, 2015, to October 31, 2017, in the Department of Neurosurgery, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, among 100 consecutive adult patients who underwent single- or two-level ACDF for degenerative cervical disc disease.

Results: The mean age was 47.2 ± 12.8 years (range: 20-74 years). Majority of the patients were male (86/100). Presenting symptoms were neck pain (77%), limb weakness (73%), paresthesias (53%), radicular pain (49%), stiffness in limbs (16%), and bladder involvement (13%). Fusion was done with stand-alone titanium cage/bone graft or titanium cage/bone graft with anterior cervical plate. At the time of discharge, significant improvement in preoperative symptoms (neck pain [47/77-61%], radicular pain [31/49-63%], limb weakness [53/73-72.6%], paresthesias [44/53-83%], stiffness in limbs [13/16-81%], and bladder symptoms [8/13-61%]) was reported by majority of these patients. Majority of these patients also reported improvement in preoperative sensory deficits at the time of discharge. Postoperative complications were hoarseness of voice (22%), dysphagia (16%), deterioration of motor power (8%), and postoperative hematoma (7%).

Conclusions: A significant proportion of patients with degenerative cervical disc disease show remarkable recovery after ACDF.

Download full-text PDF

Source
http://dx.doi.org/10.4103/jcvjs.JCVJS_87_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469327PMC
April 2019
2 Reads

Publication Analysis

Top Keywords

degenerative cervical
16
cervical disc
16
anterior cervical
12
majority patients
12
disc disease
12
time discharge
8
symptoms neck
8
limb weakness
8
improvement preoperative
8
cage/bone graft
8
titanium cage/bone
8
stiffness limbs
8
radicular pain
8
neck pain
8
discectomy fusion
8
clinical presentation
8
cervical discectomy
8
cervical
7
patients
5
involvement 13%
4

Similar Publications