Anterior Cervical Discectomy and Fusion Complications and Thirty-Day Mortality and Morbidity.

Autor: Al Eissa S; Orthopaedics, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU., Konbaz F; Orthopaedics, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU., Aldeghaither S; Orthopaedics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Annaim M; Orthopaedics, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU., Aljehani R; Orthopaedics, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU., Alhelal F; Orthopaedics, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU., Abaalkhail M; Orthopaedics, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU., Alhandi AA; Orthopaedics, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2020 Apr 12; Vol. 12 (4), pp. e7643. Date of Electronic Publication: 2020 Apr 12.
DOI: 10.7759/cureus.7643
Abstrakt: Background Anterior cervical discectomy and fusion (ACDF) is a commonly used procedure. However, few studies reported post-operative complications. This study looks into the prevalence of possible complications and the mortality rate in the first 30 days postoperatively.  Methods A retrospective review of patients who underwent ACDF for degenerative disc disease from 2008-2017, in a single center in Riyadh, Saudi Arabia was performed. Patient demographic data, comorbidities, operative notes, immediate and delayed complications were all collected, with a minimum of 30 days follow-up.  Results Out of 434 medical charts reviewed, 163 met the inclusion criteria. Mean population age was 52 ± 11 years. Elective cases comprised 90% of sample and most patients had one or two levels operated on, 95% had ACDF and only 5% had corpectomy. The drain was left in 69% of patients and planned intensive care admission was done for 3%. Instrumentation and graft was used, with 92% needing a cage plus plate. Intraoperative complications were minimal. Mean hospital stay was 12.5 ±18 days. Majority of population had no complications in a 30 days period (98.2%). Only one case underwent revision surgery.  Conclusions While ACDF is considered a safe procedure, postoperative complications may have long-term implications. This study showed minimal complications in the immediate postoperative period, but due to the limited sample size, a study with larger population is needed to further confirm the results.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2020, Al Eissa et al.)
Databáze: MEDLINE
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