| Autor: |
Bhuyan, Mrinal, Das, Dhrubajyoti |
| Předmět: |
|
| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2023, Vol. 14 Issue 9, p829-836, 8p |
| Abstrakt: |
BACKGROUND:Symptomatic cervical disc prolapse is best managed with anterior cervical discectomy with fusion. This study was conducted to assess the clinical outcomes following anterior cervical discectomy and fusion using zero profile spacer in cervical spondylotic myelopathy patients. MATERIALS AND METHODS: This is a prospective study that was carried out in the department of Neurosurgery, Gauhati Medical College & Hospital from January 2021 till May 2022. Data was collected from all patients undergoing anterior cervical discectomy and fusion using zero profile spacer. We measured surgical outcome including dysphagia at 1 month, Nurick grade at follow up and length of hospital stay. RESULTS: A total of 79 cases underwent anterior cervical discectomy out of which 53 patients were included in the study and followed up for a period of 6 months post operatively. Of these 53 patients, 42 were male and 11 were female. Mean age was 47.05 years (range 28- 67years).Nape of neck pain was the most common presenting symptom followed by tingling sensation in all four limbs and trunk. Average time taken for surgery was 128±34 minutes. Average length of hospital stay was 2.5±1.5 days. At 1 month follow up, only three patients reported of occasional dysphagia to solids. No patient reported of dysphagia to liquids or absolute dysphagia. Nurick grade at last follow up improved in 46 patients (86.7%). CONCLUSION: ACDF is the treatment of choice for the patients with clinical and radiological evidence of cervical cord compression.Stand-alone zero-profile cages in single level or multilevel ACDF surgeries have a good outcome in terms of reduced post-operative dysphagia and acceptable clinical and neurological improvement. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
