Comparison of Cervical Kinematics, Pain, and Functional Disability Between Single- and Two-level Anterior Cervical Discectomy and Fusion
| Autor: | Andy Chien, Jaw-Lin Wang, Wei-Li Hsu, Shwu-Fen Wang, Chih-Hsiu Cheng, Dar-Ming Lai |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Total Disc Replacement medicine.medical_specialty medicine.medical_treatment Pain Anterior cervical discectomy and fusion Intervertebral Disc Degeneration Degenerative disc disease Disability Evaluation 03 medical and health sciences 0302 clinical medicine Functional spinal unit medicine Humans Orthopedics and Sports Medicine Prospective Studies Range of Motion Articular Intervertebral Disc Prospective cohort study Pain Measurement 030222 orthopedics business.industry Intervertebral disc Middle Aged medicine.disease Biomechanical Phenomena Surgery Spinal Fusion medicine.anatomical_structure Spinal fusion Cervical Vertebrae Female Neurology (clinical) business Range of motion Neck 030217 neurology & neurosurgery Diskectomy Cervical vertebrae |
| Zdroj: | Spine. 41:E915-E922 |
| ISSN: | 1528-1159 0362-2436 |
| DOI: | 10.1097/brs.0000000000001502 |
| Popis: | STUDY DESIGN A prospective, time series design. OBJECTIVE The purpose of this study is two-fold: firstly, to investigate the impact of altered cervical alignment and range of motion (ROM) on patients' self-reported outcomes after anterior cervical discectomy and fusion (ACDF), and secondly, to comparatively differentiate the influence of single- and two-level ACDF on the cervical ROM and adjacent segmental kinematics up to 12-month postoperatively. SUMMARY OF BACKGROUND DATA ACDF is one of the most commonly employed surgical interventions to treat degenerative disc disease. However, there are limited in vivo data on the impact of ACDF on the cervical kinematics and its association with patient-reported clinical outcomes. METHODS Sixty-two patients (36 males; 55.63 ± 11.6 yrs) undergoing either a single- or consecutive two-level ACDF were recruited. The clinical outcomes were assessed with the Pain Visual Analogue Scale (VAS) and the Neck Disability Index (NDI). Radiological results included cervical lordosis, global C2-C7 ROM, ROM of the Functional Spinal Unit (FSU), and its adjacent segments. The outcome measures were collected preoperatively and then at 3, 6, and 12-month postoperatively. RESULTS A significant reduction of both VAS and NDI was found for both groups from the preoperative to 3-month period (P |
| Databáze: | OpenAIRE |
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