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

Autor:	Ranabir Pal, NA Sai Kiran, Ninad N. Srikhande, Amit Agrawal, Amrita Ghosh, Vishnu Vardhan Reddy, VA Kiran Kumar, Luis Rafael Moscote-Salazar, V. S. Anil Kumar
Rok vydání:	2019
Předmět:	medicine.medical_specialty Weakness fusion lcsh:Diseases of the musculoskeletal system Anterior cervical discectomy Postoperative hematoma cervical radiculopathy Anterior cervical discectomy and fusion 03 medical and health sciences 0302 clinical medicine medicine 030222 orthopedics Neck pain business.industry medicine.disease Dysphagia Surgery Radicular pain Original Article Neurology (clinical) Neurosurgery Presentation (obstetrics) medicine.symptom lcsh:RC925-935 business 030217 neurology & neurosurgery
Zdroj:	Journal of Craniovertebral Junction & Spine Journal of Craniovertebral Junction and Spine, Vol 10, Iss 1, Pp 28-32 (2019)
ISSN:	0974-8237
Popis:	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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b8cd996d2e6302637c585bdec840d450 https://pubmed.ncbi.nlm.nih.gov/31000977 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.