Does Cervical Plate Add Value in Single or Double Level Anterior Cervical Discectomy and Fusion?

Background Data: Optimal surgical approach for anterior cervical discectomy and fusion (ACDF) is still controversial. Some authors believe that addition of locking plate (ACDFP) has higher costs and longer operative time. Other surgeons believe that ACDFP have better clinical outcomes and more sound...

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Autores principales:	Tariq Elemam, Salem Faisel, Moawad El-Adawy
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2018
Materias:	anterior cervical fusion anterior cervical plate cervical discectomy cervical fusion outcome Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/3c981e21e1354d42a2be716b0a75108c
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spelling	oai:doaj.org-article:3c981e21e1354d42a2be716b0a75108c2021-12-02T09:41:41ZDoes Cervical Plate Add Value in Single or Double Level Anterior Cervical Discectomy and Fusion?DOI:10.21608/ESJ.2018.112412314-89502314-8969https://doaj.org/article/3c981e21e1354d42a2be716b0a75108c2018-04-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_11241.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Optimal surgical approach for anterior cervical discectomy and fusion (ACDF) is still controversial. Some authors believe that addition of locking plate (ACDFP) has higher costs and longer operative time. Other surgeons believe that ACDFP have better clinical outcomes and more sound fusion. The debate is higher in single and double level ACDF. Purpose: To compare the clinical and radiological outcomes in patients with single or double level cervical disc herniation operated by ACDF versus those operated by ACDFP. Study Design: A retrospective, descriptive controlled, non-randomized, clinical case study. Patients and Methods: Forty patients underwent ACDF. They were divided into two groups; ACDF group and ACDFP fixation group. Each group included 20 patients. They were operated between 2010 and 2017. Participants were evaluated pre-operatively and post-operatively 1, 3, 6, 9 and 12 months after surgery. Operative time, hospital stay and complications were assessed. Pain was scored by a VAS for both upper arm and cervical pain. The clinical outcomes were compared using Odom’s criteria. Cervical fusion was assessed radiologically. Results: The demographic data of the two groups of patients were fairly homogeneous and comparable. ACDFP group showed slightly better clinical outcome parameters in comparison to ACDF group including VAS for cervical pain (9±5 versus 28±11) and Odom’s criteria scores (15 excellent outcome versus 10). Also ACDFP group showed slightly better radiological fusion rate (100%) in comparison to (85%) in ACDF group. Reported nonunion was higher in ACDF group (15%) in comparison to ACDFP group (0%). Conclusion: Our data suggest that the addition of cervical plate fixation to ACDF might leads to better clinical outcome and radiological fusion in single and double cervical disc disease. (2018ESJ155)Tariq Elemam Salem Faisel Moawad El-AdawyEgyptian Spine Associationarticleanterior cervical fusionanterior cervical platecervical discectomycervical fusionoutcomeNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 26, Iss 1, Pp 34-41 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	anterior cervical fusion anterior cervical plate cervical discectomy cervical fusion outcome Neurology. Diseases of the nervous system RC346-429
spellingShingle	anterior cervical fusion anterior cervical plate cervical discectomy cervical fusion outcome Neurology. Diseases of the nervous system RC346-429 Tariq Elemam Salem Faisel Moawad El-Adawy Does Cervical Plate Add Value in Single or Double Level Anterior Cervical Discectomy and Fusion?
description	Background Data: Optimal surgical approach for anterior cervical discectomy and fusion (ACDF) is still controversial. Some authors believe that addition of locking plate (ACDFP) has higher costs and longer operative time. Other surgeons believe that ACDFP have better clinical outcomes and more sound fusion. The debate is higher in single and double level ACDF. Purpose: To compare the clinical and radiological outcomes in patients with single or double level cervical disc herniation operated by ACDF versus those operated by ACDFP. Study Design: A retrospective, descriptive controlled, non-randomized, clinical case study. Patients and Methods: Forty patients underwent ACDF. They were divided into two groups; ACDF group and ACDFP fixation group. Each group included 20 patients. They were operated between 2010 and 2017. Participants were evaluated pre-operatively and post-operatively 1, 3, 6, 9 and 12 months after surgery. Operative time, hospital stay and complications were assessed. Pain was scored by a VAS for both upper arm and cervical pain. The clinical outcomes were compared using Odom’s criteria. Cervical fusion was assessed radiologically. Results: The demographic data of the two groups of patients were fairly homogeneous and comparable. ACDFP group showed slightly better clinical outcome parameters in comparison to ACDF group including VAS for cervical pain (9±5 versus 28±11) and Odom’s criteria scores (15 excellent outcome versus 10). Also ACDFP group showed slightly better radiological fusion rate (100%) in comparison to (85%) in ACDF group. Reported nonunion was higher in ACDF group (15%) in comparison to ACDFP group (0%). Conclusion: Our data suggest that the addition of cervical plate fixation to ACDF might leads to better clinical outcome and radiological fusion in single and double cervical disc disease. (2018ESJ155)
format	article
author	Tariq Elemam Salem Faisel Moawad El-Adawy
author_facet	Tariq Elemam Salem Faisel Moawad El-Adawy
author_sort	Tariq Elemam
title	Does Cervical Plate Add Value in Single or Double Level Anterior Cervical Discectomy and Fusion?
title_short	Does Cervical Plate Add Value in Single or Double Level Anterior Cervical Discectomy and Fusion?
title_full	Does Cervical Plate Add Value in Single or Double Level Anterior Cervical Discectomy and Fusion?
title_fullStr	Does Cervical Plate Add Value in Single or Double Level Anterior Cervical Discectomy and Fusion?
title_full_unstemmed	Does Cervical Plate Add Value in Single or Double Level Anterior Cervical Discectomy and Fusion?
title_sort	does cervical plate add value in single or double level anterior cervical discectomy and fusion?
publisher	Egyptian Spine Association
publishDate	2018
url	https://doaj.org/article/3c981e21e1354d42a2be716b0a75108c
work_keys_str_mv	AT tariqelemam doescervicalplateaddvalueinsingleordoublelevelanteriorcervicaldiscectomyandfusion AT salemfaisel doescervicalplateaddvalueinsingleordoublelevelanteriorcervicaldiscectomyandfusion AT moawadeladawy doescervicalplateaddvalueinsingleordoublelevelanteriorcervicaldiscectomyandfusion
_version_	1718398060339396608

Does Cervical Plate Add Value in Single or Double Level Anterior Cervical Discectomy and Fusion?

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