Anterior Cervical Microdiscectomy and Fusion using Stand-Alone Polyetheretherketone Cage: A Retrospective Study
Introduction: Anterior Cervical Discectomy and Fusion (ACDF) constitutes the standard mode of treatment for cervical disc herniation due to degeneration. Stand-alone cage can be considered as effective treatment for single and two level disc prolapse. Aim: To examine the clinical outcomes of AC...
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| Autores principales: | , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
JCDR Research and Publications Private Limited
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/74381cc667794b5ea2d2825ef32dbe77 |
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| Sumario: | Introduction: Anterior Cervical Discectomy and Fusion (ACDF)
constitutes the standard mode of treatment for cervical disc
herniation due to degeneration. Stand-alone cage can be
considered as effective treatment for single and two level disc
prolapse.
Aim: To examine the clinical outcomes of ACDF using standalone Polyetheretherketone (PEEK) cage in a single centre.
Materials and Methods: This retrospective study was conducted
from July 2015 to Dec 2020 in 224 consecutive patients who
underwent successful ACDF using self-locking stand-alone PEEK
cage, study was done at Shri Dharmasthala Manjunatheshwara
tertiary care hospital, Dharwad, Karnataka, India for radiculopathy or
myelopathy due to cervical degenerative disc disease. Data analysis
was done upto March 2021. The patients were analysed with Visual
Analogue Scale (VAS) pain score for neck and arm pain and Nurick
grade preoperatively and at 3 months postoperatively. Patients
underwent preoperative and postoperative clinical, neurological
evaluation. This study was statistically analysed using the Statistical
Package for the Social Sciences (SPSS version 13.0) (IBM,
Chicago, IL).
Results: Out of 244, (73%)164 patients underwent single level ACDF
and sixty (27%) two-level ACDF. The mean age of patients was
45.86±12.07. It included 146 (65.2%) males and 78 (34.8%) female
patients. In this study, the mean VAS neck score preoperatively
was 4.04 and at 3 months postoperatively was 1.66 which was
statistically significant (p<0.001). Even in VAS arm scores, there was
a statistical significant difference (p<0.001) between preoperative
(7.25) and 3 months postoperative (1.63) scores. The mean Nurick
grade preoperatively was 1.46 vs 0.40 postoperatively which was
statistically significant (p<0.001). No implant related complications
or adjacent level disease was noted.
Conclusion: This study demonstrated that treatment of cervical
degenerative disc disease by ACDF withstand alone PEEK cage
is an effective and safe method. |
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