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:	Pradeep Kumar Jain, Sunil Malagi, Anoop Shastry, Pranoy Hegde, Deepankar Ramesh Devamane
Formato:	article
Lenguaje:	EN
Publicado:	JCDR Research and Publications Private Limited 2021
Materias:	anterior cervical discectomy and fusion cervical disc degenerative disease cervical spine Medicine R
Acceso en línea:	https://doaj.org/article/74381cc667794b5ea2d2825ef32dbe77
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spelling	oai:doaj.org-article:74381cc667794b5ea2d2825ef32dbe772021-11-12T11:58:06ZAnterior Cervical Microdiscectomy and Fusion using Stand-Alone Polyetheretherketone Cage: A Retrospective Study10.7860/JCDR/2021/50187.154332249-782X0973-709Xhttps://doaj.org/article/74381cc667794b5ea2d2825ef32dbe772021-09-01T00:00:00Zhttps://www.jcdr.net/articles/PDF/15433/50187_CE[Ra1]_F[SK]_GC(AnK)_PF1(PS_SHU_KM)_PFA_PB(PS_KM)_PN(KM).pdfhttps://doaj.org/toc/2249-782Xhttps://doaj.org/toc/0973-709XIntroduction: 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.Pradeep Kumar JainSunil MalagiAnoop ShastryPranoy HegdeDeepankar Ramesh DevamaneJCDR Research and Publications Private Limitedarticleanterior cervical discectomy and fusioncervical disc degenerative diseasecervical spineMedicineRENJournal of Clinical and Diagnostic Research, Vol 15, Iss 9, Pp PC23-PC25 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anterior cervical discectomy and fusion cervical disc degenerative disease cervical spine Medicine R
spellingShingle	anterior cervical discectomy and fusion cervical disc degenerative disease cervical spine Medicine R Pradeep Kumar Jain Sunil Malagi Anoop Shastry Pranoy Hegde Deepankar Ramesh Devamane Anterior Cervical Microdiscectomy and Fusion using Stand-Alone Polyetheretherketone Cage: A Retrospective Study
description	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.
format	article
author	Pradeep Kumar Jain Sunil Malagi Anoop Shastry Pranoy Hegde Deepankar Ramesh Devamane
author_facet	Pradeep Kumar Jain Sunil Malagi Anoop Shastry Pranoy Hegde Deepankar Ramesh Devamane
author_sort	Pradeep Kumar Jain
title	Anterior Cervical Microdiscectomy and Fusion using Stand-Alone Polyetheretherketone Cage: A Retrospective Study
title_short	Anterior Cervical Microdiscectomy and Fusion using Stand-Alone Polyetheretherketone Cage: A Retrospective Study
title_full	Anterior Cervical Microdiscectomy and Fusion using Stand-Alone Polyetheretherketone Cage: A Retrospective Study
title_fullStr	Anterior Cervical Microdiscectomy and Fusion using Stand-Alone Polyetheretherketone Cage: A Retrospective Study
title_full_unstemmed	Anterior Cervical Microdiscectomy and Fusion using Stand-Alone Polyetheretherketone Cage: A Retrospective Study
title_sort	anterior cervical microdiscectomy and fusion using stand-alone polyetheretherketone cage: a retrospective study
publisher	JCDR Research and Publications Private Limited
publishDate	2021
url	https://doaj.org/article/74381cc667794b5ea2d2825ef32dbe77
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Anterior Cervical Microdiscectomy and Fusion using Stand-Alone Polyetheretherketone Cage: A Retrospective Study

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