Clinical Outcome Results of Stand Alone Anchored Spacer for Anterior Cervical Discectomy and Fusion

Background Data: Anterior cervical discectomy and fusion (ACDF) became the classic operation in treating degenerative cervical spondylosis. The application of anterior cervical plate helped fusion and stabilization; however, there were many reports of the complications, such as dysphagia and the pos...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Osama Dawood, Walid AbdelGhany, Ahmad Desoky, Hatem Sabry
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2018
Materias:	Anchored spacer cervical plate degenerative spine cervical discectomy Dysphagia Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/784b410572ad4008a4fb1557486c54d8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:784b410572ad4008a4fb1557486c54d8
record_format	dspace
spelling	oai:doaj.org-article:784b410572ad4008a4fb1557486c54d82021-12-02T04:47:04ZClinical Outcome Results of Stand Alone Anchored Spacer for Anterior Cervical Discectomy and FusionDOI:10.21608/ESJ.2018.112382314-89502314-8969https://doaj.org/article/784b410572ad4008a4fb1557486c54d82018-04-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_11238.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Anterior cervical discectomy and fusion (ACDF) became the classic operation in treating degenerative cervical spondylosis. The application of anterior cervical plate helped fusion and stabilization; however, there were many reports of the complications, such as dysphagia and the possibility of adjacent segment degeneration that may develop after anterior cervical approach. Purpose: The aim of this study is to assess the outcome of the standalone anchored cervical spacers in anterior cervical discectomy and fusion. Study Design: This is a retrospective study included 30 patients suffering from degenerative cervical disc disease. The outcome measures were: the visual analogue score, Cobb’s angles for sagittal and segmental alignment, the Japanese orthopedic association score, Nurick score for myelopathic patients and the occurrence of postoperative dysphagia. Patients and Methods: 30 patients were included in this study. All these patients had an anterior approach for cervical discectomy. A standalone anchored cervical spacer was used for this purpose. All patients were regularly assessed through the follow up period of two years post surgical intervention. Results: The study included 30 patients, 22 patients had single level, and 8 patients had two levels cervical discectomy. Postoperative improvement of radicular pain VAS were statistically significant (9.0 to 1.67) as well as the improvement in Cobb’s angle (1.39±5.69 to 6.78±3.83) were statistically significant (P=0.001). Postoperative improvement in the JOA Score was significant (7.12 to 14.65). Nurick score for myelopathy improvement was statistically significant (2.6 to 0.83). Postoperative improvement in the fused levels’ height was statistically significant (p=0.001) Conclusion: Stand-alone anchored spacer has a good result regarding relief of symptoms, fusion, and is simple to insert with less post-operative dysphagia. (2018ESJ156)Osama Dawood Walid AbdelGhanyAhmad Desoky Hatem SabryEgyptian Spine AssociationarticleAnchored spacercervical platedegenerative spinecervicaldiscectomyDysphagiaNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 26, Iss 1, Pp 6-14 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anchored spacer cervical plate degenerative spine cervical discectomy Dysphagia Neurology. Diseases of the nervous system RC346-429
spellingShingle	Anchored spacer cervical plate degenerative spine cervical discectomy Dysphagia Neurology. Diseases of the nervous system RC346-429 Osama Dawood Walid AbdelGhany Ahmad Desoky Hatem Sabry Clinical Outcome Results of Stand Alone Anchored Spacer for Anterior Cervical Discectomy and Fusion
description	Background Data: Anterior cervical discectomy and fusion (ACDF) became the classic operation in treating degenerative cervical spondylosis. The application of anterior cervical plate helped fusion and stabilization; however, there were many reports of the complications, such as dysphagia and the possibility of adjacent segment degeneration that may develop after anterior cervical approach. Purpose: The aim of this study is to assess the outcome of the standalone anchored cervical spacers in anterior cervical discectomy and fusion. Study Design: This is a retrospective study included 30 patients suffering from degenerative cervical disc disease. The outcome measures were: the visual analogue score, Cobb’s angles for sagittal and segmental alignment, the Japanese orthopedic association score, Nurick score for myelopathic patients and the occurrence of postoperative dysphagia. Patients and Methods: 30 patients were included in this study. All these patients had an anterior approach for cervical discectomy. A standalone anchored cervical spacer was used for this purpose. All patients were regularly assessed through the follow up period of two years post surgical intervention. Results: The study included 30 patients, 22 patients had single level, and 8 patients had two levels cervical discectomy. Postoperative improvement of radicular pain VAS were statistically significant (9.0 to 1.67) as well as the improvement in Cobb’s angle (1.39±5.69 to 6.78±3.83) were statistically significant (P=0.001). Postoperative improvement in the JOA Score was significant (7.12 to 14.65). Nurick score for myelopathy improvement was statistically significant (2.6 to 0.83). Postoperative improvement in the fused levels’ height was statistically significant (p=0.001) Conclusion: Stand-alone anchored spacer has a good result regarding relief of symptoms, fusion, and is simple to insert with less post-operative dysphagia. (2018ESJ156)
format	article
author	Osama Dawood Walid AbdelGhany Ahmad Desoky Hatem Sabry
author_facet	Osama Dawood Walid AbdelGhany Ahmad Desoky Hatem Sabry
author_sort	Osama Dawood
title	Clinical Outcome Results of Stand Alone Anchored Spacer for Anterior Cervical Discectomy and Fusion
title_short	Clinical Outcome Results of Stand Alone Anchored Spacer for Anterior Cervical Discectomy and Fusion
title_full	Clinical Outcome Results of Stand Alone Anchored Spacer for Anterior Cervical Discectomy and Fusion
title_fullStr	Clinical Outcome Results of Stand Alone Anchored Spacer for Anterior Cervical Discectomy and Fusion
title_full_unstemmed	Clinical Outcome Results of Stand Alone Anchored Spacer for Anterior Cervical Discectomy and Fusion
title_sort	clinical outcome results of stand alone anchored spacer for anterior cervical discectomy and fusion
publisher	Egyptian Spine Association
publishDate	2018
url	https://doaj.org/article/784b410572ad4008a4fb1557486c54d8
work_keys_str_mv	AT osamadawood clinicaloutcomeresultsofstandaloneanchoredspacerforanteriorcervicaldiscectomyandfusion AT walidabdelghany clinicaloutcomeresultsofstandaloneanchoredspacerforanteriorcervicaldiscectomyandfusion AT ahmaddesoky clinicaloutcomeresultsofstandaloneanchoredspacerforanteriorcervicaldiscectomyandfusion AT hatemsabry clinicaloutcomeresultsofstandaloneanchoredspacerforanteriorcervicaldiscectomyandfusion
_version_	1718401014206300160

Clinical Outcome Results of Stand Alone Anchored Spacer for Anterior Cervical Discectomy and Fusion

Ejemplares similares