Outcome of Anterior Cervical Discectomy and Fusion Using Surgical Loupe

Background Data: ACDF using the surgical microscope is the gold standard treatment for cervical radiculopathy, myelopathy or myeloradiculopathy due to herniated cervical disc and/or uncovertebral spurs, since it was first developed in 1950. Complications of ACDF, reported in the literature, have ver...

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Autores principales:	Salah Hamada, Emad Abouelmaaty
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2014
Materias:	Anterior cervical discectomy and fusion (ACDF) Visual analogue score (VAS) axial neck pain radicular pain radicular weakness myelopathy Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/a74c6fe83a0d40718494386ae2d6d074
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spelling	oai:doaj.org-article:a74c6fe83a0d40718494386ae2d6d0742021-12-02T05:59:12ZOutcome of Anterior Cervical Discectomy and Fusion Using Surgical LoupeDOI:10.21608/ESJ.2014.38682314-89502314-8969https://doaj.org/article/a74c6fe83a0d40718494386ae2d6d0742014-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3868.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: ACDF using the surgical microscope is the gold standard treatment for cervical radiculopathy, myelopathy or myeloradiculopathy due to herniated cervical disc and/or uncovertebral spurs, since it was first developed in 1950. Complications of ACDF, reported in the literature, have very low incidence rate except laryngeal and pharyngeal complications (dysphagia, dysphonia) with reported incidence of 5.7% to 93.3%. Purpose: To find out the possibility and safety of use of surgical loupe alone as an alternative to the gold standard surgical microscope. Study Design: observational analytic retrospective study. Patients and Methods: Retrospective evaluation of outcome of 59 cases of surgically treated cervical disc disease done using surgical loupe alone instead of microscope in Ain Shams university hospitals. Results: The mean VAS of axial neck pain and radicular pain decreased significantly immediately postoperatively (P value 0.001>). Radicular weakness improved immediately postoperatively (P value 0.032). Myelopathy improved significantly after 1 month (P value 0.004).The overall satisfaction of patients was excellent in 47.4% (28 cases) and very good in 37.3% (22 cases) with overall highly satisfactory results 84.7% of patients. The mean interval to return to work after surgery (in months) was 1.98±0.55. The mean of operation time (in minutes) of ACDF was 112.71±44.55. Conclusion: Surgical loupe could be good alternative to microscope in ACDF in resources- limited centers. (2014ESJ075)Salah Hamada Emad AbouelmaatyEgyptian Spine AssociationarticleAnterior cervical discectomy and fusion (ACDF)Visual analogue score (VAS)axial neck painradicular painradicular weaknessmyelopathyNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 9, Iss 1, Pp 27-35 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anterior cervical discectomy and fusion (ACDF) Visual analogue score (VAS) axial neck pain radicular pain radicular weakness myelopathy Neurology. Diseases of the nervous system RC346-429
spellingShingle	Anterior cervical discectomy and fusion (ACDF) Visual analogue score (VAS) axial neck pain radicular pain radicular weakness myelopathy Neurology. Diseases of the nervous system RC346-429 Salah Hamada Emad Abouelmaaty Outcome of Anterior Cervical Discectomy and Fusion Using Surgical Loupe
description	Background Data: ACDF using the surgical microscope is the gold standard treatment for cervical radiculopathy, myelopathy or myeloradiculopathy due to herniated cervical disc and/or uncovertebral spurs, since it was first developed in 1950. Complications of ACDF, reported in the literature, have very low incidence rate except laryngeal and pharyngeal complications (dysphagia, dysphonia) with reported incidence of 5.7% to 93.3%. Purpose: To find out the possibility and safety of use of surgical loupe alone as an alternative to the gold standard surgical microscope. Study Design: observational analytic retrospective study. Patients and Methods: Retrospective evaluation of outcome of 59 cases of surgically treated cervical disc disease done using surgical loupe alone instead of microscope in Ain Shams university hospitals. Results: The mean VAS of axial neck pain and radicular pain decreased significantly immediately postoperatively (P value 0.001>). Radicular weakness improved immediately postoperatively (P value 0.032). Myelopathy improved significantly after 1 month (P value 0.004).The overall satisfaction of patients was excellent in 47.4% (28 cases) and very good in 37.3% (22 cases) with overall highly satisfactory results 84.7% of patients. The mean interval to return to work after surgery (in months) was 1.98±0.55. The mean of operation time (in minutes) of ACDF was 112.71±44.55. Conclusion: Surgical loupe could be good alternative to microscope in ACDF in resources- limited centers. (2014ESJ075)
format	article
author	Salah Hamada Emad Abouelmaaty
author_facet	Salah Hamada Emad Abouelmaaty
author_sort	Salah Hamada
title	Outcome of Anterior Cervical Discectomy and Fusion Using Surgical Loupe
title_short	Outcome of Anterior Cervical Discectomy and Fusion Using Surgical Loupe
title_full	Outcome of Anterior Cervical Discectomy and Fusion Using Surgical Loupe
title_fullStr	Outcome of Anterior Cervical Discectomy and Fusion Using Surgical Loupe
title_full_unstemmed	Outcome of Anterior Cervical Discectomy and Fusion Using Surgical Loupe
title_sort	outcome of anterior cervical discectomy and fusion using surgical loupe
publisher	Egyptian Spine Association
publishDate	2014
url	https://doaj.org/article/a74c6fe83a0d40718494386ae2d6d074
work_keys_str_mv	AT salahhamada outcomeofanteriorcervicaldiscectomyandfusionusingsurgicalloupe AT emadabouelmaaty outcomeofanteriorcervicaldiscectomyandfusionusingsurgicalloupe
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Outcome of Anterior Cervical Discectomy and Fusion Using Surgical Loupe

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