Outcome Study of Anterior Cervical Discectomy and Fusion with Lordotic Cage Insertion

Objective: This study retrospectively evaluated the clinical and radiographic outcomes following the use of a lordotic cage in anterior cervical discectomy and fusion (ACDF). Material and Methods: All patients who underwent ACDF, at Vajira Hospital; between May 2017 and May 2020, were included in th...

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Autor principal:	Nattawut Niljianskul
Formato:	article
Lenguaje:	EN
Publicado:	Prince of Songkla University 2021
Materias:	alignment anterior cervical discectomy and fusion lordotic cage Medicine R
Acceso en línea:	https://doaj.org/article/cde465b25a6744898aad3e2d1e146426
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spelling	oai:doaj.org-article:cde465b25a6744898aad3e2d1e1464262021-11-25T08:25:12ZOutcome Study of Anterior Cervical Discectomy and Fusion with Lordotic Cage Insertion2586-99812630-055910.31584/jhsmr.2021808https://doaj.org/article/cde465b25a6744898aad3e2d1e1464262021-11-01T00:00:00Zhttps://www.jhsmr.org/index.php/jhsmr/article/view/808https://doaj.org/toc/2586-9981https://doaj.org/toc/2630-0559Objective: This study retrospectively evaluated the clinical and radiographic outcomes following the use of a lordotic cage in anterior cervical discectomy and fusion (ACDF). Material and Methods: All patients who underwent ACDF, at Vajira Hospital; between May 2017 and May 2020, were included in this study. Radiographic images were used to evaluate the device-level Cobb angle (DLCA), segmental Cobb angle (SCA), global Cobb angle (GCA), sagittal vertical axis (SVA), sagittal alignment (SA), and intervertebral disk height. The visual analog scale (VAS) for neck pain, and the Japanese Orthopaedic Association (JOA) score were reviewed as part of the patient’s medical records. Preoperative DLCA, SCA, GCA, SVA, SA, and intervertebral disk height measurements were compared with postoperative measurements at 1 year. Results: A total of 51 patients (88 disks), having undergone ACDF with lordotic cage insertion were included in this study. The initial curvature of the cervical spine was diagnosed as kyphosis in 30 (58.8%) patients, and as lordosis in 21 (41.2%) patients. There was significant improvement in the VAS, JOA, DLCA, SCA, GCA, SVA, SA, and intervertebral disk height after ACDF (p-value<0.050). In patients with preoperative kyphosis, the greatest changes were observed in the GCA (p-value=0.004). Conclusion: The use of a lordotic cage in ACDF improved both the clinical and radiographic outcomes of all postoperative parameters, regardless of the patient’s preoperative cervical spine curvature; although, patients with preoperative kyphosis had greater improvement in GCA.Nattawut NiljianskulPrince of Songkla Universityarticlealignmentanterior cervical discectomy and fusionlordotic cageMedicineRENJournal of Health Science and Medical Research (JHSMR), Vol 40, Iss 1, Pp 11-17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	alignment anterior cervical discectomy and fusion lordotic cage Medicine R
spellingShingle	alignment anterior cervical discectomy and fusion lordotic cage Medicine R Nattawut Niljianskul Outcome Study of Anterior Cervical Discectomy and Fusion with Lordotic Cage Insertion
description	Objective: This study retrospectively evaluated the clinical and radiographic outcomes following the use of a lordotic cage in anterior cervical discectomy and fusion (ACDF). Material and Methods: All patients who underwent ACDF, at Vajira Hospital; between May 2017 and May 2020, were included in this study. Radiographic images were used to evaluate the device-level Cobb angle (DLCA), segmental Cobb angle (SCA), global Cobb angle (GCA), sagittal vertical axis (SVA), sagittal alignment (SA), and intervertebral disk height. The visual analog scale (VAS) for neck pain, and the Japanese Orthopaedic Association (JOA) score were reviewed as part of the patient’s medical records. Preoperative DLCA, SCA, GCA, SVA, SA, and intervertebral disk height measurements were compared with postoperative measurements at 1 year. Results: A total of 51 patients (88 disks), having undergone ACDF with lordotic cage insertion were included in this study. The initial curvature of the cervical spine was diagnosed as kyphosis in 30 (58.8%) patients, and as lordosis in 21 (41.2%) patients. There was significant improvement in the VAS, JOA, DLCA, SCA, GCA, SVA, SA, and intervertebral disk height after ACDF (p-value<0.050). In patients with preoperative kyphosis, the greatest changes were observed in the GCA (p-value=0.004). Conclusion: The use of a lordotic cage in ACDF improved both the clinical and radiographic outcomes of all postoperative parameters, regardless of the patient’s preoperative cervical spine curvature; although, patients with preoperative kyphosis had greater improvement in GCA.
format	article
author	Nattawut Niljianskul
author_facet	Nattawut Niljianskul
author_sort	Nattawut Niljianskul
title	Outcome Study of Anterior Cervical Discectomy and Fusion with Lordotic Cage Insertion
title_short	Outcome Study of Anterior Cervical Discectomy and Fusion with Lordotic Cage Insertion
title_full	Outcome Study of Anterior Cervical Discectomy and Fusion with Lordotic Cage Insertion
title_fullStr	Outcome Study of Anterior Cervical Discectomy and Fusion with Lordotic Cage Insertion
title_full_unstemmed	Outcome Study of Anterior Cervical Discectomy and Fusion with Lordotic Cage Insertion
title_sort	outcome study of anterior cervical discectomy and fusion with lordotic cage insertion
publisher	Prince of Songkla University
publishDate	2021
url	https://doaj.org/article/cde465b25a6744898aad3e2d1e146426
work_keys_str_mv	AT nattawutniljianskul outcomestudyofanteriorcervicaldiscectomyandfusionwithlordoticcageinsertion
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Outcome Study of Anterior Cervical Discectomy and Fusion with Lordotic Cage Insertion

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