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[Functional and radiological outcome after ACDF in 67 cases]
C Hessler1, K Boysen, M Westphal
1Neurochirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistrasse 52, Hamburg. chessler@uke.uni-hamburg.de
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|April 12, 2011
Summary
Anterior cervical discectomy and fusion (ACDF) effectively treats cervical disc herniation, with over 80% of patients experiencing improved neurological function and reduced pain. This study highlights ACDF as a safe and effective surgical option.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Anterior cervical discectomy and fusion (ACDF) is a standard surgical procedure for symptomatic cervical spine disc disease.
- Cervical disc herniation can lead to significant pain and neurological deficits.
Purpose of the Study:
- To evaluate the clinical outcomes of ACDF in patients with cervical disc herniation.
- To analyze the efficacy and safety of ACDF based on clinical and radiological data.
Main Methods:
- A cohort of 67 patients with single-level cervical disc herniation underwent ACDF.
- Preoperative, immediate postoperative, and 7-month postoperative clinical and radiological assessments were conducted.
Main Results:
- Significant improvements were observed 7 months post-surgery: 91% pain reduction, 79% improved neck range of motion, and 78% improvement in motor and sensory function.
- Radiological evaluation revealed an 85% bony fusion rate at the treated cervical spine segment.
Conclusions:
- ACDF is a highly effective surgical treatment for cervical disc degeneration, offering substantial pain relief and functional recovery.
- The procedure demonstrates a low complication rate and a high fusion success rate, confirming its safety and efficacy.