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Anterior Cervical Discectomy and Fusion in the Ovine Model
Published on: October 5, 2009
Prospective Observational Outcomes after Anterior Cervical Discectomy and Fusion
Gohar Ali1,2, Bahrul Amin Khan3, Shehzad Sadbar3
1Department of Neurosurgery, MTI-Bacha Khan Medical College, Mardan Medical Complex, Mardan, Pakistan.
Summary
Anterior cervical discectomy and fusion (ACDF) effectively relieved pain and improved neurological function in patients with cervical disc disease. The procedure demonstrated high fusion rates and acceptable complications at 12 months.
Area of Science:
- Neurosurgery
- Orthopedics
- Spinal Surgery
Background:
- Cervical disc disease can lead to radiculopathy and myelopathy.
- Conservative treatments may fail for symptomatic cervical disc disease.
- Anterior cervical discectomy and fusion (ACDF) is a surgical option for managing these conditions.
Purpose of the Study:
- To evaluate the outcomes of ACDF at 12 months post-surgery.
- Key outcomes assessed include pain relief, neurological status, radiographic fusion, and complications.
Main Methods:
- An observational study included 200 adult patients with symptomatic cervical disc disease.
- Pain was measured using the Visual Analogue Scale (VAS); neurological function with the modified Japanese Orthopaedic Association (mJOA) scale.
- Radiographic fusion was confirmed via dynamic radiographs and CT scans.
Main Results:
- Significant improvements in neck pain, arm pain, and mJOA scores were observed (p <0.001).
- Radiographic fusion was achieved in 90.5% of patients at 12 months.
- The overall complication rate was 19.5%, with transient dysphagia being the most common (14.5%).
Conclusions:
- ACDF provides substantial pain relief and neurological recovery for cervical disc disease.
- High fusion rates and acceptable complication profiles were noted at 12 months.
- ACDF is an effective treatment for selected patients with cervical disc disease.