Medical and radiological options of Three Reconstructive Procedures for the Surgical Administration of Sufferers with Bi-level Cervical Degenerative Disc Illness at a Minimal Comply with Up Interval of 5 Years: A Comparative Research.
World Neurosurg. 2018 Jan 30;:
Authors: Wang KF, Duan S, Zhu ZQ, Liu HY, Liu CJ, Xu S
OBJECTIVE: To evaluate the mid-long-term follow-up of the security and efficacy of anterior cervical discectomy and fusion (ACDF), cervical synthetic disc substitute (CADR) and hybrid surgical procedure (HS) for bi-level cervical degenerative disc illness (cDDD).
METHODS: 77 sufferers who underwent ACDF, HS and CADR have been retrospectively reviewed. Medical results have been evaluated based mostly on NDI, VAS and JOA scores, and the Odom standards. Radiographic outcomes have been evaluated, together with cervical vary of movement(ROM), operative and adjoining segments ROM, incidence of adjoining segments degeneration(ASD) and heterotopic ossification(HO).
RESULTS: NDI, VAS and JOA scores considerably improved in all sufferers after surgical procedure with out vital variations between teams. The wonderful to good ratio in Odom’s scale was 28/30 for HS group, 30/33 for ACDF group, and 13/14 for CADR group. No vital variations in scientific outcomes or complication have been discovered between teams (P>zero.05). Moreover, the HS and CADR teams had much less decreased cervical and operative segments ROM and fewer compensatory adjoining phase ROM (P<zero.05). In distinction, the ACDF group had decreased cervical and operative segments ROM and considerably elevated adjoining segments ROM (P<zero.05). Furthermore, the incidence of ASD was greater in ACDF, however the distinction was not statistically vital (P>zero.05). HO was present in 10 sufferers (33.three%) within the HS group and 5 sufferers (35.7%) within the CADR group.
CONCLUSION: HS was superior to ACDF with regard to equal scientific outcomes within the mid-long-term follow-up. Moreover, HS was superior within the upkeep of ROM and had much less influence on its adjoining segments. The efficacy of HS is just like that of CADR.
PMID: 29408574 [PubMed – as supplied by publisher]