OBJECTIVE: To study clinical and radiographic outcome of patients who underwent the Cervios cage-assisted anterior cervical discectomy and fusion (ACDF) without plate fixation in single to two-level degenerative disc disease (DDD). MATERIAL AND METHOD: Sixty-seven patients suffering from cervical DDD with various symptoms such as radiculopathy, myelopathy, or both were retrospectively evaluated. The cervical DDD was confirmed by plain radiographs and MR imaging The patients underwent radiographic evaluation to assess cervical lordosis, intervertebral height (IH), fusion, and subsidence. Clinical assessment was graded using a visual analog scale (VAS), Modified JOA (Japanese Orthopedic Association) score, Neck Disability Index (NDI). RESULTS: There were ninety two ACFD in two levels of operation. Single-level ACDF was performed in 42 patients and two-level in 25. The outcomes revealed the significant improvement of clinical outcome and restoration of cervical lordosis. The fusion rate was 97%, whereas subsidence occurred 7.61% but produced no symptom. There was no anterior or posterior migration of the cage. Complications included transient dysphagia in three patients and superficial wound infection in two patients. CONCLUSION: The present study indicates that one- to two-level stand alone Cervios cage-assisted interbody fusion without plate fixation provides improvement of clinical outcomes, restoration of lordosis and high fusion rate. However subsidence occurred in 7.61% but did not cause clinical symptoms and the patients had to use the cervical collar postoperatively
Keywords : Adult,Aged,Aged,80 and over,Biocompatible Materials,Bone Plates,complications,diagnostic imaging,Diskectomy,etiology,Female,Humans,Infection,instrumentation,Intervertebral Disc,Intervertebral Disc Degeneration,Ketones,Lordosis,Magnetic Resonance Imaging,Male,methods,Middle Aged,Neck,Neck Pain,Pain Measurement,Patients,Polyethylene,Polyethylene Glycols,Radiculopathy,Radiography,Retrospective Studies,Spinal Fusion,surgery,Thailand,Treatment Outcome,Wound Infection,, Cervical,Polyetheretherketone,(Peek),Cage,(Cervios), pregabalin dosage for back pain
Date of Publication : 2011 Feb
Authors : Iampreechakul P;Srisawat C;Tirakotai W;
Organisation : Division of Neurological Surgery, Prasat Neurological Institue, Bangkok, Thailand. bangruad@hotmail.com
Journal of Publication : J Med Assoc Thai
Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21534365
The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery
English
Arabic
Chinese (Simplified)
Russian
Spanish
Urdu