Anterior cervical discectomy and fusion in patients with cervical disc disease- a clinical outcome study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Cervical disc disease is a common and distressing problem. For patients who do not respond to conservative treatment, surgical treatment in the form of cervical discectomy and fusion (ACDF) is an option. ACDF is challenging with respect to both patient selection and choice of surgical procedure. The aim of this study is to evaluate the clinical outcome of ACDF in patients with cervical disc disease. Materials and methods: This study was conducted over a period of five years from 2008 to 2013. The study group included eight male patients and four female patients. Maximum age of the patient was sixty years and minimum age was twenty six years. Maximum period of follow up was four years and minimum was six months. All patients underwent anterior cervical discectomy and fusion with autologous iliac bone graft with instrumentation (2 patients) or without instrumentation (10 patients). For all patients postoperative period was uneventful. Results: Clinical outcome was measured using Visual Analogue Scale (VAS) and Cervical Oswestry pain disability score before and after surgery. Based on VAS, all patients had severe pain before surgery and at follow up ten patients had little or no pain and two patients had moderate pain. Based on Cervical Oswestry score, ten patients showed good score, one had fair and one had poor score. Conclusion: ACDF is an effective treatment for cervical disc disease in patients who failed adequate period of conservative treatment.
Authors and Affiliations
Dr. Agni Raj R, Dr. Tholgapiyan T, Dr. Kathir Azhagan S, Dr. Mohan Kumar K
Keywords
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- EP ID EP498148
- DOI 10.22271/ortho.2017.v3.i3d.50
- Views 90
- Downloads 0
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