Clinical and Radiographic Outcomes of Uncoforaminotomy in Anterior Cervical Discectomy and Fusion (ACDF): Our experience
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2023, Vol 35, Issue 01
Abstract
Abstract: Objective: To evaluate clinical and radiological outcomes of individuals undergoing ACDF with or without Uncovertebral joint decompression. Methods: This retrospective study was conducted in Orthopedic and Spine department of Ziauddin University hospital Karachi. Patients meeting inclusion criteria were included. Operative as well as radiological evidence of Uncoforaminotomy was documented. Pre op and Post-Operative VAS score, neck disability index (NDI) and Odom criteria was assessed for neck pain and arm pain immediately, at 2 weeks, 6 weeks and 3 months post op Results: There were 48(68.6%) females and 22(31.4%) male patients. Majority of our patients were in 40-60 years’ age group (34, 48.6%). Most common level involved was C6-7 (48, 68.6%) followed by C5-6 (19, 27.1%). Uncoforaminotomy was performed in 61 (87.1%) of cases. There was significant improvement in NDI and VAS score in 61 (87.1%) cases. Excellent outcome was achieved in 64 (91.4%) of cases as per modified Odom criteria. Significant correlation was found in patients without UF and higher VAS score post op (p-0.001). No significant correlation was found between higher Neck disability index (p-0.075) and presence of Uncoforaminotomy. Subsidence rate was comparable between two groups. No significant correlation was found between Gender and higher post op VAS score (p-0.617). Conclusion: Uncoforaminotomy in ACDF with cervical radiculopathy offers direct decompression of nerve root. Using larger cage in ACDF leads to over distraction of facet joint resulting in stretching of facet capsule and neck pain and higher VAS scores post operatively. Proper knowledge of anatomy of Uncovertebral joint and availability of armamentarium to decompress foramen directly yields excellent outcomes along with minimizing risk of complications. Keywords: Degenerative disc, ACDF, Neck disability score
Authors and Affiliations
Shahbaz Khan Panhwer1, Nida Hameed2, Pir Zarak Khan3, Imtiaz Hashmi4
Keywords
Related Articles
- EP ID EP740918
- DOI -
- Views 107
- Downloads 0
Rate of Union in Complex Distal Humerus Fractures Using Anatomically Contoured Locking Plates
A study to evaluate the rate of healing after open reduction internal fixation of complex distal humerus fractures using LCPs. Design: Observational study. Setting: Liaquat National Hospital, an orthopaedic trauma...
Is Hematoma block effective in reducing distal radius fractures in elderly patients presenting to the Accidents and Emergency Department?
Objective: To determine the efficacy of hematoma block in reducing distal radius fractures in terms of radiological correction and frequency of re manipulation. Methods: We conducted this descriptive study in Departme...
Demographic Study of Orthopedics Trauma Among the Patients Attending the Accident and Emergency Department in Indus Hospital Badin.
ntroduction: The magnitude and severity of trauma in rural populations is well documented worldwide, leading to building of well-equipped trauma centers. However, the magnitude of such injuries in documented in Pakistan....
Isolated Congenital unilateral Aplasia of Patella with contralateral Hypoplasia of Patella-A Case Report.
Congenital absence of patella(aplasia) or small size patella(hypoplasia) is very rare and usually associated with other anomalies like Nail Patella Syndrome, Ischiopatellar dysplasia and Turner-Kiesser syndrome. This con...
Restoration of Radiological Parameters with Fragment Specific Fixation for Distal Radius Fractures: A Case Series
Objective: To assess the radiological outcomes of fragment-specific fixation for complex distal radius fractures. Methods: We conducted a retrospective case series of patients presenting with complex distal radius fra...