EARLY RESULTS OF ANTERIOR CERVICAL DISCECTOMY AND FUSION WITH INTERBODY CAGES

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dc.contributor.authorGöker, B.
dc.date.accessioned2024-05-19T14:33:19Z
dc.date.available2024-05-19T14:33:19Z
dc.date.issued2019
dc.departmentİstinye Üniversitesien_US
dc.description.abstractIntroduction: Anterior cervical discectomy and fusion (ACDF) with interbody cages has been widely used for cervical degenerative disc disease (DDD) along with the other procedures (simple discectomy, cervical disc arthroplasty, ACDF with plating etc.) The aim of the study is to analyze the clinical outcomes measured by Visual Analog Scale (VAS) scores and Odom's criteria after ACDF with blade polyetheretherketone (PEEK) cage plus bioactive bone graft substitute. Materials and Methods: 83 patients operated by a single neurosurgeon on for singel-level or multi-level ACDF with bladed PEEK cage was evaluated retrospectively. Clinical outcome scores measured by VAS scores and Odom's criteria; postoperative fusion rates were analyzed on postoperative cervical radiographs. Early postoperative complications, implant failures and progression to adjacent segment disease were investigated. Results: In our study, one-level ACDF was performed on 51 patients, two-level ACDF was performed on 29 patients and three level ACDF was performed on 3 patients. 91.6 % (76 patients) of the patients presented with radiculopathy, whereas, 8.4 % (7 patients) of the patients presented with radiculomyelopathy. Mean follow-up is 18 months (range 1-32 months). VAS scores were improved in 97.6 % of the patients. According to Odom's criteria, 95 % of the patients evaluated the surgery success as excellent; 5% of the patients evaluated the surgery success as good. All of the patients with radiculopathic symptoms fully recovered, whereas, 4 patients (57.2 %) with radiculomyelopathy had improved, whereas in 3 patients (42.8 %) neurological status did not changed postoperatively. Symptomatic adjacent segment disease was not encountered in any of the cases. As for early postoperative complications, one patient had a cerebro-spinal fluid (CSF) fistula which required second operation along with a lumbar drainage, 30 % of the patients had transient difficulty of swallowing which resolved in 2-3 days, in 92 % of patients fusion was achived. No mortality was noted. Conclusions: ACDF procedure is an effective treatment for cervical DDD. ACDF with bladed cages have higher fusion rates and less implant subsidence. Our study has favorable fusion results with acceptable complication rates. © Journal of Turkish Spinal Surgery.en_US
dc.identifier.endpage120en_US
dc.identifier.issn1301-0336
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85149876545en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage117en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4189
dc.identifier.volume30en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherGalenos Publishing Houseen_US
dc.relation.ispartofJournal of Turkish Spinal Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectAnterior Cervical Discectomy And Fusionen_US
dc.subjectCervical Disc Herniationen_US
dc.subjectOutcome Assesmenten_US
dc.subjectPolyetheretherketone Cageen_US
dc.titleEARLY RESULTS OF ANTERIOR CERVICAL DISCECTOMY AND FUSION WITH INTERBODY CAGESen_US
dc.typeArticleen_US

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