A Prospective Study of the Functional Outcome of Anterior Cervical Discectomy With Fusion in Single Level Degenerative Cervical Disc Prolapse

Kamani, Mayur; Ballal, Arjun; Shetty, Vikram; Ravindranath, H.; Hegde, Deepak

doi:10.7860/jcdr/2016/16961.7709

Cited by 2 publications

(5 citation statements)

References 12 publications

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“…The clinical effective rate of MI-ACDF was 94.3%, which agrees with those reports that the effective rate ranged from 80% to 100%. 9 , 43 , 44 Similarly, the effective rate of PPEKF was also consistent with previous studies. 45 , 46 The pooled effective rate of patients after MI-ACDF was higher than patients after PPEKF, but no statistical difference was observed between the 2 groups.…”

Section: Discussionsupporting

confidence: 91%

“…The clinical effective rate of MI-ACDF was 94.3%, which agrees with those reports that the effective rate ranged from 80% to 100% 9,43,44. Similarly, the effective rate of PPEKF was also consistent with previous studies 45,46.…”

Section: Discussionsupporting

confidence: 91%

“… 7 , 8 However, ACDF still has some catastrophic complications in spite of using the microscope, including dysphagia, adjacent segment disease, and pseudoarthrosis. 9 , 10 The posterior cervical approach can avoid these complications caused by the anterior cervical approach. The rapid development of endoscopic technique has made the posterior cervical foraminotomy (PCF) minimally invasive, avoiding the injury of the large surgical incision to the paravertebral muscles.…”

mentioning

confidence: 99%

“…ACDF is considered by many surgeons to be the “gold standard” of surgical interventions 7,8. However, ACDF still has some catastrophic complications in spite of using the microscope, including dysphagia, adjacent segment disease, and pseudoarthrosis 9,10. The posterior cervical approach can avoid these complications caused by the anterior cervical approach.…”

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confidence: 99%

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Microscopic Anterior Cervical Discectomy and Fusion Versus Posterior Percutaneous Endoscopic Cervical Keyhole Foraminotomy for Single-level Unilateral Cervical Radiculopathy

Guo

Wang

Zhang

et al. 2022

Clinical Spine Surgery: A Spine Publication

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Study Design: A systematic review and meta-analysis. Objective: The objective of this study was to compare the safety of microscopic anterior cervical discectomy and fusion (MI-ACDF) and posterior percutaneous endoscopic keyhole foraminotomy (PPEKF) in patients diagnosed with single-level unilateral cervical radiculopathy. Summary of Background Data: After conservative treatment, the symptoms will be relieved in about 90% of cervical radiculopathy patients. For the other one tenth of patients, surgical treatment is needed. The overall complication rate of MI-ACDF and PPEKF ranges from 0% to 25%, and the reoperation rate ranges from 0% to 20%. Materials and Methods: Electronic retrieval of studies from PubMed, Embase, and Cochrane Library was performed to identify comparative or single-arm studies on MI-ACDF and PPEKF. A total of 24 studies were included in our meta-analysis by screening according to the inclusion and exclusion criteria. After data extraction and quality assessment of the included studies, a meta-analysis was performed by using the R software. The pooled incidences of efficient rate, total complication rate, and reoperation rate were calculated. Results: A total of 24 studies with 1345 patients (MI-ACDF: 644, PPEKF: 701) were identified. There was no significantly statistical difference in pooled patient effective rate (MI-ACDF: 94.3% vs. PPEKF: 93.3%, P=0.625), total complication rate (MI-ACDF: 7.1% vs. PPEKF: 4.7%, P=0.198), and reoperation rate (MI-ACDF: 1.8% vs. PPEKF: 1.1%, P=0.312). However, the common complications of the 2 procedures were different. The most common complications of MI-ACDF were dysphagia and vertebral body sinking, whereas the most common complication of PPEKF was nerve root palsy. Conclusions: Both MI-ACDF and PPEKF can provide a relatively safe and reliable treatment for single-level unilateral cervical radiculopathy. The 2 techniques are not significantly different in terms of effective rate, total complication rate, and reoperation rate.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Microscopic Anterior Cervical Discectomy and Fusion Versus Posterior Percutaneous Endoscopic Cervical Keyhole Foraminotomy for Single-level Unilateral Cervical Radiculopathy

Guo

Wang

Zhang

et al. 2022

Clinical Spine Surgery: A Spine Publication

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“…Nineteen studies [25,26,31,35,36,38,40,45,56,62,70,79,81,84–86,90,100,116] containing 99 patients with hoarseness of 2234 patients after cervical surgery were included. Figure 28 shows that the incidence of hoarseness was 4.0% (95% CI 2.3%–5.7%), with substantial heterogeneity of incidence observed.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of complications after surgery in treatment for cervical compressive myelopathy

et al. 2017

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Purpose:We aim to perform a meta-analysis on prevalence of all kinds of operation-related complications following surgery treating cervical compressive myelopathy (CCM) and to provide reference for surgeons making surgical plan.Methods:An extensive search of literature was performed in PubMed/MEDLINE, Embase, the Cochrane library, CNKI, and WANFANG databases on incidence of operation-related complications from January 2007 to November 2016. Data was calculated and data analysis was conducted with STATA 12.0 and Revman 5.3.Results:A total of 107 studies included 1705 of 8612 patients (20.1%, 95% CI 17.3%–22.8%) on overall complications. The incidence of C5 plasy, cerebrospinal fluid (CSF), infection, axial pain, dysphagia, hoarseness, fusion failure, graft subsidence, graft dislodgment, and epidural hematoma is 5.3% (95% CI 4.3%–6.2%), 1.9% (95% CI 1.3%–2.4%), 2.8% (95% CI 1.7%–4.0%), 15.6% (95% CI 11.7%–19.5%), 16.8% (95% CI 13.6%–19.9%), 4.0% (95% CI 2.3%–5.7%), 2.6% (95% CI 0.2%–4.9%), 3.7% (95% CI 2.0%–5.5%), 3.4% (95% CI 2.0%–4.8%), 1.1% (95% CI 0.7%–1.5%), respectively. Patients with ossification of posterior longitudinal ligament (OPLL) (6.3%) had a higher prevalence of C5 plasy than those with cervical spondylotic myelopathy (CSM) (4.1%), and a similar trend in CSF (12.2% vs 0.9%). Individuals after laminectomy and fusion (LF) had highest rate of C5 plasy (15.2%), while those who underwent anterior cervical discectomy and fusion (ACDF) had the lowest prevalence (2.0%). Compared with patients after other surgical options, individuals after anterior cervical corpectomy and fusion (ACCF) have the highest rate of CSF (4.2%), infection (14.2%), and epidural hematoma (3.1%). Patients after ACDF (4.8%) had a higher prevalence of hoarseness than those with ACCF (3.0%), and a similar trend for dysphagia between anterior corpectomy combined with discectomy (ACCDF) and ACCF (16.8% vs 9.9%).Conclusions:Based on our meta-analysis, patients with OPLL have a higher incidence of C5 palsy and CSF. Patients after LF have a higher incidence of C5 palsy, ACCDF have a higher incidence of dysphagia, ACCF have a higher incidence of CSF and infection and ACDF have a higher incidence of hoarseness. These figures may be useful in the estimation of the probability of complications following cervical surgery.

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A Prospective Study of the Functional Outcome of Anterior Cervical Discectomy With Fusion in Single Level Degenerative Cervical Disc Prolapse

Cited by 2 publications

References 12 publications

Microscopic Anterior Cervical Discectomy and Fusion Versus Posterior Percutaneous Endoscopic Cervical Keyhole Foraminotomy for Single-level Unilateral Cervical Radiculopathy

Microscopic Anterior Cervical Discectomy and Fusion Versus Posterior Percutaneous Endoscopic Cervical Keyhole Foraminotomy for Single-level Unilateral Cervical Radiculopathy

Prevalence of complications after surgery in treatment for cervical compressive myelopathy

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