Adjacent Segment Degeneration After Anterior Cervical Discectomy and Fusion , Asystematic Review and Meta-Analysis

Fahmy, Fady Michelle; Mahmoud, Abdel Rady; Ghazawy, Sayed Saied El-Sayed El

doi:10.21608/asmj.2021.167328

Cited by 1 publication

(3 citation statements)

References 9 publications

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“…ACDF has been linked to greater rates of adjacent-level degeneration, which may need further surgery. 8 ACDF reduces neck and arm discomfort, improves spinal stability, and restores nerve function. 9 Fusion rate: most patients have a firm fusion within 6 to 12 months following ACDF.…”

Section: Discussionmentioning

confidence: 99%

“…7 Visual analog scale (VAS) for arm and neck pain and Nurick grading scale was used to grade myelopathy. [7][8] Anterior cervical discectomy and fusion (ACDF) and Anterior cervical corpectomy and fusion (ACCF) are two effective procedures to decompress the spinal cord in patients with significant spinal canal stenosis and restore cervical lordosis. 9 In cases where cord compression is secondary to a disc pathology, ACDF is preferred over ACCF because there is less blood loss, a short hospital stay, and lesser complications.…”

Section: Introductionmentioning

confidence: 99%

“…However, in our study, we have used PEEK cages only. 8 ACDF using a stand-alone PEEK cage with two screws fixed in the superior and inferior vertebral body is considered a safe and effective treatment option for fusion in patients with two levels of cervical degenerative disc disease. 12 We aimed to assess the two-level ACDF procedure as a better alternative to ACCF in cases with two-level cervical degenerative disc disease.…”

Section: Introductionmentioning

confidence: 99%

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Improvement and Complications after Two-Level ACDF Surgery at a Tertiary Care Facility: A Retrospective Study

Sajid Khan,

Akram Ullah,

Bakht Jehan

et al. 2023

Pak J Neurol Surg

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Objective: To assess immediate and long-term outcomes and complications of two-level ACDF in patients with degenerative cervical disc disease. Materials & Methods: A retrospective study was carried out in the Department of Neurosurgery at Prime teaching hospital, Peshawar. Patients with symptoms of cervical radiculopathy and radiculomyelopathy with two-level cervical disc disease were included. Patients with trauma, single-level disease, and those who had cervical corpectomy were excluded. Age, gender, Nurick Grading, level of involvement, and post-op outcomes were recorded. Results: 27 cases among which 18 were males and 9 females were studied. 21 patients had radiculopathy while 6 had radiculomyelopathy. The mean age was 46 years. Nurick grade was from 2 to 6. ACDF was chosen as the procedure of choice. Follow-up involved the immediate post-op period for dysphagia, hoarseness of voice, and any neurological deficit, at 6 months and one year for outcomes of pain relief, improvement in paresthesia, and spasticity. Conclusion: ACDF is a safe and recommended procedure for 2-level cervical disc disease in terms of pain relief, paresthesia, and spasticity with acceptable complications.

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Section: Discussionmentioning

confidence: 99%