Anterior cervical discectomy and fusion

Hauk, Lisa

doi:10.1002/aorn.12317

Cited by 5 publications

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These include the method of fusion, the type of implants, the placement of plates and screws, the use of external vertebral orthotics, the application of postoperative physiotherapy, as well as the most appropriate duration of patients' absence from work. Since there are no official, evidence-based guidelines, spine surgeons are often forced to follow their own tactics, based on their training, specialization, and clinical experience [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

“…With the patient in a supine position, the skin incision can be horizontal or longitudinal, parallel to the course of the sternocleidomastoid muscle. With this approach, the surgeon has direct access to the vertebral bodies and the intervertebral discs, so that discectomy, removal of osteophytes, and, where required, corpectomy of the vertebrae are easy and feasible [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Dysphagia as a Postoperative Complication of Anterior Cervical Discectomy and Fusion

Tsalimas¹,

Evangelopoulos²,

Benetos³

et al. 2022

Cureus

View full text Add to dashboard Cite

Anterior cervical discectomy and fusion (ACDF), despite its possible complications, remains the gold standard for the surgical treatment of patients with radiculopathy and/or myelopathy caused by cervical intervertebral disc herniation or spondylosis. Despite its high rate of incidence, postoperative dysphagia following ACDF is still poorly understood; its pathogenesis remains relatively unknown, and its risk factors are still a subject of debate.The aim of this study is to review the incidence, pathogenesis, diagnosis, and methods of prevention of dysphagia in ACDF patients. To this end, a literature review was conducted based on the PubMed internet database. Article titles were searched by using the following keywords: "dysphagia" and "anterior cervical discectomy and fusion" or "ACDF". The search was limited to prospective clinical studies evaluating dysphagia after ACDF surgery. Studies published in non-English languages, retrospective studies, cadaveric studies, reviews, case reports, study protocols, and commentary studies were excluded.Initially, 335 studies were identified after a primary search. After the application of the exclusion criteria, 73 studies remained for the final analysis. This literature review focused on identifying the rate of dysphagia and the various risk factors leading to this complication by comparing and evaluating the current literature with a wide spectrum of heterogeneity concerning patients, surgeons, and surgical techniques. A mean dysphagia rate of 19.4% (95% CI: 9.6%-29.1%) based on the findings of the included studies correlating dysphagia directly with ACDF procedures was calculated. Various established risk factors leading to dysphagia include the female sex, smoking, the surgical approach, rhBMP-2 use, and multilevel surgery, while zero-profile devices seem to reduce dysphagia risk. The diagnosis is based on clinical and radiological findings, especially prevertebral soft-tissue swelling. However, videofluoroscopic and endoscopic studies have been recently used for the evaluation of dysphagia. The role of local administration of steroids in the prevention of dysphagia has not yet been clarified. This review underscores the prevailing rudimentary understanding of the problem of dysphagia after ACDF procedures and highlights the need for more sensitive, factor-specific studies for understanding the impact of various risk factors on the incidence rate of dysphagia.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dysphagia as a Postoperative Complication of Anterior Cervical Discectomy and Fusion

Tsalimas¹,

Evangelopoulos²,

Benetos³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…[123] Although the latter has a few supporters up to now,[45] since the initial description, most surgeons perform ACD with interbody fusion– first by bone graft and after that by allograft bone and different interbody cages-with or without instrumentation. [678910111213141516171819] As a matter of fact, according to several studies, ACD without intersomatic graft would lead to kyphosis, upper-crossed syndrome, and cervicobrachial neuralgia. [1356718202122] Since 1990, cervical cages under several categories and materials have been marked.…”

Section: Introductionmentioning

confidence: 99%

Preliminary results of anterior cervical arthroplasty by porous alumina ceramic cage for cervical disc herniation surgery

Mostofi¹,

Moghaddam²,

Peyravi

et al. 2018

J Craniovert Jun Spine

View full text Add to dashboard Cite

Objective:Anterior cervical arthroplasty (ACA) is the gold standard surgery in severe or unresponsive cases of cervical disc herniation, uncarthrosis, and foraminal stenosis. The aim of this study is to establish the impact and outcome evaluations of managing the patients operated for cervical arthroplasty by the intersomatic porous alumina ceramic cervical cages (PACC). The authors describe their experience in the area to allow the comparison of effectiveness of ceramic cages versus other interbody fusion cages.Materials and Methods:Between April 2015 and September 2018, we operated 118 for ACA by using PACC. Among them, 52 were female and 66 were male, with an average age of 46.78 years.Results:The mean symptoms duration was 14.1 months. The most frequent level of the disorder was C5–C6 followed by C6–C7 level. Mean follow-up was 3.3 years. The Neck Disability Index (NDI) and the visual analog scale (VAS) were used to evaluate the patients status. No significant differences were observed between our results and literature data regarding operative time, duration of hospitalization, and NDI; however, we observed a shorter period and higher rate of bony fusion.Conclusion:The results from the present study corroborate that implementing of PACC is a good alternative treatment for the patient operated by ACA for cervical disc herniation or foraminal cervical stenosis.

show abstract

Efficacy of Tracheal Traction Exercise for Prevention of Laryngopharyngeal Complications Following Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Wang

et al. 2023

World Neurosurgery

View full text Add to dashboard Cite

Anterior cervical discectomy and fusion

Cited by 5 publications

References 2 publications

Dysphagia as a Postoperative Complication of Anterior Cervical Discectomy and Fusion

Dysphagia as a Postoperative Complication of Anterior Cervical Discectomy and Fusion

Preliminary results of anterior cervical arthroplasty by porous alumina ceramic cage for cervical disc herniation surgery

Efficacy of Tracheal Traction Exercise for Prevention of Laryngopharyngeal Complications Following Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Contact Info

Product

Resources

About