医学
颈椎前路椎间盘切除融合术
可视模拟标度
颈部疼痛
放射性武器
生活质量(医疗保健)
外科
笼子
退行性椎间盘病
偷看
椎间盘切除术
脊柱融合术
植入
Oswestry残疾指数
颈椎
腰椎
组合数学
病理
护理部
替代医学
数学
作者
Stylianos Kapetanakis,Tryfon Thomaidis,George Charitoudis,Pavlos Pavlidis,Panagiotis Theodosiadis,Grigorios Gkasdaris
出处
期刊:Journal of spine surgery
[AME Publishing Company]
日期:2017-04-09
卷期号:3 (3): 312-322
被引量:12
标识
DOI:10.21037/jss.2017.06.21
摘要
Anterior cervical discectomy and fusion (ACDF) constitutes the conventional treatment of cervical disc herniation due to degenerative disc disease (DDD). ACDF with plating presents a variety of complications postoperatively and stand-alone cages are thought to be a promising alternative. The aim of this study was firstly, to analyze prospectively collected data from a sample of patients treated with single ACDF using C-Plus self-locking stand-alone PEEK cage system, without the use of plates or screws, in order to evaluate pain levels of patients, utilizing Neck and Arm Pain scale as an expression of visual analogue scale (VAS). Secondly, we aimed to evaluate health-related quality of life, via the short-form 36 (SF-36) and Neck Disability Index (NDI).Thirty-six patients (19 male and 17 female) with mean age 49.6±7 years old who underwent successful single ACDF using self-locking stand-alone PEEK cage for symptomatic cervical DDD were selected for the study. Neck and Arm pain, as well as SF-36 and NDI were estimated preoperatively and 1, 3, 6, and 12 months postoperatively. Patients underwent preoperative and postoperative clinical, neurological and radiological evaluation.The clinical and radiological outcomes were satisfactory after a minimum 1-year follow-up. All results were statistically important (P<0.05), excluding improvement in NDI measured between 6 and 12 months. SF-36, Neck Pain, as well as Arm Pain featured gradual and constant improvement during follow-up, with best scores presenting at 12 months after surgery, while NDI reached its best at 6 months postoperatively.Generally, all scores showed improvement postoperatively during the different phases of the follow-up. Subsequently, ACDF using C-Plus cervical cage constitutes an effective method for cervical disc herniation treatment, in terms of postoperative improvement on pain levels and health-related quality of life and a safe alternative to the conventional method of treatment for cervical DDD.
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