SURGICAL OUTCOME IN PATIENTS WITH DEGENERATIVE CERVICAL DISC DISEASE UNDERGOING ANTERIOR CERVICAL DISCECTOMY CONSOLIDATED WITH INTERBODY FUSION GRAFT (ACDF) VERSUS ANTERIOR CERVICAL DISCECTOMY WITHOUT FUSION GRAFT (ACD): PROSPECTIVE ANALYSIS OF 65 CASES IN SINA HOSPITAL (2003-2005)

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ALLAHDINI F.; AMIR JAMSHIDI ABAS; ZAREEI MOHAMMAD REZA

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Journal: Iranian Journal of Surgery Year:2006 | Volume:14 | Issue:3 Page(s): 0-0

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Title

SURGICAL OUTCOME IN PATIENTS WITH DEGENERATIVE CERVICAL DISC DISEASE UNDERGOING ANTERIOR CERVICAL DISCECTOMY CONSOLIDATED WITH INTERBODY FUSION GRAFT (ACDF) VERSUS ANTERIOR CERVICAL DISCECTOMY WITHOUT FUSION GRAFT (ACD): PROSPECTIVE ANALYSIS OF 65 CASES IN SINA HOSPITAL (2003-2005)

Author(s)

ALLAHDINI F. | AMIR JAMSHIDI ABAS | ZAREEI MOHAMMAD REZA | Issue Writer Certificate

Keywords

ANTERIOR CERVICAL DISCECTOMY WITHOUT FUSION GRAFT (ACD)Q4

ANTERIOR CERVICAL DISCECTOMY WITH FUSION GRAFT (ACDF)Q4

DEGENERATIVE CERVICAL DISC DISEASEQ4

RETURN TO THE PREVIOUS JOBQ4

Abstract

Introduction & Objective: Controversy still exists about the optimal surgical approach for DEGENERATIVE CERVICAL DISC DISEASE. Several factors may be considered by the attending surgeon to choose either of techniques; posterior interlaminar approach, anterior cervical discectomy without interbody fusion graft (ACD), or anterior cervical discectomy with interbody fusion graft (ACDF). This survey was designed to compare techniques of ACD with ACDF approach.Materials & Methods: This study is a prospective non-randomized clinical trial. All patients suffering from DEGENERATIVE CERVICAL DISC DISEASE who were admitted in the Department of Neurosurgery, Sina Hospital, during 2003-2005 were included. Demographic data, clinical findings, surgical complications and patients’ outcomes in the two groups were compared immediately after the operation and through a 1-year follow-up period.Results: Men were more affected than women (n=46), summing up to 65 patients. The mean age of cases was 44.7(±12) years. The most common level of involvement was C5/6 interspace (50.8%), In 36 cases (55%) the disc protrusion was lateral, while in 29 cases (45%), there was only a central or paracentral disc bulging. There was no statistically significant difference between the two non-randomized groups in the clinical and radiological presentation. The extent of pain relief, the duration of operation, post-operative hospital stay, and the time elapsed for the patients to RETURN TO THE PREVIOUS JOB was significantly different between the two surgical groups, favoring ACD, (P value <0.01). The rate of muscle force retrieval was better in the group with ACDF. No serious surgical complication occurred in the ACD group, and most of the complications were encountered in the ACDF group.Conclusions: This survey goes in favor of ACD technique versus ACDF in patients suffering from single level DEGENERATIVE CERVICAL DISC DISEASE. Another well designed study incorporating larger numbers of patients with more protracted follow-up interval is strongly recommended.

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APA: Copy

ALLAHDINI, F., AMIR JAMSHIDI, ABAS, & ZAREEI, MOHAMMAD REZA. (2006). SURGICAL OUTCOME IN PATIENTS WITH DEGENERATIVE CERVICAL DISC DISEASE UNDERGOING ANTERIOR CERVICAL DISCECTOMY CONSOLIDATED WITH INTERBODY FUSION GRAFT (ACDF) VERSUS ANTERIOR CERVICAL DISCECTOMY WITHOUT FUSION GRAFT (ACD): PROSPECTIVE ANALYSIS OF 65 CASES IN SINA HOSPITAL (2003-2005). IRANIAN JOURNAL OF SURGERY, 14(3), 0-0. SID. https://sid.ir/paper/392790/en

Vancouver: Copy

ALLAHDINI F., AMIR JAMSHIDI ABAS, ZAREEI MOHAMMAD REZA. SURGICAL OUTCOME IN PATIENTS WITH DEGENERATIVE CERVICAL DISC DISEASE UNDERGOING ANTERIOR CERVICAL DISCECTOMY CONSOLIDATED WITH INTERBODY FUSION GRAFT (ACDF) VERSUS ANTERIOR CERVICAL DISCECTOMY WITHOUT FUSION GRAFT (ACD): PROSPECTIVE ANALYSIS OF 65 CASES IN SINA HOSPITAL (2003-2005). IRANIAN JOURNAL OF SURGERY[Internet]. 2006;14(3):0-0. Available from: https://sid.ir/paper/392790/en

IEEE: Copy

F. ALLAHDINI, ABAS AMIR JAMSHIDI, and MOHAMMAD REZA ZAREEI, “SURGICAL OUTCOME IN PATIENTS WITH DEGENERATIVE CERVICAL DISC DISEASE UNDERGOING ANTERIOR CERVICAL DISCECTOMY CONSOLIDATED WITH INTERBODY FUSION GRAFT (ACDF) VERSUS ANTERIOR CERVICAL DISCECTOMY WITHOUT FUSION GRAFT (ACD): PROSPECTIVE ANALYSIS OF 65 CASES IN SINA HOSPITAL (2003-2005),” IRANIAN JOURNAL OF SURGERY, vol. 14, no. 3, pp. 0–0, 2006, [Online]. Available: https://sid.ir/paper/392790/en

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