ANALYSIS OF ANTERIOR CERVICAL DISCECTOMIES: EVALUATION OF 338 CASES
Journal Title: Journal of Turkish Spinal Surgery - Year 2017, Vol 28, Issue 3
Abstract
Objective: The aim of our study is to analyse the cervical discectomy operations performed in our clinic in the last 3 years. Materials and Method: 338 patients underwent anterior cervical discectomy+fusion or total disc replacement at Adana Numune Training and Research Hospital Neurosurgery Clinic between April 2013 and April 2016 were inspected retrospectively. We evaluated patients’ age, gender, level of discopathy, side of the disc herniation, type of surgery, preoperative and postoperative Visual Analog Scale(VAS) scores. Results: Data from 338 patients were included in the statistical analyses. Mean age of the study population was 46.1 ± 10.3 years, and male/female ratio was 171 / 167. 145 patients(42.9 %) had a localization at C5-C6. The symptoms were on the left side of 43,5 % of patients. Total disc replacement implanted on 203 patients (60.1 %) and 135 patients(39.9 %) had been operated with fusion cages with blade. VAS scores decreased significantly during follow-up period. The comparisons of clinical characteristics between males and females were similar. But postoperative 3rd month VAS scores were significantly different between genders, and males had lower VAS scores than females. Conclusion: Cervical disc disease is a common pathology. Anterior cervical discectomy is a frequently performed procedure in surgical treatment. Anterior cervical discectomy + fusion or total disc replacement can be performed.
Authors and Affiliations
İsmail İŞTEMEN, Kemal Alper AFŞER, Vedat AÇIK, Gökhan ÇAVUŞ, Emre BİLGİN, Yurdal GEZERCAN, Ali İhsan ÖKTEN
Keywords
Related Articles
- EP ID EP676959
- DOI -
- Views 156
- Downloads 0
ALICI SPINAL INSTRUMENTATION FOR DEGENERATIVE DISEASE OF THE LUMBOSACRAL REGION
Degeneration of the intervertebral disc, complex begins early in life and is a variety of environmental factors as well as normal aging. With aging, there is a progressive increase in vertebral end-plate concavity, assoc...
A BİOMECHANICAL ANALYS1S OF THE PULL-OUT STRENGTH OF LATERAL MASS AND PEDİCLE SCREWS İN LOWER CERVICAL SPİNE
Posterior cervical instrumentation can be performed using lateral mass piating. Recently, pedicle screvvs have been used to avoid complications regarding pull-out. This study vvas planned to compare the pulI-out strength...
POSTOPERATIVE PSEUDOMENINGOCELE: case report
In this article, a pseudomeningocele, which was diagnosed during the radiological work of a male 63 year old patient who had undergone multiple operations for lumbar disc disease and postoperative fibrosis, is presented...
DETERMINATION OF THE MAXIMUM SCREW LENGTH IN FIRST LUMBAR VERTEBRAE
Aim: To determine the maximum length of the pedicular screw via measuring the interpedicular distance and the distance between the interfacet joint line and the anterior cortex of the first lumbar (L1) vertebra. Pati...
LIMITED LAMINOTOMY AND SELECTIVE DECOMPRESSION IN DEGENERATIVE LUMBAR STENOSIS
Introduction: Degenerative lumbar stenosis is defined as narrowing of the spinal canal with symptomatic compression of neural and vascular elements. Consequently, persistent back pain and neurological symptoms becomes...